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Essential tremors are usually seen on other parts of the body, too. Do you have hand tremors ?
Botox may help with the neck pain and the tremors for some time. Cervical spondylosis is not associated with essential tremors.
Regards
If they are Essential tremors, you can expect them to stay the same. If they become worse, the diagnosis will have to be revised.
Botox may not help always. After some time, the body learns to tolerate drugs.
Regards