Treatment methods

Preventing the tremor in a targeted way

A tremor is easy to treat. Especially during behavioural therapy, you will learn which behaviour triggers the tremor and how you can avoid corresponding situations. However, we also have other treatment methods to get your tremor under control at Schoen Clinic.

Conservative treatment methods

Occupational therapy: Compensation strategies for writing and eating

Examples of the training:
  • Do not write whole words, but take a break after a few letters or use printed letters
  • Increase the space in which you rest your arms when writing.
  • When cutting food, place your forearms down as far as possible and keep your elbows propped up when the cutlery is brought to your mouth.
  • Use of weighted cutlery or weighted cuffs on the wrist

Treatment with medication

Whether our consultants recommend a medication therapy depends entirely on your individual needs and on your psychological stress in your professional and private lives.

Beta blockers for essential and physiological tremors
Beta blockers have particularly proven their worth in therapy. In the brain, they influence the control of the essential tremor, while, at the nerve endings of the musculature, they reduce the movements of a physiological tremor. The success rate for essential tremors is around 50 per cent. However, the active ingredient has some side effects that should be considered.

Anticonvulsants for severe tremors

The anticonvulsant primidone, which is only approved for epileptics, is particularly effective for severe tremors. It is suitable for patients who cannot tolerate beta blockers. Primidone is often effective from its first dose, but is also not tolerated by around a quarter of patients. The accompanying symptoms of ingestion are nausea, vomiting and dizziness in some cases.

Botox for voice tremor and head tremor
Botulinum toxin therapy is successful in many cases for a voice tremor or head tremor.

Deep brain stimulation in Parkinson’s and essential tremor
Deep brain stimulation should be considered if medication does not have an effect, becomes less effective, or shows side effects. Especially in severe cases, this so-called brain pacemaker relieves the symptoms. Our neurosurgeons insert an electrode into the brain tissue. Targeted excitation with weak electrical impulses helps to suppress the tremor.