What Causes Tremors in Seniors and Older Adults?

What Causes Tremors in Seniors - A Place At Home

Many older adults experience tremors as they age, and in fact, the National Institute of Neurological Disorders and Stroke (NINDS), reports that nearly 10 million people in the U.S. are affected by essential tremor, with prevalence increasing significantly after age 65. These involuntary shaking movements can affect the hands, head, voice, or other parts of the body and may stem from a variety of causes. In many cases, tremors in seniors are linked to neurological conditions, medication side effects, or age-related changes in the nervous system.

By understanding what causes tremors in seniors, caregivers can take the right steps to support their loved ones, manage symptoms effectively, and maintain their comfort and independence.

What Are Tremors and How Do They Affect Seniors?

A tremor is an involuntary rhythmic shaking of one or more body parts. Research shows that nearly 60% of seniors with chronic tremors report difficulty with daily activities such as writing, dressing, or eating independently (Parkinson’s Foundation). While the hands are most commonly affected, tremors may also impact the head, legs, or voice. Though not usually life-threatening, persistent shaking can make everyday tasks like eating, driving, or writing challenging.

Tremors occur when there is abnormal activity in the parts of the brain that control movement, such as the cerebellum or basal ganglia. These brain regions help coordinate muscle control and stability, so when they are disrupted by age-related changes, neurological conditions, or medications, involuntary shaking can result.

Two primary types of tremors affect older adults:

  • Action tremors: These occur during movement, such as when a senior reaches for an object or writes with a pen.
  • Resting tremors: These appear when the body is at rest and may signal an underlying neurological disorder, such as Parkinson’s disease.

Common Causes of Tremors in the Elderly

Understanding what triggers tremors in seniors is essential for identifying the root cause and determining whether the shaking is temporary, medication-related, or a sign of a more serious condition. Tremors in older adults can result from neurological disorders, metabolic imbalances, lifestyle factors, or even emotional stress.

For caregivers and family members, recognizing the pattern, frequency, and severity of a loved one’s tremors can provide valuable clues. For example, tremors that occur while moving may point to an essential tremor, while those that happen at rest could indicate Parkinson’s disease or another neurodegenerative disorder. Below are some of the most frequent causes of tremors in the elderly, ranging from common medical conditions to lifestyle and emotional factors.

Causes of Tremors in Seniors and Older Adults - A Place At Home

1. Parkinson’s Disease

One of the most recognized causes of tremors in seniors is Parkinson’s disease, a progressive neurological condition that affects movement. Tremors caused by Parkinson’s typically appear when the hands are at rest and may lessen during activity. This condition occurs when nerve cells in the brain deteriorate, leading to reduced muscle control.

2. Essential Tremor

Essential tremor is another common movement disorder among seniors, often mistaken for Parkinson’s. Unlike Parkinson’s tremors, essential tremors occur during movement, for example, while eating or drinking, and frequently run in families.

3. Huntington’s Disease

Huntington’s disease is an inherited condition that damages brain function and reduces cognitive and motor control. It can cause involuntary jerking or tremors in the hands, arms, face, and upper body.

4. Medications

Certain prescription medications can lead to tremors as a side effect. Drugs used to treat high blood pressure, asthma, depression, or seizures can sometimes cause hand tremors in older adults. Always consult a physician before stopping or adjusting medications.

5. Overactive Thyroid (Hyperthyroidism)

An overactive thyroid increases the body’s metabolism, which can overstimulate nerves and muscles. Seniors with hyperthyroidism may experience tremors, weight loss, heat sensitivity, and rapid heartbeat.

6. Low Blood Sugar (Hypoglycemia)

Hypoglycemia occurs when blood sugar falls to below normal levels. Seniors may experience this condition when they exercise excessively or develop diabetes. Symptoms of low blood sugar range from confusion to hunger and tremors. Muscles that lack their energy source, sugar, begin to shake.

7. Alcohol Abuse or Withdrawal

Older adults who drink excessively are vulnerable to tremors. Hand tremors can start within hours of alcohol consumption and last for weeks. Similarly, the sudden cessation of alcohol intake, which can lead to withdrawal, can also be responsible for tremors. An alcoholic’s tremors usually resolve upon detox.

8. Anxiety and Stress

Seniors who suffer from anxiety may suffer from tremors. During bouts of anxiety, stress hormones are released. The adrenaline and cortisol increase their heart rate and blood pressure, preparing them for fight or flight. The surge of energy manifests as involuntary shaking.

9. Caffeine Overconsumption

Too much caffeine can overstimulate the nervous system and lead to jitteriness or hand tremors in seniors. Reducing coffee, tea, or soda intake can help manage symptoms.

