Essential Tremor Specialist in Katy, TX

Essential tremor is a neurological condition characterized by involuntary, rhythmic shaking that typically occurs during movement or when holding a posture. It most commonly affects the hands but may also involve the head or voice.

Although not life-threatening, essential tremor can interfere with writing, eating, speaking, and daily activities.

Tremor during movement (action tremor)

Tremor when holding objects or maintaining posture

Shaking of the head (“yes-yes” or “no-no” tremor)

Voice tremor

Worsening tremor with stress or fatigue 

 Accurate diagnosis is important, as essential tremor differs from Parkinson’s disease and other movement disorders. 

 Treatment depends on tremor severity and functional impact

Propranolol
Primidone

Topiramate
Gabapentin
Other individualized therapies

Deep Brain Stimulation (DBS) programming
Evaluation for advanced tremor treatments

 Treatment plans are individualized and adjusted over time based on tremor severity and response to therapy.

 Seek neurological evaluation if:

 Tremor interferes with writing, eating, or work

Tremor is worsening over time

There is uncertainty between essential tremor and Parkinson’s disease

Medications are no longer effective 

Early evaluation allows for more precise treatment planning.

 Our clinic provides comprehensive essential tremor care for patients in Katy, Cinco Ranch, Cypress, Fulshear, and West Houston. Every patient receives a detailed neurological assessment and an individualized treatment strategy focused on long-term improvement.

As a fellowship-trained movement disorders neurologist, Dr. Noorbhai provides specialized evaluation and advanced management of essential tremor, including medication optimization and DBS programming for appropriate candidates.