The most common type of tremor is Essential Tremor. It is a progressive tremor that often involves the upper extremities, but can also involve the head, voice, tongue and legs. One of the most common misdiagnoses is labeling the head tremor very commonly associated with cervical dystonia or limb dystonia as essential tremor for which the treatment is very different. The tremor of Essential tremor in the upper extremities is often present with activity (action, like drinking a cup of coffee or writing) or while extending the arms out (postural). Some patients choose not to treat their tremors with medicines, and prefer using hand weights, stress/relaxation techniques or biofeedback as therapy. For others, treatment for Essential Tremor can involve medical management, surgical therapy and sometimes Botulinum toxin administration.