Writers cramp Homeopathic treatment

Writer's cramp frequently affects persons who write a great deal or perform other repetitive hand movements such as typing.
In case of musicians a similar focal dystonia is seen due to common task specificity. These focal dystonia may be due to abnormalities in the basal ganglion or due to sensorimotor cortex malfunction in the brain.
Five to ten percent report an accident or injury to the hand or arm immediately preceding the onset of symptoms.
Due to psychological disturbance.
Due to joint diseases such as carpal tunnel syndrome, Parkinson's disease.
Several possible, but rare, associations have been reported cortical tumors, arteriovenous malformations (AVMs), and stroke. However, most cases are idiopathic.

Two basic types of writer's cramp have been described: 

Simple Writer’s Cramp: People with simple writer's cramp have difficulty with only one specific task. For example, if writing activates the dystonia, as soon as the individual picks up a pen--or within writing a few words, dystonic postures of the hand begin to impede the speed and accuracy of writing. 

Dystonic writer’s cramp: In dystonic writer's cramp, symptoms will be present not only when the person is writing, but also when performing other activities, such as shaving, using eating utensils, applying make-up. 

The hands can be affected by many conditions. Arthritis, tendon problems, and muscle cramps can all cause pain in the hands. Carpal tunnel syndrome is the result of nerve compression. Writer's cramp is often mistaken for over-use conditions. Over-use syndromes or repeated-use syndromes are usually characterized by pain, whereas writer's cramp is more likely to cause problems with coordination. Focal hand dystonia is responsible for only about 5% of all conditions affecting the hand.

Common symptoms include:

- Excessive gripping of a pen or utensil

- Flexing of the wrist

- Elevation of the elbow

- Occasional extension of a finger or fingers causing the utensil to fall from the hand.

- Sometimes the disorder progresses to include the elevation of shoulders or the retraction of arm while writing.

The symptoms usually begin between the ages of 30 and 50 years old and affect both men and women. Cramping or aching of the hand is not common. Mild discomfort may occur in the fingers, wrist, or forearm.

A similar cramp may be seen in musicians as the violin is bowed, in certain athletes such as golfers, or in typists.

Diagnosis of writer's cramp is based on information from the individual and the physical and neurological examination. At this time, there is no test to confirm diagnosis of writer's cramp, and in most cases, laboratory tests are normal

Early diagnosis and treatment are important to avoid permanent damage to the median nerve.

A physical examination of the hands, arms, shoulders, and neck can help determine if the person’s complaints are related to daily activities or to an underlying disorder. A physician can rule out other conditions that mimic carpal tunnel syndrome. The wrist is examined for tenderness, swelling, warmth, and discoloration. Each finger should be tested for sensation and the muscles at the base of the hand should be examined for strength and signs of atrophy.

Routine laboratory tests and X-rays can reveal fractures, arthritis, and nerve-damaging diseases such as diabetes.

Specific tests may produce the symptoms of CTS. In the Tinel test, the doctor taps on or presses on the median nerve in the person’s wrist. The test is positive when tingling in the fingers or a resultant shock-like sensation occurs. The Phalen, or wrist-flexion, test involves having the person hold his or her forearms upright by pointing the fingers down and pressing the backs of the hands together. Carpal tunnel syndrome is suggested if one or more symptoms, such as tingling or increasing numbness, is felt in the fingers within 1 minute. Doctors may also ask individuals to try to make a movement that brings on symptoms.

Electrodiagnostic tests may help confirm the diagnosis of CTSs. In a nerve conduction study, electrodes are placed on the hand and wrist. Small electric shocks are applied and the speed with which nerves transmit impulses is measured. In electromyography, a fine needle is inserted into a muscle; electrical activity viewed on a screen can determine the severity of damage to the median nerve.

Ultrasound imaging can show abnormal size of the median nerve. Magnetic resonance imaging (MRI) can show the anatomy of the wrist but to date has not been especially useful in diagnosing carpal tunnel syndrome.

Tinel's sign: The sign that a nerve is irritated. Tinel's sign is positive when lightly banging (percussing) over the nerve elicits a sensation of tingling, or 'pins and needles,' in the distribution of the nerve.

Phalen test is performed by asking the patient to place both elbows on a table while keeping both forearms vertical and flexing both wrists at 90 degrees for 60 seconds. A positive test is defined as the occurrence of pain or paresthesias in at least one finger innervated by the median nerve.

Homeopathic approach is different from conventional mode of treatment. Here the totality of the symptoms is considered and some peculiar, strange, rare symptoms which are present only in that individual are given importance.

After administering homeopathic medicines gradually the pain will reduce considerably. The person will feel comfortable in writing, tremors will be less. As homeopathic medicines act on the mental level the patient will start feeling fresh. His anxiety, stress will reduce and the patient will over all feel better.

There are many homeopathic remedies which are very effective in relieving the spasms, pain and cramps occurring in patients suffering from Writer's cramp. Homeopathic approach is different from conventional mode of treatment. Here the totality of the symptoms is considered and some peculiar, strange, rare symptoms which are present only in that individual are given importance.

After administering homeopathic medicines gradually the pain will reduce considerably. The person will feel comfortable in writing, tremors will be less. As homeopathic medicines act on the mental level the patient will start feeling fresh. His anxiety, stress will reduce and he will be better