Category: Neurological Services



Do Your Hands Shake?

Shaking of the hands or other body parts can occur for a variety different reasons. Common reasons may simply be consumption of caffeinated beverages, anxiety, or side effects to medications. At other times, tremors can be caused by more serious issues such hyperthyroidism, seizures, liver, and kidney dysfunction. Essential tremor is also very common condition seen in the office. Most people notice this when they are trying to do something with their hands such as holding a newspaper or glass of water. This tremor can also spread to other areas of the body as well. Fortunately, most patient’s respond well to medications.

When it comes to tremors, people often worry about Parkinson’s. This is neurodegenerative disorder that is not curable but definitely treatable. Patient’s with this disorder can have other symptoms such sleep disturbances and difficulty with balance. Not sure of what’s causing you to shake? Please call our office at 973-928-3288 for an evaluation.


Why are my hands numb?

Numbness or tingling in your hands? Maybe you were told that you have carpal tunnel syndrome.  People who have this condition normally have numbness and tingling in their hands which can be worsened by activities such as typing, driving, or even using the phone.  Sometimes these symptoms can be painful and awaken you at night.  It is thought to be secondary to nerve compression at the wrist.  An EMG and ultrasound is typically utilized to help further evaluate this condition.  Conservative treatment usually consists of physical therapy as well wrist splints at night. When this fails, more invasive treatments are needed.  Traditional treatments include surgery as well as cortisone injections.

In the office, we utilize a variety of different treatments from injections to laser therapy. Prolotherapy is particularly effective for pseudo carpal tunnel syndrome.   In this condition, loose ligaments cause structures to move and compress the nerve.  Neural therapy may also be combined with this treatment to help decrease inflammation and free the nerve.  It is also important to address the biomechanical dysfunction that exacerbates your symptoms. Other areas of the body may also need to be treated with different modalities in order to achieve effective relief.