10. Stroke

A stroke damages the brain, including regions that control movement, such as the cerebellum or basal ganglia. When motor pathways are disrupted by a stroke event, involuntary muscle contractions and tremors result. Tremors caused by a stroke can appear soon afterward or be delayed.

Are Tremors in Seniors Always a Sign of Parkinson’s?

Different Kinds of Tremors in Seniors - A Place At Home

Not necessarily. Many seniors mistakenly associate all tremors with Parkinson’s disease, but essential tremor and other benign causes are also common.

  • Essential tremor: Happens during movement and often runs in families.
  • Parkinson’s tremor: Occurs at rest and is usually accompanied by stiffness and slower motion.

A neurologist can perform diagnostic tests to determine the cause and recommend appropriate treatment.

How to Manage Tremors in Seniors

Depending on the type of tremors, lifestyle modifications, medicines, surgery, and tremor therapies can be utilized to effectively manage a senior’s symptoms. It’s crucial that the older adult work with their healthcare provider to develop a treatment or combination of treatments to find the best option.

  • Lifestyle changes: Lifestyle changes include eliminating or cutting down on caffeine and alcohol, both of which reduce the severity of tremors. When feeling anxious or stressed, seniors should try relaxation techniques, such as deep breathing and meditation. Avoid stressful situations when possible.
  • Medications: Beta blockers, anticonvulsants, and tranquilizers are medications that reduce the frequency of tremors. However, medications may produce unwanted side effects, so it’s critical to discuss the pros and cons with the doctor. Surgery, like Deep Brain Stimulation (DBS), is an option for debilitating tremors.
  • Therapies: New non-invasive therapies, such as wearable nerve stimulation devices, can help control tremors. These wrist-worn devices deliver mild electrical pulses that calm overactive nerves and muscles. Additionally, home care from professional caregivers can assist with the management of symptoms.

Compassionate In-Home Care for Seniors Living with Tremors

Senior Tremor Support - A Place At Home

Tremors can make simple daily tasks, like eating, dressing, or driving, feel overwhelming. At A Place At Home, our compassionate caregivers help seniors manage these challenges safely and comfortably with our personalized senior home care services.

We provide:

  • Meal preparation and feeding assistance for those with limited hand control
  • Safe transportation for appointments and errands
  • Personal hygiene support to help seniors maintain dignity and independence

Our customized care plans include options for respite care, overnight care, 24-hour care, and post-surgery support; all delivered in the comfort of home. If your loved one in Orange County, FL is struggling with tremors or mobility issues, contact A Place At Home – Winter Garden today at (321) 285-1095 to schedule a free in-home consultation and discover how compassionate care can improve their daily life.


FAQs – Tremors in Seniors & Older Adults

If tremors appear suddenly, worsen over time, or interfere with daily activities, schedule a medical evaluation to rule out neurological or metabolic causes.

Yes. Stress and anxiety release hormones that temporarily increase shaking or jitteriness, especially in seniors sensitive to adrenaline.

While not all tremors are curable, most can be managed with medication, therapy, or lifestyle changes to improve stability and comfort.

What Age is Considered Elderly? A Complete Guide for Seniors and Families

What Age Are You Considered a Senior Citizen - A Place At Home

Someone is typically considered elderly at 65 years old, which is the age recognized by Medicare and many senior benefits programs in the United States. However, definitions vary globally, and factors like health, lifestyle, and retirement age also influence how “elderly” is defined. Recognizing this milestone is important, as it opens access to senior benefits such as discounts and federal programs like Medicare.

Elderly Age Definition: Chronological vs. Biological Age

Age is typically measured chronologically, but it can also be understood biologically, which reflects the condition of a person’s cells and tissues. While outward signs of aging, such as wrinkles, gray hair, and reduced mobility, are easy to notice, the most significant changes occur at the cellular level. Over time, cells lose their ability to repair and regenerate, a process accelerated by stress and environmental factors.

As cells age, the risk of developing chronic diseases increases. Seniors are more susceptible to conditions such as:

By their late 70s and beyond, many older adults experience not only these health concerns but also declines in vision, hearing, and mobility, factors that can greatly impact quality of life. Despite these biological realities, eligibility for most federal programs in the U.S. is based on chronological age rather than biological age, which is why 65 is widely recognized as the threshold for being considered elderly.

How Retirement Age Affects the Definition of Elderly

The age at which people retire also influences the definition of “elderly.” Most people retire in their 60s and receive a pension. However, retirement decisions can be impacted by:

  • Declining health or mobility issues
  • Workplace changes or early retirement incentives
  • Timing of full Social Security benefits (between 66–70)

Some seniors continue working well into their late 60s, while others retire earlier due to health or disability considerations. Receiving full Social Security benefits may cause people to retire much later, such as at 70.

