Fine Tremors in Hands
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Reviewed By:

Benjamin Kummer, MD

Benjamin Kummer, MD (Neurology)

Dr Kummer is Assistant Professor of Neurology at the Icahn School of Medicine at Mount Sinai (ISMMS), with joint appointment in Digital and Technology Partners (DTP) at the Mount Sinai Health System (MSHS) as Director of Clinical Informatics in Neurology. As a triple-board certified practicing stroke neurologist and informaticist, he has successfully improved clinical operations at the point of care by acting as a central liaison between clinical neurology faculty and DTP teams to implement targeted EHR configuration changes and workflows, as well as providing subject matter expertise on health information technology projects across MSHS. | Dr Kummer also has several years’ experience building and implementing several informatics tools, presenting scientific posters, and generating a body of peer-reviewed work in “clinical neuro-informatics” – i.e., the intersection of clinical neurology, digital health, and informatics – much of which is centered on digital/tele-health, artificial intelligence, and machine learning. He has spearheaded the Clinical Neuro-Informatics Center in the Department of Neurology at ISMMS, a new research institute that seeks to establish the field of clinical neuro-informatics and disseminate knowledge to the neurological community on the effects and benefits of clinical informatics tools at the point of care.

Shohei Harase, MD

Shohei Harase, MD (Neurology)

Dr. Harase spent his junior and senior high school years in Finland and the U.S. After graduating from the University of Washington (Bachelor of Science, Molecular and Cellular Biology), he worked for Apple Japan Inc. before entering the University of the Ryukyus School of Medicine. He completed his residency at Okinawa Prefectural Chubu Hospital, where he received the Best Resident Award in 2016 and 2017. In 2021, he joined the Department of Cerebrovascular Medicine at the National Cerebral and Cardiovascular Center, specializing in hyperacute stroke.

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People with similar symptoms also use Ubie's symptom checker to find possible causes

  • Fell sick with trembling of the fingers or toes as the first symptom

  • Trembling of the hands or feet followed by other symptoms

  • Fine shaking fingers

  • Illness started with trembling of the hands or feet

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Content updated on Jan 4, 2023

About the symptom

This describes unintentional, fine (small-amplitude) shaking movements in either a part or the entirety of a person's hand(s) or finger(s).

When to see a doctor

Seek professional care if you experience any of the following symptoms

  • Jaundice

  • Unexplained weight loss of 5% or more in 1 month

  • Fine tremor of the fingers

  • Involuntary movements

  • Numbness / sensory disorder

  • Recent weight loss

  • Disorder of consciousness

  • History of cerebrovascular disorder

  • Altered mental status (delirium)

Possible causes

  • Parkinson disease (PD)

    A progressive nervous system disorder affecting movement. It occurs due to nerve cell damage in the brain. The exact cause for PD is unknown. Risk factors include genetics, male gender, old age, and exposure to certain toxins and environmental factors.

  • Striatal substantia nigra degeneration

    This neurological disorder is caused by a disruption in the connection between two brain areas - the striatum and the substantia nigra. These areas work together to maintain balance and movement. It can be caused by other neurological disorders like Parkinson's or cocaine abuse.

  • Alcohol dependence / delirium tremens

    A condition in which the patient depends on alcohol and experiences withdrawal symptoms if they don't have a drink. These symptoms can range from mild (e.g., irritation, sleeplessness) to severe (confusion, coma, seizures).

  • Graves' disease
  • Spinal muscular atrophy
  • Hyperthyroidism
  • Paroxysmal exercise-induced dance athetosis

Related serious diseases

  • Malignant syndrome

    Also known as neuroleptic malignant syndrome (NMS), it is a rare and serious reaction to certain medications. Symptoms usually begin within hours to days after exposure to the medication but can sometimes occur up to a month after starting it. Common causative medications include antipsychotics and occasionally drugs used to treat or prevent vomiting, Parkinson's disease, etc. Symptoms include dangerously high body temperature, muscular rigidity, and severe agitation and altered mental status.

  • Thyroid storm
  • Hypoglycemia

Questions your doctor may ask about this symptom

Your doctor may ask these questions to check for this symptom

  • Do your fingers tremble slightly?

  • Do you have a fever?

  • Do you have headaches or a heavy feeling in your head?

  • Do you struggle to focus or feel less aware of your surroundings?

  • Do you feel any numbness or altered sensation?

Other Related Symptoms

Similar symptoms or complaints

Reviewed By:

Benjamin Kummer, MD

Benjamin Kummer, MD (Neurology)

Dr Kummer is Assistant Professor of Neurology at the Icahn School of Medicine at Mount Sinai (ISMMS), with joint appointment in Digital and Technology Partners (DTP) at the Mount Sinai Health System (MSHS) as Director of Clinical Informatics in Neurology. As a triple-board certified practicing stroke neurologist and informaticist, he has successfully improved clinical operations at the point of care by acting as a central liaison between clinical neurology faculty and DTP teams to implement targeted EHR configuration changes and workflows, as well as providing subject matter expertise on health information technology projects across MSHS. | Dr Kummer also has several years’ experience building and implementing several informatics tools, presenting scientific posters, and generating a body of peer-reviewed work in “clinical neuro-informatics” – i.e., the intersection of clinical neurology, digital health, and informatics – much of which is centered on digital/tele-health, artificial intelligence, and machine learning. He has spearheaded the Clinical Neuro-Informatics Center in the Department of Neurology at ISMMS, a new research institute that seeks to establish the field of clinical neuro-informatics and disseminate knowledge to the neurological community on the effects and benefits of clinical informatics tools at the point of care.

Shohei Harase, MD

Shohei Harase, MD (Neurology)

Dr. Harase spent his junior and senior high school years in Finland and the U.S. After graduating from the University of Washington (Bachelor of Science, Molecular and Cellular Biology), he worked for Apple Japan Inc. before entering the University of the Ryukyus School of Medicine. He completed his residency at Okinawa Prefectural Chubu Hospital, where he received the Best Resident Award in 2016 and 2017. In 2021, he joined the Department of Cerebrovascular Medicine at the National Cerebral and Cardiovascular Center, specializing in hyperacute stroke.

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