Tremors can be frustrating and embarrassing, but you don’t have to sit and wait for them to get better on their own. This page focuses on simple, practical actions you can try today to reduce shaking, plus clear next steps if home methods aren’t enough.
First, figure out what might be causing the tremor. Is it worse when you move (action tremor) or at rest? Does a sip of coffee make it worse? Sudden onset, imbalance, weakness, or speech changes need urgent medical attention. For ongoing shaking, a primary care doctor or neurologist can sort out whether it’s essential tremor, Parkinson’s-related, medication-induced, or from another cause.
Cut back on caffeine and stimulants. Coffee, some energy drinks, and certain cold medicines can amplify tremors. Try reducing intake for a few days and track any change. Stay hydrated and get steady sleep—dehydration and tiredness make tremors worse for a lot of people.
Use weighted utensils and wrist weights. Small, inexpensive tools like weighted forks, drinking cups, or a wrist cuff can stabilize the hand enough to make daily tasks easier. Occupational therapists can show you how to use these tools safely.
Practice slow, steady breathing and short relaxation breaks. Stress and anxiety tighten muscles and increase shaking. A few minutes of deep breathing or guided progressive muscle relaxation before a demanding task can reduce tremor amplitude.
Avoid alcohol as a long-term solution. While a small drink sometimes reduces essential tremor briefly, relying on alcohol brings health risks and can interfere with medications.
Medication choices include beta-blockers (like propranolol) and anticonvulsants (like primidone). They often reduce essential tremor by a meaningful amount for many people. Side effects differ, so plan a short trial with your doctor and monitor improvements plus any unwanted symptoms.
Botox injections can help head and voice tremors. They require an experienced injector to avoid weakness. For severe, medication-resistant tremor, deep brain stimulation (DBS) is a proven surgical option that reduces shaking for many people long-term.
Physical therapy and occupational therapy teach task-specific strategies, posture tweaks, and exercises that improve control. A hand therapist can show splints or adaptive devices tailored to your daily needs. Mental health support helps too—managing anxiety often lowers tremor severity and improves confidence in public.
Track your tremors for a week before a clinic visit: note timing, triggers, foods, drinks, sleep, and any new medicines. That record makes diagnosis faster and treatment more likely to work. If shaking starts suddenly or comes with other neurological signs, seek emergency care right away. Otherwise, book a neurology consult and bring your notes—small changes now can make a big difference in daily life.