Internal Tremor

[invisable366]

I have had an internal tremor in right calf of leg and in chest and abdomen upon wakening mostly, but when under stress at other times also, if this is Parkinsons, how long does internal tremor precede other symptoms?

[Dr. A. Srivastava]

Hi, Thank you for your question. Apart from resting tremor, Parkinson is associated with clinical manifestation of muscle stiffness and cramps (extremities), tardiness in initiating movement of body parts, poor balance and gait disturbances like difficulty in turning or falls. Hope this helps.

[invisable366]

Thank you for your answer. If I could just ask a few more things. This has been going on for a year and I have been tested for everything you mentioned. There is no test for PD other than F-Dopa PET SCAN is this test definitive? Also, if this is indeed PD, does it take some time for more symptoms to emerge after internal tremor?  It is on one side only and in chest & stomach for a year now. I did go to a MDS but because he couldn't see anything, there could be no diagnosis. When would visable symptoms come out if this is PD and internal tremor is my first symptom?

[Dr. A. Srivastava]

Hi, Thank you for the question. Tremors could be associated with fatigue, stress, anxiety or a form of panic attack. Other possible causes of tremors could be overactive thyroid, Parkinsonism disease, alcohol use, certain medications, alkalosis, and low blood sugar. Sometimes previous injury may cause pinched nerve and may be a reason of tremor but this possibility remains low. Therefore, it is quite essential to thoroughly assess the all possibilities here with the help of a doctor. Hope this helps.