[68M] Experiencing hand tremors, eye pain with blurriness, and muscle locking

Patient Description

A 68-year-old male reports worsening hand tremors over the last 6 weeks, described as most prominent at rest and controllable by making a fist. These tremors were diagnosed as essential tremor years prior but have recently become more severe. The patient also experiences deep pain and blurriness in the left eye, described as fog-like vision with occasional bright geometric shapes, which started about a month ago. This is following cataract surgery performed a year prior. Additionally, the patient notes weakness in the right arm, first noticed while lifting weights, and a burning sensation on the tongue that has been present for 8-9 months, along with dry mouth. The patient's fingers, particularly the thumb, lock in place. Past medical history includes back issues, prostate cancer, and sleep apnea. The patient is currently on Atorvastatin 10mg for cholesterol management and reports no allergies or adverse reactions to medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, there are several possible conditions that could be causing your symptoms:

  • Parkinson's Disease: This is a progressive nervous system disorder that affects movement. Symptoms start gradually, sometimes starting with a barely noticeable tremor in just one hand. Tremors are common, but the disorder also commonly causes stiffness or slowing of movement. The weakness in your right arm and the tremors you've been experiencing could be related to this condition.

    • There is no cure for Parkinson's disease, but medications can significantly improve your symptoms.
  • Dry Eye Syndrome: This condition occurs when your tears aren't able to provide adequate lubrication for your eyes. This could explain the discomfort and blurriness in your left eye. Dry eyes can occur when you're unable to produce enough tears or if you produce poor-quality tears.

    • Treatment for dry eye syndrome usually involves a series of approaches, including lifestyle changes and eyedrops.
  • Burning Mouth Syndrome: This is a condition that can cause a burning sensation in your mouth or on your tongue. It can be related to a variety of conditions, including damage to nerves that control pain and taste, hormonal imbalances, or dry mouth.

    • Treatment for burning mouth syndrome depends on the underlying cause, if identifiable.
  • Trigger Finger: This condition, also known as stenosing tenosynovitis, occurs when inflammation narrows the space within the sheath that surrounds the tendon in the affected finger. This could explain why your fingers, particularly your thumb, sometimes lock in place.

    • Treatment of trigger finger varies depending on the severity and duration of the condition, but can include medications, therapy, and sometimes surgery.

What you can do

You should consult a healthcare provider about your symptoms. They can provide a formal assessment and order relevant tests if necessary.

What you should look out for

Reasons to seek immediate medical attention:

  • If your symptoms worsen or if you develop new symptoms
  • If you experience severe headaches, sudden vision loss, or sudden weakness or numbness on one side of your body

Please remember that while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare provider.

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1 yr ago

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People Also Ask


What are the common symptoms of Parkinson's Disease?

Common symptoms of Parkinson's Disease include tremors, especially at rest, stiffness, slowness of movement, and impaired balance and coordination. Other symptoms can include changes in speech and writing, and sometimes cognitive changes.


How can dry eye syndrome be managed effectively?

Dry eye syndrome can be managed by using artificial tears or lubricating eye drops, making lifestyle changes such as taking breaks from screen time, using a humidifier, and avoiding smoke or wind. In some cases, prescription medications or procedures may be recommended by an eye specialist.


What causes burning mouth syndrome and how is it treated?

Burning mouth syndrome can be caused by nerve damage, hormonal changes, nutritional deficiencies, or dry mouth. Treatment depends on the underlying cause and may include medications to relieve pain, saliva substitutes, or addressing any nutritional deficiencies.


What are the treatment options for trigger finger?

Treatment options for trigger finger include rest, splinting, anti-inflammatory medications, steroid injections, and in severe cases, surgery to release the tendon sheath.


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