Tremor, or uncontrolled shaking, is a highly disabling symptom of multiple sclerosis which is often associated with a more advanced disease course. Tremor, an involuntary, rhythmic, muscle movement caused by repetitive contraction and relaxation of paired muscle groups, has long been recognized as a feature of MS. The French neurologist Dr. Jean-Martin Charcot (1825-1893) categorized it with nystagmus and scanning speech (Rascol, 1982).
A study published in the open-access journal Tremor and Other Hyperkinetic Movements reviewed recent advancements in the understanding of tremors in MS. The review explores the prevalence and clinical features of tremors in MS, including physical cause of tremors, and treatment methods, including surgery and/or prescription medications.
Reviewers searched MEDLINE with the terms “multiple sclerosis” and “tremor,” published between January 1966 and May 2012. My own search revealed articles dati...
Chronic pelvic pain , is pain that lasts more than a few months. It is not sexy or sexist, men have chronic pelvic pain too, but it is not frequently discussed.
Chronic pelvic pain can be constant or come and go with a flare up of symptoms. Symptoms can be mild to severe and can vary in intensity during the day or with a flare. The character of pelvic pain can be different too. For instance, someone with painful bladder syndrome or prostatitis has a symptom in common, burning with urination (dysuria), but pain associated with irritable bowel syndrome is described as cramping or churning. Symptoms vary depending on the underlying cause of their pain. That’s why it is important to know how to report your symptoms.
Diagnosing the Source of Chronic Pelvic Pain
Expect your doctor to do certain things to find the underlying cause of your pain.
Review of symptoms
A biopsy (possibly)
Scans, such as an MRI or CT scan
Tremor - familial
Treatment may not be necessary unless the tremors interfere with your ability to perform daily activities.
How well medicine works depends on the individual patient.
Medications that may reduce tremors include propranolol, Mysoline and other anticonvulsants, and mild tranquilizers. If tremors are severe and do not go away with medicine, surgery to implant a deep brain stimulator (DBS) in the brain may be an option.
Caffeine (in substances such as coffee and soda) and other stimulants should be avoided because they can make tremors worse.
Alcoholic beverages in small quantities may decrease the tremors, but drinking should be carefully monitored to avoid alcohol abuse and alcohol dependence , especially if there is a family history of alcohol problems. How alcohol decreases an essential tremor is unknown.
A familial tremor is not a dange...
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