Focused Ultrasound - revolutionary new treatment for Essential Tremor and tremor caused by Parkinson's disease

Rambam Academic hospital one of the most experienced medical centers in the world in treatment with this innovative procedure. As of the beginning of 2019, about 1000 procedures were performed in the world, 95 of them were performed in Rambam hospital.
The patients ages were - 46-87, 62 of them were males.

Treatment was performed for the following diagnoses:

  • 58 Essential tremor patients (ET)
  • 31 Parkinson's disease (PD)
  • 4 patients with Essential Tremor & Parkinson's disease
  • 1 Multiple System Atrophy
  • 1 Paraneoplastic syndrome

Tremor is a neurological problem that occurs with many illnesses such as Parkinson's Disease and Essential Tremor. When the tremor is of moderate to high severity, it affects eating, drinking, writing, and other activities that require controlled and accurate movement. The result is a significant decrease in quality of life.

Many patients with a significant tremor that does not respond to medication are offered a surgery to implant a pulse generator and electrodes in the brain, referred to as Deep Brain Stimulation (DBS).

Focused Ultrasound

As an alternative to this invasive treatment, the Israeli company Insightec invented a revolutionary non-invasive treatment that produces significant and immediate relief of the tremor in a single treatment.
The procedure, performed on the Exablate system in the MRI room by means of a focused ultrasound (FUS), is performed while the patient is awake and involves no anesthesia, no incisions in the scalp, and no burr holes through the skull or insertion of electrodes into the brain.


The innovative procedure is approved for commercial use in Europe and is offered in Israel at the Rambam Medical Center campus.

Approximately 200 patients worldwide have been treated by the procedure, among them 40 patients at Rambam with a 90% success rate.

Who Can Benefit from Treatment with MRI-guided FUS?

The treatment is suitable for people suffering from hand tremors that are not well controlled by medication, specifically those suffering from Parkinson's Disease or Essential Tremor.

What are the Advantages of MRI-targeted FUS for treatment for Tremors?

  • No need for cranial incisions or implants
  • Immediate and ongoing relief of the tremor
  • Usually only one treatment is required
  • Reduced dependence on medication can improve quality of life
  • No harmful radiation

Watch patient testimonials:

* FUS treatment- Dutch patient: turn on YouTube Subtitles in order to view subtitles in English (Click the CC on the bottom left part of the video)

The story of a patient who underwent tremor treatment

A 73-year-old patient entered the MRT offices of Rambam Medical Center. He was a successful businessman who had suffered for the past 15 years from Essential Tremor, which negatively affected his physical functions and quality of life.

The patient experienced a strong tremor on the right side of his body. He was unable to drink from a glass without spilling its contents. The tremor complicated his work. His handwriting became unintelligible because of the trembling of his hands. The day before his procedure took place, the patient was asked to write a short sentence on a sheet of paper. No matter how hard he tried, his transcription sprawled over the entire paper and was impossible to read.

Two hours after the procedure began, doctors handed the patient a glass of water. For the first time in many years, the patient managed to raise the glass to his lips and drink with pleasure, without spilling a single drop. “I was reborn,” he told his doctors.

The patient then asked for a sheet of paper and a pencil. In small and neat script, he wrote down a quote from a famous Israeli politician: “If you truly want it – it is not a fairy tale.”

“I feel happy,” the patient confessed later on. “I was constantly told that if your hands are always shaking, you should hire a secretary to keep your records and prepare coffee for you. Yet my dream was to be completely independent of anyone. And today, that dream has come true!”


Leading specialists

Dr. Ilana Schlesinger
Dr. Ilana Schlesinger
Director, Movement Disorders Service, Department of Neurology

Presentation by Prof Menashe Zaaroor about Rambam's experience with the FUS method.


Dr. Schlesinger will examine your case and will determine if the treatment can help your condition.

  1. Consultation according to patient medical records+ patient video- $520
  2. Skype video consultation - $700

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We will prepare a treatment proposal for your condition.