Learn About Tremors and Tics in Children

If your child sometimes shakes during everyday activities or makes repetitive motions or sounds, it could be a sign of a tremor or tic.

These are sometimes associated with serious medical conditions, but they're often not. That's especially true if they're otherwise healthy, growing, and developing normally.

This article will look at tremors and tics in children, when you should be concerned, and how they're diagnosed and treated.

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Tremors in Children

A condition called familial tremor involves involuntary shaking that runs in the family.​ Children can also have an essential tremor, which is shakes with an unknown cause.

Researchers estimate that up to 5% of people have essential tremor. One study found they often start in kids as young as 8 years old.

Having a tremor can also be a side effect of some medications and certain metabolic disorders, like hyperthyroidism and hypoglycemia.

Some tremors are caused by serious illnesses. But those tremors usually come along with other symptoms.

Tics in Children

Tremors are different from tics. These are sudden, uncontrollable twitches, movements, or sounds that may be repetitive. Children commonly have tics.

Many parents worry a tic means their child has a serious condition like Tourette's syndrome. But they're much more likely common to have a simple transient (passing) tic disorder.

Children with a transient tic disorder may repeatedly:

  • Make sudden, brief jerky movements of their arms
  • Blink their eyes
  • Raise their eyebrows
  • Shrug their shoulders
  • Bite their lip
  • Turn their head

In addition to these types of involuntary motor tics, other children may clear their throat or make specific sounds (vocal tics). These tics are often so subtle that other people don't notice them.

As the name suggests, transient tics only last a short time. Typically, that's about three months or less.

If tics last much longer than three months or become more complex, ask your healthcare provider about Tourette's syndrome.

Tics + OCD?

If tics and obsessive-compulsive disorder (OCD) symptoms start suddenly or get worse after a strep throat infection, tell your healthcare provider. It could be a sign of pediatric autoimmune neuropsychiatric disorders associated with Streptococcal infections (PANDAS).

Diagnosis and Treatment

A new or worsening tremor or tic are reasons to take your child to a healthcare provider. A physical examination that includes a neurological exam can help figure out what's behind the unusual movements.

Some children with persistent tremors and tics see a pediatric neurologist. However, most children with transient tics and essential or familial tremors don't need any kind of treatment.

Tremors can sometimes be treated with beta-blockers (drugs for high blood pressure). That's common if the shaking causes problems like difficulty writing.


Tremors and tics in children are usually not associated with serious medical conditions. Essential tremor and familial tremor are both possible and don't involve illness or other symptoms.

Some medications can cause tremors, as well. When tremors are caused by serious conditions, they're usually accompanied by other symptoms.

Tics raise concerns about Tourette's syndrome. But it's more likely your child has a transient tic disorder that'll go away in three months or less.

If your child has a new or worsening tremor or tic, these problems are accompanied by other symptoms, or they last for more than a few months, see their healthcare provider.

Most kids with tremors and tics don't need treatment. For those who do, beta-blockers may be prescribed.

A Word From Verywell

Anything unusual in your child is worrisome. Just remember that tremors and tics are relatively common, usually harmless, and often short-lived.

If you're concerned about these symptoms, have a healthcare provider check to see if anything serious is going on. They can also help your child find ways to manage despite the movement issues.

Frequently Asked Questions

  • How are tremors in children treated?

    Physical therapy and learning new ways to perform tasks can help reduce tremors in children. Sometimes foods aggravate tremors, so you may need to watch for patterns and then avoid any triggers you discover.

    Relaxation therapy to reduce stress can also help. If necessary, certain medications can reduce symptoms. These include anticonvulsants and beta-blockers. 

  • Why would a teenager’s hands shake uncontrollably?

    Hands develop tremors for several reasons. Your healthcare provider should do a full physical and blood tests to check for:

  • Can toddlers develop tremors after hitting their head?

    Yes. Post-traumatic tremors can occur after a head injury. The seriousness of the tremors depends upon how hard children hit their head. Children who lose consciousness are at a greater risk for developing tremors.

6 Sources
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
  1. Elble RJ. What is essential tremor?Curr Neurol Neurosci Rep. 2013;13(6):353. doi:10.1007/s11910-013-0353-4

  2. Swain JE, Scahill L, Lombroso PJ, King RA, Leckman JF. Tourette syndrome and tic disorders: a decade of progressJ Am Acad Child Adolesc Psychiatry. 2007;46(8):947-968. doi:10.1097/chi.0b013e318068fbcc

  3. Knight T, Steeves T, Day L, Lowerison M, Jette N, Pringsheim T. Prevalence of tic disorders: a systematic review and meta-analysisPediatr Neurol. 2012;47(2):77-90. doi:10.1016/j.pediatrneurol.2012.05.002

  4. National Institute of Mental Health. PANDAS—questions and answers.

  5. Pal PK. Guidelines for management of essential tremor. Annals of Indian Academy of Neurology. 2011;14(5):25. doi:10.4103%2F0972-2327.83097

  6. Liu H, Pringsheim T, Thompson GC. Two children with tremor. CMAJ. 2015;187(7):512-517. doi:10.1503%2Fcmaj.120496

Additional Reading

By Vincent Iannelli, MD
 Vincent Iannelli, MD, is a board-certified pediatrician and fellow of the American Academy of Pediatrics. Dr. Iannelli has cared for children for more than 20 years.