Why Do Older People Experience Uncontrollable Shivering?

Does aging cause tremor?

Closeup of two elderly hands holding each other, fingers intertwined, showing signs of feeling shaky and weak.

Not on its own. Essential Tremor becomes more common with age — affecting roughly 5% of people over 65 — and Parkinson's risk also rises with age (Haubenberger & Hallett, New England Journal of Medicine, 2018). So while a tremor is more likely in later life, it still points to an identifiable cause worth evaluating rather than simply "old age."

The most common causes of tremor in older adults

  • Essential Tremor — the most common; an action tremor (worse during movement), often with a family history.
  • Parkinson's Disease — a resting tremor from the loss of dopamine neurons, usually starting on one side.
  • Medication side effects — some antidepressants, antipsychotics, and asthma drugs can cause or worsen tremor.
  • Hyperthyroidism — a fine tremor alongside weight loss, palpitations, and heat intolerance.
  • Age-related muscle weakness — reduced strength and motor control can produce a mild tremor.
  • Low blood sugar — triggers an adrenaline-driven shakiness, especially in people on insulin.
  • Stress and anxiety — amplify the body's normal physiologic tremor; usually situational.

The main types of tremor in older adults

Telling the type apart helps point to the cause (NINDS, Tremor):

Tremor typeWhen it occursTypical association
Essential TremorDuring movement or holding a positionMost common; often familial
ParkinsonianAt rest; eases with movementParkinson's Disease
DystonicWith abnormal postures or twistingDystonia
PhysiologicA faint tremor during any movementNormal — everyone has it
Enhanced physiologicVisible; during movementStress, caffeine, medications, thyroid
OrthostaticA high-frequency tremor while standingImproves on sitting or walking

For how these are defined and measured, see what defines a hand tremor, and our guide to the link between aging and tremors.

When to see a doctor

Because tremor has many causes, a healthcare provider is the right person to identify which one. See one if a tremor is new, worsening, one-sided, appears at rest, or comes with other symptoms like weakness or speech changes — and urgently if it starts suddenly with weakness or difficulty speaking, which can signal a stroke. Many causes — a medication, a thyroid problem, low blood sugar — are very treatable once identified.

Steadying the hands when tremor comes with age

While the cause is worked out and treated, a wearable can make daily tasks easier. The Steadi-3 Plus is an FDA-registered Class I medical device that steadies the hand with a passive magnetic vibration absorber (tuned mass damping), countering tremor mechanically as the hand moves, with no electronics or batteries — a plus for anyone who'd rather not manage charging. In a placebo-controlled study, four in five wearers (84%) steadied better than with no device, and 70% beat a placebo glove (Steadiwear, Steadi-3 Plus validation study). It doesn't treat or cure the underlying cause — it steadies the hand for tasks like eating, writing, and holding a cup, helping older adults stay independent.

Lightweight and simple to put on, a tremor-stabilizing glove works alongside medication, therapy, and treatment of the root cause rather than replacing them.

Quick recap

  • Tremor in older adults is common but not an inevitable part of aging — it signals an identifiable cause (Haubenberger & Hallett, New England Journal of Medicine, 2018).
  • The usual causes: Essential Tremor (the most common), Parkinson's, medications, hyperthyroidism, muscle weakness, low blood sugar, and stress.
  • The type — resting vs action, at rest vs on standing — is the biggest clue to the cause; a specialist can tell them apart (NINDS, Tremor).
  • Many causes are very treatable once identified, and a stabilizing glove can steady the hands for daily tasks in the meantime.

Frequently asked questions

Brief shivers can come from stress, adrenaline, fatigue, or low blood sugar amplifying the body’s normal physiologic tremor. If the shaking is frequent, persistent, or interferes with tasks, it’s worth having evaluated for an underlying cause.

Not exactly. Aging doesn’t directly cause tremor, but it raises the risk of conditions that do — like Essential Tremor and Parkinson’s. A new or worsening tremor should be checked rather than written off as “just age.”

Essential Tremor is an action tremor — it shows up during movement or holding a position, usually in both hands. Parkinson’s tremor is a resting tremor, most obvious when the hand is still and easing with movement, often starting on one side.

Yes. Some antidepressants, antipsychotics, asthma medications, and others can cause or worsen tremor. If a tremor started after a new or changed prescription, raise it with the prescribing doctor rather than stopping on your own.

Treatment follows the cause — adjusting a medication, treating a thyroid problem or low blood sugar, or starting tremor-specific medication and therapy for Essential Tremor or Parkinson’s. Occupational therapy and assistive devices help with daily tasks alongside medical care.

References

  1. Haubenberger D, Hallett M. Essential Tremor. New England Journal of Medicine. 2018;378(19):1802–1810. PMID 29742376.
  2. NINDS. Tremor. National Institute of Neurological Disorders and Stroke. NINDS: Tremor.
  3. Steadiwear. Steadi-3 Plus validation study. Steadiwear: Steadi-3 Plus validation study.