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hands/arms go to sleep only at night

I was diagnosed with Essential Tremor Disorder a year ago.  Over the past 3-4 months my hands/wrists go to sleep and then it wakes me up several times in the middle of the night with the tingling and numbness.  Should I be concerned about this?
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Essential tremor is the most common of the many movement disorders. It's far more common than Parkinson's disease, with which it may sometimes be confused. Unlike Parkinson's disease, however, essential tremor doesn't lead to serious complications. In fact, the word "essential" in essential tremor means the disorder isn't linked to other diseases.

For some people, essential tremor may be distressing but not debilitating. Others may find that their tremors make it difficult to work, perform everyday tasks that require fine-motor skills or do the things they enjoy. Severe tremors can lead to social withdrawal and isolation.
Fortunately, a variety of treatments exist that may help bring your tremors under controlMost people with essential tremor don't need treatment beyond reassurance that the condition isn't a sign of a more serious disease. Lifestyle changes — which include getting plenty of rest and avoiding stressful situations and stimulants such as caffeine — may help ease the tremors. Most people with essential tremor find that fatigue, anxiety, sleep deprivation and even temperature extremes make their tremors worse.

If lifestyle changes don't help and tremors are keeping you from doing the things you enjoy, your doctor may recommend these options:

Medications provide relief from tremors roughly half the time. They include:

Beta blockers. Normally used to treat high blood pressure, beta blockers, such as propranolol (Inderal), help relieve tremors in some people. Because beta blockers are especially likely to cause dizziness, confusion and memory loss in older adults, they may be a better choice for younger people. They may not be an option if you also have asthma, diabetes or certain heart problems
Anti-seizure medications. These drugs, especially primidone (Mysoline), may be effective in people who don't respond to beta blockers. The main side effects are drowsiness and flu-like symptoms, which usually disappear within a short time.

Tranquilizers. Doctors sometimes use drugs such as diazepam (Valium) and alprazolam (Xanax) to treat people whose tremors are made much worse by tension or anxiety. Side effects can include confusion and memory loss. Additionally, these medications should be used with caution because they can be habit-forming.

Botulinum toxin type A (Botox) injections. You're probably familiar with Botox as a treatment for facial wrinkles, but it can also be useful in treating some types of tremors, especially of the head and voice. Botox injections can improve problems for up to three months at a time. When used to treat hand tremors, Botox can sometimes cause weakness in your fingers.

Surgery may be an option for people whose tremors are severely disabling and who don't respond to medications. Deep brain stimulation (DBS) is a treatment involving a brain implant device called a thalamic stimulator may be appropriate if you have severe tremors and if medications aren't effective. A pacemaker-like chest unit transmits electrical pulses through a wire to a lead implanted in your thalamus. The pulses, which are painless, may interrupt signals from your thalamus that help cause tremors. You turn the pulse generator on and off by passing a magnet over your chest.

Take a second opinion with a neurophysician.



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