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The tremor starts gradually, usually in the hands first (either one or both hands).
You may find it difficult to perform tasks with your hands, such as writing or using tools. Some may experience uncontrollable head-nodding or shaking, or have a quivering voice. The tremor may worsen if you are stressed, fatigued, cold or have taken caffeine.
Symptoms may fluctuate depending on the task that you are doing, your state of mind, emotions and other factors.
Essential tremor is unlikely to cause balance issues even though it may affect the lower parts of your body in rare cases.
Both conditions are a result of the brain aging (neurodegenerative disorder), but differ in many ways:
Tremors can be caused by a variety of conditions or lifestyle factors including