What Age Qualifies Seniors for Federal Programs and Senior Benefits?

In the United States, chronological age is the primary factor that determines eligibility for senior programs and benefits. Most people are considered elderly at 65, which is the age when they qualify for Medicare, the federal health insurance program for older adults.

Medicare Eligibility: When Seniors Qualify

  • Individuals become eligible for Medicare at 65.
  • Medicare provides coverage for hospital care, medical services, and prescription drugs.
  • Early enrollment is recommended to avoid penalties, and understanding the different parts of Medicare (A, B, C, D) is important for planning.

Social Security Benefits: Early vs Full Retirement Age

  • Seniors can elect to receive Social Security benefits as early as 62.
  • Full benefits depend on birth year, typically between 66 and 67, or up to 70 if delayed.
  • Deciding when to claim benefits can impact long-term income and retirement planning.

Senior Citizen Discounts: Age Thresholds

Another common indicator of “elderly” status is senior citizen discounts, which vary by retailer and organization:

  • Some discounts begin at 50 years old, often for entertainment, travel, or memberships.
  • Others start at 60+, such as restaurants, retail stores, or transportation services.
  • These discounts are not federally regulated, but can signal when society generally considers someone a senior.

Other Age-Based Senior Programs

  • Many state and local governments provide programs for older adults, such as:
    • Reduced public transportation fares
    • Property tax exemptions
    • Recreation or educational programs for seniors
  • Eligibility often begins at 60–65, depending on the program.

Combining these federal and local benefits gives a clear picture of when someone is considered elderly in social, medical, and financial contexts.

Benefits for Seniors After 60 - A Place At Home

Lifestyle Differences Among the Elderly

The term “elderly” can be further classified into three age groups:

  • Young-Old (65-74 years): Active and generally independent
  • Middle-Old (75–84 years): May require some assistance with daily tasks
  • Old-Old (85-94 years): Often require more comprehensive care
  • Very Old-Old (95-104 years): Most individuals require significant assistance with daily tasks and medical care

Chronological age is relative. Vibrant seniors may feel younger than their age, pursuing sports, social events, and independent lifestyles. Others may face mobility or health challenges that make them more dependent. Genetics, lifestyle, and overall health all play key roles in determining at what age a person is considered elderly.

What Are the Four Stages of Aging?

Families can use the four primary stages of aging to determine when extra support may be needed:

  1. Independence (60-70): The first stage is independence, when the older adult manages the activities of daily living without help.
  2. Interdependence (70-80s): Interdependence is the second primary stage. During this period, seniors need help with completing daily activities, such as preparing meals, maintaining the home, or performing personal hygiene tasks, like grooming.
  3. Dependency (70+):  Dependency is the third stage, as briefly mentioned earlier, wherein the older person is burdened by chronic health conditions or impairments and requires more assistance with their daily activities.
  4. End-of-Life Care: The end-of-life stage is the final stage when the older person needs 24-hour care. The senior may be enrolled in a hospice care program or be admitted to an assisted living facility.

While considering someone as elderly is based on multiple factors, 65 is generally the age when seniors start needing extra support in daily life. When your aging loved one needs assistance, A Place At Home is available.

Senior In-Home Care - A Place At Home

Senior Home Care from A Place At Home – Winter Garden

At A Place At Home – Winter Garden, we provide compassionate senior home care services that help seniors of all ages live safely and independently in the comfort of their own homes. Our professional caregivers offer a full range of non-medical elder care services, ensuring that each senior receives the support they need to age in place comfortably and confidently.

Our caregivers assist with everyday tasks such as:

  • Preparing nutritious meals and grocery shopping
  • Light housekeeping and home organization
  • Mobility support to prevent falls and maintain safety
  • Companionship to reduce loneliness and promote social engagement

No matter the age of your loved one, our care options are flexible and tailored to meet individual needs, from short-term support to 24-hour home care. Let us help your senior enjoy a higher quality of life at home. Schedule a free in-home consultation today to discover how our home care services in Winter Garden, Ocoee, Windermere, Orlando, FL, and nearby areas can make a meaningful difference for your family.


Frequently Asked Questions (FAQs)

“Elderly” generally refers to adults 65 and older, often used in medical or legal contexts. “Senior citizen” typically starts at 60+ and is linked to social benefits, discounts, and community programs.

Chronic health conditions, such as high blood pressure, diabetes, and dementia, tend to increase in prevalence after age 70, though risk factors can appear earlier depending on genetics, lifestyle, and medical history.

Seniors in the U.S. typically qualify for Medicare at 65. Social Security benefits can be claimed as early as 62, with full benefits available between 66–70, depending on birth year.