Welcome to Just Answer. I am an Adult Neurologist and was contacted to answer your question.
I would say that any general neurologist should be able to treat you for essential tremor, that you do not need a neurologist for an initial evaluation and management. Once quality of life issues put you in the moderate to severe group, then you might see a movement disorder specialist at a more tertiary care center to discuss DBS (deep brain stimulation), or DAT Scan imaging for diagnosis, or to discuss a newer treatment on the horizon, high frequency MRI guided ultrasound therapy.
I am here to discuss you case when you come back online, please ask questions that I can answer. Dr Frank t
Hi, (for a Neurologist)
I still don't feel that comfortable though with a regular neurologist for the Essential Tremors. The episode started basically in November and gradually increased to these terrible tremors alternating through my arms, legs, head, and tongue, and the first neurologist I saw in January only thought clonazepam (I was panicking by then!) was the short-term solution for two weeks, and that Trazadone was my long-term solution? She didn't even consider Essential Tremors even though I had been asking her about shaking hands and yearly tremor episodes for about five years (the episodes weren't as bad as the one in 2013).
So because this is my brain we're talking about and not my toe nail fungus, how am I supposed to trust another neurologist that doesn't specialize in movement disorders to prescribe me the right medications and dosages with Inderal, Remeron, and Primidone or whatever else medication? Do you see why I'm doubting the HMO referrals?
Since Essential Tremors is now considered its own separate disease and code since December 2012, shouldn't I be seeing a specialist?
Most doctors still think of it as benign tremors that older people get, and don't take it too seriously when I bring it up....