Dystonic posturing is usually not seen with this condition. Writer s cramp frequently affects persons who write a great deal or perform other repetitive hand movements such as typing. Five to ten percent report an accident or injury to the hand or arm immediately preceding the onset of symptoms. However, most cases are idiopathic. However, the majority of these patients have relapses.
Treatment is generally disappointing.
Behavioral changes may help. Biofeedback, hypnotherapy, and relaxation therapy have been tried. Patients can use a writing device or other means of transcription, such as typing or dictation. Anticholinergics have had conflicting results. Beta-blockers have helped the tremor in a few patients.