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Hi Anon,

Thank you for your question, according to the dystonia foundation, no single treatment strategy is appropriate for every case of writer's cramp. One of the most effective methods is adapting tasks to try to avoid triggering the dystonic movements--this may involve occupational therapy or using assistive/adapted devices.

A multitude of oral drugs has been studied to determine benefit for people with writer's cramp, but none appear to be uniformly effective. About 5% of people's symptoms improved with the use of anticholinergic drugs, such as Artane (trihexyphenidyl), Cogentin (benztropine).

Botulinum neurotoxin injections into selected muscles are helpful in treating writer's cramp, especially when significant deviation of the wrist or finger joints is present. Although this treatment is not effective for all people, significant improvement in writing and reduction of pain is seen in at least two-thirds of those persons treated.

Complementary therapies may be explored, and if pain is present regular relaxation practices may benefit an individual's sense of overall well being.

http://www.dystonia-foundation.org/pages/more_info/54.php

May 25, 2011 - 8:30am

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