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Writer's Cramp- how to get rid of this?

Date: 01 Apr 2009   Group: Doctors    Category: General Medicine   


Is there any treatment for this problem, any exercise medicine or anything which can help a person to write properly.


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Author: CHUNDURI NAVEEN    02 Apr 2009      Member Level: Silver     Points : 2    Voting Score: 0

cramps are general cause of over use of muscle
cramps may be indication of some disease even
like bursitis and in some neurological problems
if you got a history of convulsions and tremors
you need to see a doctor
if only cramps due to over use of hand do the exercises
which i mention below:
place a your palm on flat surface
and keep the forearm perpendicular to it
now if the pain is to inwards stretch the hand outwards
stretch and hold for some times "this will re leave the symptom of pain"
now go for strengthening of your wrist:
1]place the forearm on the flat surface such that
your wrist is in air.
2]hold the weight in your hand such that you can bare it comfortably
3]flex and extend the forearm
do ten reputation's for set
4]five sets in a section
and 5 times a weak

Author: Radha    03 Apr 2009      Member Level: Silver     Points : 10  (Rs 10)    Voting Score: 0

WRITER'S CRAMP is also other wise called-MOGIGRAPHIA and also SCRIVENER'S PALSY.It is spasm affecting certain muscles of the hand or fingers.It can be Focal- wherein limited to Hand or Task specific wherein when one engages in a particular activity giving rise to pain.
CAUSES
Excessive fine motor activity coupled with inappropriate writing.
Some other studies have made out basal ganglia problems as the cause.
Musician's cramp is also a form of writer's cramp.
SYMPTOMS
Initially there is pen dropping,Inability to hold pen for long times,frequent pain.Later progresses to tremors of hand, Pain while holding books.
In some cases, symptoms may progress and then plateau for years, or stop progressing entirely. The progression may be delayed by treatment or adaptive lifestyle changes, while forced continued use may make symptoms progress more rapidly. In others, the symptoms may progress to total disability, making some of the more risky forms of treatment worth considering.
TREATMENT
1)Altering the grip of the pen and/or increasing the diameter of the pen used is the first step in treatment.
Patients can use a writing device or other means of transcription, such as typing or dictation.
2)Behavioral changes may help.
Biofeedback, hypnotherapy, and relaxation therapy have been tried.
3)Several classes of drugs have been used in patients with writer's cramp. Anticholinergics have been used with little or no effects.. Beta-blockers have helped the tremor in a few patients. Botulinum toxin injections seem to have the best results.
4)Transcutaneous electrical nerve stimulation (TENS) delivered to the forearm flexor muscles for a 2-week period has been found to improve symptoms for up to 3 weeks after treatment.
CONCLUSION
Approximately 5% of patients have spontaneous remission, most probably in the first 5 years. However, the majority of these patients have relapses.
The prognosis is good usually.
Do not consider such people to be mentally unsound.
Behavioural therapy helps a lot.









Author: Aira    15 Apr 2009      Member Level: Gold     Points : 2    Voting Score: 0

Hi,

Writer's cramp affects the thumb and first two fingers of your writing hand and results from using the same muscles for long periods. At home, you can develop muscle cramps in your hand or arm after spending long hours gripping a paintbrush or using a garden tool.

Well, also it is a form of dystonia. It happens because you're keeping the same muscles tense for a long time.

For more about cramps:
http://www.indiareviewchannel.com/resources/1949-Know-about-cramps-its-remedies.aspx

Thanks & Regards,
Aira

Author: Naganathan M    09 May 2009      Member Level: Gold     Points : 5  (Rs 5)    Voting Score: 0

Introduction

Writer's cramp is a form of task-specific focal dystonia. Dystonia is an involuntary, sustained muscle contraction causing twisting movements and abnormal postures; focal dystonia means only one body part is affected. Writer's cramp is the most common dystonia occurring in the setting of repetitive movement disorders. A focal dystonia can sometimes be the first manifestation of a generalized dystonia.

Pathophysiology

Normally, an antagonist muscle relaxes when an agonist muscle is contracted (for example we can consider our eyes.each eye is supported by six muscles.if we look towards right with an eye, the muscle to the left of that eye relaxes and the muscle in the left side contracts. thus the eye rotates to the right). Patients with dystonia have simultaneous contraction of both groups of muscles. Spinal reciprocal inhibition, a process that inhibits the antagonist muscles when the agonist muscles are active, is reduced in patients with writer's cramp. This is most probably due to aberrant(wrong) descending commands.

Abnormalities in the basal ganglia(in brain) lead to abnormalities of sensory processing and motor output. The normal increase in cerebral blood flow in the supplementary motor area is reduced in response to vibration and abnormal somatosensory evoked potentials. These provide evidence for the abnormal sensory processing in patients with dystonia. Increased motor cortex excitability along with decreased cortical inhibition causes abnormal motor output.

Age

Typically, patients present in the third to fifth decades(30's to 50's), and women usually present earlier than men.

Common complaints are...

Incoordination, cramping, and aching of the hand with task-specific movements are usually the initial complaints.
The hand assumes a semiflexed position of the fingers with possible hyperextension of the fingers and hyperflexion or extension of the wrist with supination or pronation.
The symptoms become exaggerated with attempts to perform a specific task, such as writing. In some cases, the hand may dart across the page with a sudden jerk.
A related condition is primary writing tremor. Affected individuals exhibit a prominent large-amplitude tremor only with writing.

Neurologic examination findings are usually normal.

Subtle findings include mild dystonic postures developing either spontaneously or with movement and reduced arm swing.
One third of patients have a tremor in the affected arm or hand while writing or when the extremity is outstretched. Observation of the limb during writing is an important part of the examination; the assumption of dystonic postures should be demonstrable. Patients affected with primary writing tremor, a variant of writer's cramp, may exhibit a large-amplitude tremor only during writing. In contrast to essential tremor, action or sustentation tremors are not seen with other tasks such as holding a full cup of liquid or coordination testing. Dystonic posturing is usually not seen with this condition.


Causes

Writer's cramp frequently affects persons who write a great deal or perform other repetitive hand movements such as typing.

Approximately 5% of patients have a positive family history of a similar condition.

Five to ten percent report an accident or injury to the hand or arm immediately preceding the onset of symptoms.

Several possible, but rare, associations have been reported, including C6 ruptured disk, lithium use, basal ganglia or cortical tumors, arteriovenous malformations (AVMs), and stroke. However, most cases are idiopathic.

Author: Rajeev    10 May 2009      Member Level: Bronze     Points : 1    Voting Score: 0

Writer's cramp, also called mogigraphia and scrivener's palsy, causes a cramp or spasm affecting certain muscles of the hand and/or fingers. Writer's cramp is a task-specific focal dystonia of the hand . 'Focal' refers to the symptoms being limited to one location (the hand in this case), and 'task-specific' means that symptoms first occur only when the individual engages in a particular activity. Writer's cramp first affects an individual by inhibiting their ability to write.


Writer’s cramp was initially thought to be an occupational hazard but now it is thought to be an early manifestation of Parkinson’s Disease. You should consult a neurologist. It can be treated by medicines.

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