5841 Jameson Court, Carmichael, CA 95608
Mon–Fri 8AM–5PM · Telehealth Available
VerityMD Neurology accepts new patient referrals by fax: (916) 244-3875
Comprehensive Neurology Evaluation for Hand Tremor, Head Tremor, Voice Tremor, and Shaking
Tremor can affect writing, eating, holding a cup, typing, dressing, work, hobbies, and confidence. Some patients notice hand tremor, while others may have head tremor, voice tremor, leg tremor, internal shaking, or tremor at rest.
VerityMD Neurology evaluates tremor to determine whether symptoms may be related to essential tremor, Parkinson’s disease, medication side effects, thyroid disease, neuropathy, anxiety, dystonia, cerebellar disorders, functional neurological symptoms, or another condition. For eligible patients with Parkinson’s disease or chronic movement disorders, chronic care management support is available.
Symptoms We Evaluate
Hand, head, voice, leg, jaw, or chin tremor
Internal shaking sensation
Resting tremor or action tremor
Tremor while writing, eating, drinking, or using utensils
Tremor with stiffness, slowness, shuffling gait, or balance problems
Tremor with neck pulling or abnormal posture
Tremor with numbness, weakness, neuropathy, or gait instability
Conditions We Help Evaluate or Manage
Essential tremor
Dystonic tremor
Medication-induced tremor
Enhanced physiologic tremor
Thyroid disease
Cerebellar tremor
Functional neurological tremor
Services and How They Help
Neurology Consultation for Tremor
The evaluation reviews onset, affected body parts, rest versus action tremor, medication history, family history, caffeine effects, thyroid/metabolic issues, walking changes, stiffness, slowness, numbness, weakness, and prior testing.
How this helps:
Clarifies likely tremor type
Distinguishes essential tremor from Parkinson’s disease and other causes
Guides labs, imaging review, medication adjustment, EMG/NCV, therapy, or advanced treatment discussions
Essential Tremor Evaluation
Essential tremor commonly causes shaking during action and may affect hands, head, or voice.
How this helps:
Identifies action tremor pattern
Reviews functional impact
Guides medication, adaptive strategies, and advanced therapy discussions when appropriate
Parkinson’s Disease and Parkinsonian Tremor Evaluation
Parkinson’s disease can cause resting tremor, slowness, stiffness, gait changes, constipation, dream enactment, and facial expression changes.
How this helps:
Looks for parkinsonian features
Assesses movement, tone, gait, and balance
Supports medication and chronic care planning
Eligible patients with Parkinson’s disease, parkinsonian symptoms, tremor, gait difficulty, and chronic neurological conditions may receive ongoing support between visits.
How this helps:
Monitors tremor, stiffness, walking, falls, swallowing, sleep, mood, memory, and medication timing
Helps identify wearing-off symptoms and side effects
Improves communication between neurology, primary care, caregivers, and therapists
Stimulants, antidepressants, anti-seizure medications, bronchodilators, thyroid medications, steroids, lithium, valproate, dopamine-blocking medications, caffeine, and supplements may contribute.
How this helps:
Identifies medication-related tremor
Reviews dose effects and interactions
Supports safer changes with prescribing clinicians
EMG/NCV may be helpful when tremor overlaps with numbness, tingling, weakness, imbalance, or suspected neuropathy.
When tremor occurs alongside significant balance problems or dizziness, a broader neurological evaluation may help identify contributing conditions.
How this helps:
Detects peripheral nerve or muscle contributors
Helps separate tremor from weakness or nerve injury
Supports treatment planning
When Tremor Evaluation & Treatment May Be Helpful
New or worsening tremor
Tremor interfering with daily function
Resting tremor
Tremor with slowness, stiffness, or walking changes
Tremor after medication changes
What to Bring or Have the Referring Office Send
Referral from PCP, specialist, or referring provider
Medication list, including over-the-counter medications and supplements
The evaluation may include review of prior neurological testing, imaging reports, laboratory results, and other records when available.
