Learn about Orthostatic Tremor Treatment in India — how it works, who it is for, recovery timelines, and what to expect before and after surgery. Compare hospitals and doctors experienced in Orthostatic Tremor and request assistance for cost estimates or appointments.

About Orthostatic Tremor

Orthostatic tremor is a rare neurological movement disorder characterized by a rapid, rhythmic shaking in the legs and trunk that occurs exclusively when a person is standing. The tremor typically begins immediately upon standing, causing a feeling of unsteadiness or a fear of falling, and is relieved by sitting, walking, or leaning on something. Diagnosis is primarily clinical, but a neurologist will perform a detailed evaluation, which often includes a surface electromyography (EMG) test while the patient is standing to confirm the high-frequency tremor pattern. While there is no cure, management focuses on symptom control through medications like clonazepam or gabapentin, lifestyle modifications, and in some cases, deep brain stimulation (DBS) for severe, refractory symptoms. This specialized care aims to improve stability, reduce fall risk, and enhance quality of life.

Key Highlights

    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.
  • checked Typical hospital stay: 0 days (for diagnosis) or 3-5 days (if DBS surgery is performed)
  • checked 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.

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 USD 22 – USD 1,632 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 USD 161 – USD 12,079 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.

Manipal Hospital Gurgaon

  • IconGurgaon, India
  • Icon60 Doctors

Artemis Hospital Gurgaon

  • IconGurgaon, India
  • Icon141 Doctors

Manipal Hospital Rangapani

  • IconSiliguri, India
  • Icon13 Doctors

Manipal Hospital Goa

  • IconPanaji, India
  • Icon79 Doctors

Manipal Hospital Whitefield

  • IconBangalore, India
  • Icon105 Doctors

Manipal Hospital Siliguri

  • IconSiliguri, India
  • Icon30 Doctors

Manipal Hospital Patiala

  • IconPatiala, India
  • Icon52 Doctors

Manipal Hospital Salt Lake

  • IconKolkata, India
  • Icon129 Doctors

Manipal Hospital Vijayawada

  • Iconvijayawada, India
  • Icon21 Doctors

KMC Hospital Mangalore

  • IconMangalore, India
  • Icon38 Doctors

Manipal Hospital Jayanagar

  • IconBangalore, India
  • Icon57 Doctors

Manipal Hospital Ranchi

  • IconRanchi, India
  • Icon41 Doctors

Manipal Hospital Jaipur

  • IconJaipur, India
  • Icon55 Doctors

Manipal Hospital Malleshwaram

  • IconBangalore, India
  • Icon105 Doctors

Medanta The Medicity

  • IconGurgaon, India
  • Icon900 Doctors
PATIENT REVIEW

Had my gallbladder out last week....

Had my gallbladder out last week. The surgery itself was fine, but the first two days after were rough. Dr. Madhumitha was really on top of my pain meds, adjusting them a few times until it was manageable. She checked on me every morning and evening at MGM, which helped a lot. I'm home now and the recovery is going okay, just taking it slow.

Neurologists for Orthostatic Tremor

Explore experienced neurologists who regularly perform orthostatic tremor and provide pre- and post-operative care in India.

Dr. Abhinav Raina
  • 14 Years Experience
  • Neurologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Whitefield

OPD-desk synced • Updated
Dr. Nandini Mitta
  • 9 Years Experience
  • Neurologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Hebbal

OPD-desk synced • Updated
Dr. Avik Mukherjee
  • 23 Years Experience
  • Neurologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Mukundapur

OPD-desk synced • Updated
Dr. Sumitava Samanta
  • 18 Years Experience
  • Neurologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Mukundapur

OPD-desk synced • Updated
Dr. Brij Lal Choudhary
  • 7 Years Experience
  • Neurologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Jaipur

OPD-desk synced • Updated
Dr. Sudheer Chakravarthy D
  • 18 Years Experience
  • Neurologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Vijayawada

OPD-desk synced • Updated
Dr. Nilotpal Dutta
  • 7 Years Experience
  • Neurologist
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Salt Lake

OPD-desk synced • Updated
Dr. Shruti Vadke
  • 21 Years Experience
  • Neurologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Baner

OPD-desk synced • Updated
Dr. Vivek Barun
  • 11 Years Experience
  • Neurologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Artemis Hospital Gurgaon

OPD-desk synced • Updated
Dr. Shivananda Pai
  • 18 Years Experience
  • Neurologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus KMC Hospital Mangalore

OPD-desk synced • Updated
Dr. Puneet Dwevedi
  • 17 Years Experience
  • Neurologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Artemis Hospital Gurgaon

OPD-desk synced • Updated
Dr. Sumit Singh
  • 34 Years Experience
  • Neurologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Artemis Hospital Gurgaon

OPD-desk synced • Updated
Dr. Amrut S D
  • 14 Years Experience
  • Neurologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Goa

OPD-desk synced • Updated
Dr. Shobha N
  • 20 Years Experience
  • Neurologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Malleshwaram

OPD-desk synced • Updated
Dr. Chandrima Misra Mukherjee
  • 16 Years Experience
  • Neurologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Artemis Hospital Gurgaon

OPD-desk synced • Updated
Dr. Subhajit Pal
  • 16 Years Experience
  • Neurologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Salt Lake

OPD-desk synced • Updated
Dr. Chinmay Kumbhar
  • 6 Years Experience
  • Neurologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Baner

OPD-desk synced • Updated
Dr. Akash J
  • 9 Years Experience
  • Neurologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road

OPD-desk synced • Updated
Dr. Ss Nandi
  • 36 Years Experience
  • Neurologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Dhakuria

OPD-desk synced • Updated
Dr. Dipti Baskar
  • 9 Years Experience
  • Neurologist
Speaks: English, Hindi
Next available on
02/Feb: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Jayanagar

OPD-desk synced • Updated
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