shaking finger

Hi, am a 27yr old male student. I have been having one of my finger ( my right hand finger that is next to my thumb) shakes alot for like a year. It exhibit this uncontrol reflex alot amd sometime subsides by it self. occassionally, it also act like it stiff but the shakeness is very obvious that its hard for me to hold things atimes without people observant of it. Am worried and hope is not patkinson or other nerve damage. Please help me out with your ideas on this because i dont even have Insurance or work so its hard to find a doctor. O will appreciate your respond

[Christopher R Newey, DO]

Thanks for using the forum. I am happy to address your questions, and my answer will be based on the information you provided here. Please make sure you recognize that this forum is for educational purposes only, and it does not substitute for a formal office visit with a doctor.

Without the ability to examine and obtain a history, I can not tell you what the exact cause of the symptoms is. However I will try to provide you with some useful information.

Tremors can be of various types. The classic parkinsonism tremor is a tremor that occurs at rest, in a pill-rolling manner. Other tremors can be action and postural. These types are very common. Everybody has an underling physiological tremor that can be exacerbated with stress, anxiety, caffeine, thyroid disorders, medications etc. Treating the underlying cause will typically improve this type of tremor. The essential tremors can be sporadic or inherited. A primary writing tremor occurs when assuming a writing posture or during writing. Some tremor action can actually be a dysontia from contraction of opposing muscles. These are just a few causes of tremors and treatment can differ between the different causes.

I would suggest that you follow up with your physician for further diagnosis and management, if necessary.

Thank you for this opportunity to answer your questions, I hope you find the information I have provided useful, good luck.