What causes tremor in hand and elbow pain?
Patient: I have had a tremor in my left hand for several years now following what I remember as a ripping feeling in my shoulder at a gym. Recently I have started to have what some people call a " rain stick noise" in the back of my neck, which seems somehow connected to tinnitis. A neurologist who examined me a year ago said my tremorcwascnot consistent with Parkinson's . I also have been having elbow pain on the same side. .  I really need to figure out what is causing these things - seems like they might be connected... But I don't know where to start. Help! Doctor: Hello dear,Considering the fact that the Neurologist has ruled out presence of Parkinson disease, the symptoms as mentioned in your post can be attributed to:1. Paraspinal spasm & compression of nerve fibers at the Cervico-dorsal region.2. Inadequate hydration status & electrolyte imbalance of the body3. Dietary deficiencies of certain nutrients like Iron, Calcium, Vitamin D, Vitamin B12, Folic acid, etc. which help in blood formation & nerve conduction.4. Peripheral neuropathy caused due to any fluctuation in blood pressure or blood sugar level.Symptomatic relief can be obtained by intake of nervigenic agents (like Vitamin B6, Vitamin B12, Folic acid) as well as multivitamin & multimineral supplements including iron, calcium & Vitamin D needs to be added in your diet.If symptoms still persist, kindly consult a Neurologist & get a complete Neurological examination done.Certain investigations like complete blood count, serum electrolyte estimation, fresh estimation of blood pressure & blood sugar levels & nerve conduction studies will be helpful to rule out any pathological cause for the symptoms.Wishing you a Good Health.Take care.