Writer's Cramp

Aka: Writer's Cramp, Focal Hand Dystonia, Focal Dystonia Syndrome, Occupational Hand Dystonia, Occupational Hand Cramp

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II. Epidemiology

  1. Unclear pathophysiology
  2. Common disorder in certain occupations
    1. Writers (Writer's Cramp)
    2. Musicians
    3. Tennis players
    4. Rowing participants
    5. Golf players

III. Symptoms

  1. Cramping pain in Forearm and hand with activity

IV. Management

  1. Sensory discriminative retraining
  2. Home Exercise program
    1. Sensory Exercises
    2. Posture correction
    3. Relaxation Exercises
    4. Range of motion and strengthening Exercises
    5. Cardiovascular fitness program
  3. Botulism Toxin Type A local injection
    1. Indicated for wrist extensor overactivity

V. References

  1. Byl (2000) J Hand Ther 13(4):289-301 [PubMed]
  2. Hochberg (1990) Hand Clin 6(3):417-28 [PubMed]
  3. Thompson (1993) Br J Med 50:91-4 [PubMed]

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