Orthostatic Tremor Treatment in India
About Orthostatic Tremor
Key Highlights
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Accurate diagnosis of a rare and often misunderstood movement disorder.Confirmation through specialized testing like surface electromyography (EMG).Development of a personalized management plan to control debilitating symptoms.Reduction in the risk of falls and associated injuries by improving postural stability.Potential for significant improvement in quality of life and daily functioning.
Who is this surgery for?
- A rapid, fine shaking or quivering sensation in the legs and trunk that occurs only when standing.
- A subjective feeling of severe unsteadiness, imbalance, or a fear of falling when upright, relieved by sitting or walking.
- Symptoms that significantly interfere with daily activities like standing in line, cooking, or grooming.
- To rule out other neurological conditions with similar presentations, such as Parkinson's disease or essential tremor.
- When initial treatments or evaluations by a primary care physician have been inconclusive.
How to prepare
- Compile a detailed history of your symptoms, including when they start, what makes them better or worse, and their impact.
- Bring a list of all current medications, supplements, and any previous medical records.
- Wear comfortable, loose-fitting clothing and flat shoes to the neurological examination.
- Be prepared to demonstrate the tremor by standing still for the clinician and possibly for an EMG test.
- You may be asked to avoid caffeine or stimulants for a few hours before the appointment, as they can affect tremors.
Risks & possible complications
- Diagnostic procedures like EMG are low-risk but may cause minor, temporary discomfort from the needle electrodes.
- Medications used for treatment (e.g., clonazepam, gabapentin) can cause side effects like drowsiness, dizziness, or dependency.
- Invasive treatments like Deep Brain Stimulation (DBS) carry surgical risks including infection, bleeding, or hardware complications.
- Potential for incomplete symptom control, as orthostatic tremor can be challenging to manage effectively.
- Psychological impact from coping with a chronic, visible condition that affects mobility.
Recovery & hospital stay
- Diagnosis itself is non-invasive; recovery involves discussing findings and starting a management plan with your neurologist.
- If starting medication, a period of dose titration is needed to find the optimal balance between benefit and side effects.
- Implement recommended lifestyle adaptations, such as using a high stool in the kitchen or avoiding prolonged standing.
- Physical therapy may be advised to improve core strength, balance, and confidence in movement.
- For patients undergoing DBS surgery, recovery involves a hospital stay and several weeks of programming the device to optimize settings.
- Regular follow-up appointments are crucial to monitor progress and adjust the treatment plan as needed.
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Typical hospital stay:
0 days (for diagnosis) or 3-5 days (if DBS surgery is performed)
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Expected recovery time:
Ongoing management; medication effects seen in weeks, full DBS optimization may take 3-6 months
Frequently Asked Questions
If you are considering orthostatic tremor in India, these questions and answers can help you make a confident, informed decision.
Popular choices for orthostatic tremor in India include KMC Hospital Mangalore, Manipal Hospital Gurgaon, Manipal Hospital Jayanagar, Manipal Hospital Kharadi, Manipal Hospital Malleshwaram, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform orthostatic tremor. MediFyr helps you compare neurologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for orthostatic tremor compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 2 Thousand – 150 Thousand | 0 days (for diagnosis) or 3-5 days (if DBS surgery is performed) | ~ Ongoing management; medication effects seen in weeks, full DBS optimization may take 3-6 months | Know More |
| Turkey | TRY 7 Thousand – 525 Thousand | 0 days (for diagnosis) or 3-5 days (if DBS surgery is performed) | ~ Ongoing management; medication effects seen in weeks, full DBS optimization may take 3-6 months | Know More |
Top hospitals for Orthostatic Tremor in India
These partner hospitals in India have dedicated neurology teams and experience managing patients undergoing orthostatic tremor.
Gurgaon, India
60 Doctors
Ayaan Khan, a 62-year-old retired civil...
Ayaan Khan, a 62-year-old retired civil engineer, had always been active and precise in his work. Over the past two years, he noticed a strange, uncontrollable trembling in his legs whenever he stood still. It began subtly, a feeling of unsteadiness while waiting in line at the bank, but progressed to violent, rapid shaking that made standing to pray at the mosque or cook in the kitchen impossible without holding onto something. He felt his independence slipping away. His primary care doctor, after ruling out common causes, referred him to a neurologist. The neurologist, suspecting orthostatic tremor, recommended a diagnostic procedure: surface electromyography (EMG) while Ayaan stood. The experience was clinical but straightforward; electrodes were placed on his legs, and he had to stand, triggering the characteristic high-frequency tremor. The confirmation was a relief. Post-procedure, the doctor prescribed a medication trial (clonazepam). While not a cure, it reduced the tremor's intensity by about 60%. Emotionally, Ayaan moved from profound frustration and fear of a mysterious decline to a place of managed acceptance. Having a name for his condition and a treatment plan restored a sense of control. He can now stand for short prayers and cook simple meals, reclaiming precious slices of his daily life.
Neurologists for Orthostatic Tremor
Explore experienced neurologists who regularly perform orthostatic tremor and provide pre- and post-operative care in India.
- 18 Years Experience
- Neurologist
Miot Hospital Chennai, Chennai
- 46 Years Experience
- Neurologist
Manipal Hospital Old Airport Road, Bangalore
- 25 Years Experience
- Neurologist
Manipal Hospital Old Airport Road, Bangalore
- 13 Years Experience
- Neurologist
SIMS Hospital Vadapalani, Chennai
- 13 Years Experience
- Neurologist
SIMS Hospital Vadapalani, Chennai
- 19 Years Experience
- Neurologist
Manipal Hospital Bhubaneswar, Bhubaneshwar
- 26 Years Experience
- Neurologist
Manipal Hospital Bhubaneswar, Bhubaneshwar
- 8 Years Experience
- Neurologist
Kamineni Hospital, Tadigadapa, vijayawada
- 9 Years Experience
- Neurologist
Manipal Hospital Bhubaneswar, Bhubaneshwar
- 5 Years Experience
- Neurologist
Kamineni Hospital, Tadigadapa, vijayawada
- 3 Years Experience
- Neurologist
Kamineni Hospital LB Nagar, Hyderabad
- 32 Years Experience
- Neurologist
Kamineni Hospital LB Nagar, Hyderabad
- 11 Years Experience
- Neurologist
Manipal Hospital Gurgaon, Gurgaon
- 7 Years Experience
- Neurologist
Kamineni Hospital LB Nagar, Hyderabad
- 8 Years Experience
- Neurologist
Manipal Hospital Ghaziabad, Ghaziabad
- 32 Years Experience
- Neurologist
Manipal Hospital Old Airport Road, Bangalore
- 19 Years Experience
- Neurologist
Manipal Hospital Old Airport Road, Bangalore
- 15 Years Experience
- Neurologist
Manipal Hospital Old Airport Road, Bangalore
- 14 Years Experience
- Neurologist
Manipal Hospital Old Airport Road, Bangalore
- 13 Years Experience
- Neurologist
Metro Hospital, Sector 11, Noida