Videos of tremor if safely available
Family history of tremor or Parkinson’s disease
List of activities affected by tremor
Prior medication trials for tremor if available
Important Note
This page is for patient education and does not replace individualized medical advice. Testing and treatment decisions should be based on the patient’s history, examination, records, medications, insurance requirements, and clinical judgment.
Emergency Symptoms
Call 911 or go to the nearest emergency department for:
Sudden weakness, facial droop, trouble speaking, or new vision loss
Severe sudden headache or rapidly worsening neurological symptoms
Loss of consciousness, seizure, chest pain, or severe shortness of breath
New inability to walk or sudden severe dizziness with stroke-like symptoms
New Patient Referrals
VerityMD Neurology accepts new patient referrals by fax from the patient’s primary care physician, specialist, or referring provider’s office. To ensure accurate triage, insurance verification, and appropriate scheduling, referrals should be sent directly from the referring provider’s office.
Patients who would like to be seen at VerityMD Neurology should contact their PCP, specialist, or referring provider and ask them to fax a neurology referral with relevant clinical notes, insurance information, medication list, imaging reports, lab results, and prior neurology records if available.
We accept the following insurance
What Patients Say About Their VerityMD Experience
Being heard. Finding answers. Knowing what comes next.
I found Dr Mittal and his assistants to be very thorough and kind. They did not rush me through my appointment but listened to my concerns and then they were very good about addressing those concerns. I came away from the appointment feeling so much better because they really listened to me. So many doctors these days don’t bother to examine me but that was not my experience with Dr Mittal and his assistants. The front desk people were also very kind and professional.
Excellent experience at VerityMD Neurology Clinic. The staff was professional, caring, and attentive. The doctor listened carefully to my concerns and explained everything clearly. The clinic was clean and well organized. I highly recommend this clinic to anyone looking for quality neurological care. Thank you for your excellent service.
Dr. Mittal and his team are so professional and helpful. I started seeing him last year. He has been very thorough in diagnosing my health condition. He and his staff are kind and caring.
My husband and I are very impressed with the care and professionalism of Dr. Mittal and his staff. Dr. Mittal took time to listen to us - to ask us questions - and to clearly explain the diagnosis and his treatment recommendations. We feel very fortunate - and relieved - to have this neurologist as a member of our care team.
Saw Dr. Mittal and during the first visit he was able to order a few tests that helped diagnose my issue. During the appointment he spent a good amount of time with me and made me feel heard. He was then able to see me again on short notice to help direct me towards next steps, I am very grateful to him.
My 1st appointment with Dr. Mittal, was such a pleasure & surprise. The staff & Dr. Mittal were kind & not in such a hurry. The Dr. took a half hour with me, thoroughly explaining his thoughts & what was to come. Impressed is not a strong enough adjective! Thank you for being a true Doctor who cares.
Please Confirm Your Appointment Location
VerityMD sees patients at both our Carmichael and Folsom clinics. Please check your appointment confirmation text message before traveling to your appointment. Your confirmation will identify the correct clinic location.
Patients are responsible for arriving at the clinic listed in their appointment confirmation. Patients who arrive at the incorrect location will not be able to be seen for that appointment and will need to be rescheduled.
Neurology consultations and follow-up visits are available at both locations. All procedures are performed at our Folsom clinic.
Comprehensive neurological care for patients and families across the Sacramento region.
Patient Resources
Neurology Care
Our Locations
Folsom Clinic
193 Blue Ravine Rd, Suite 265
Folsom, CA 95630
(P): (916) 500-4989
Office Hours
Mon-Fri: 8AM – 5PM
Closed: 12–1PM
Carmichael Clinic
5841 Jameson Court
Carmichael, CA 95608
(P): (916) 500-4989
Office Hours
Mon-Wed: 8AM – 5PMClosed: 12–1PM
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Referral Information: New patients require a referral from their primary care provider or referring clinician.