Writer's Cramp / Mogigraphia / Scrivener's Palsy / Focal Hand Dystonia / Arm Dystonia / Finger Dystonia

Homeopathic treatment

Before we delve into homeopathy treatment let us first discuss the conventional or allopathic treatment available.

Treatment of writer's cramp / mogigraphia / Scrivener's palsy/ focal hand arm finger dystonia in conventional medicine or allopathy is designed in such a way that it helps in the lessening of spasms, pain and disturbed postures or functions.

Most therapies depend on individual symptoms. No single strategy can be appropriate in every case. Doctors try to achieve the treatment which will give the individual greatest benefits while incurring the fewest risks and side effects.

Allopathic or conventional doctors approach the treatment from three angles – oral medications, botulinum toxin injections (botox) and / or surgery. These therapies can be used alone or in combination depending on the acuteness and complexity of the case and an individual’s requirement.

A lot of times, additional care like physical therapy is also recommended. It’s important to add here that, there is currently no known cure in conventional system of medicine or allopathy for dystonia / writer's cramp.

Almost every different type of psychotherapeutic drug has been tried as a treatment for writer's cramp in conventional system or allopathy. These drugs include levodopa / carbidopa, baclofen, benzodiapines, and dopamine depletors. The most commonly used drugs are anticholinergic medications, but unwanted side effects are usually unacceptable to patients. Drug therapy means a lifetime treatment course, which is also undesirable and reduces compliance.

Too high a dosage of botulinum toxin (botox) may cause unintended weakness of neighboring muscles, interfering with other activities. Finally, repeated dosages of botulinum toxin (botox) may cause the formation of antibodies in a patient, rendering the treatment ineffective.

How homeopathy helps

Most of the treatment options available for writer's cramp are directed towards treating the symptoms of the disease, rather than the underlying causes. In homeopathy, treatment is aimed at underlying cause of the disease.

The homeopathic approach is more of totalistic and individualistic in nature. In brief, the concept suggests looking at any disease condition in its totality rather than treating it in isolation. Any major disease is multi-factorial in its origin. The treatment looks at the multi-factorial causations such as genetic, physical, emotional and so on and treats the disease accordingly.

Writer’s cramp finds encouraging results with homeopathic treatment, especially in the early stages. When it is treated in its early stages the chances of complications become less.

The medicines are prepared from a wide range of natural sources. Over 75% of the medicines origin from the vegetable kingdom, i.e. flowers, roots, leaves and the juice.

Homeopathic remedies work as muscle relaxant as well as pain reliever without any side effects. While prescribing a medicine a complete history of the patient is taken which includes the medical history of the patient, physical and mental constitution and genetic predisposition to the disease.

A properly prescribed remedy can lower the progression of disease and in highly susceptible people can prevent the occurrence or prolong the onset of disease. Also homeopathy offers a treatment which is safe, gentle and will not end up with side effects.

There are 62 remedies which give great relief in writer's cramp / mogigraphia / Scrivener's palsy / focal hand arm finger dystonia. However, the correct choice and the resulting relief is a matter of experience and right judgment on the part of the doctor. The treatment is decided after thorough case taking of the patient. Thus medicines are designer made unlike allopathy in which all patients receive the same drugs although trade name may be different.

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What is writer's cramp / mogigraphia / scrivener's palsy / focal hand, arm, finger dystonia

Writers cramp is also called mogigraphia and Scrivener's palsy.

It 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. It first affects an individual by inhibiting his ability to write.

The symptoms will appear only during the particular movement like writing or playing the piano. Sadly, it is also known to spread and affect many tasks.

There are two kinds:

Simple writer's cramp

People suffering from simple writer’s cramp have difficulty with only one specific task. For example, when the individual picks up a pen to start writing, after writing a few words, the cramped posture of the hand begin to slow down the speed and accuracy of writing.

Dystonia writer's cramp

Symptoms will occur not only during writing but also when performing other tasks like drinking tea, coffee, applying makeup, ironing clothes. In United States, one study estimated the prevalence to be 69 cases per 100,000 population; this is thought to be an underestimation because a high percentage of patients never seek medical assistance.

Internationally, again, because of the small percentage of affected patients seeking medical attention, accurate prevalence estimates are not available.

Prevalence is slightly higher in men; the male to female ratio is 1.3:1.

Typically, patients present in the third to fifth decades, and women usually present earlier than men.


The exact of cause of writers cramp is not well known; it was believed to be the result of excessive fine motor activity, possibly complicated by a tense or otherwise inappropriate writing technique.

Researchers generally agree that these types of focal dystonia are the result of a basal ganglia and / or sensorimotor cortex malfunction in the brain.

Altered nerve cell communication: Dystonia has been linked to altered communication between nerve cells located in the basal ganglia — an area of the brain involved in initiating muscle contractions.

Genetic changes: Researchers have also discovered a number of genetic changes associated with certain inherited forms of dystonia and also with other forms of dystonia. However, most cases of adult-onset focal dystonia have not been linked to genes.

Other disorders: Sometimes dystonia is but one symptom of a more pervasive disorder that affects the basal ganglia, such as:

  • Parkinson's disease
  • Huntington's disease
  • Traumatic brain injury
  • Stroke
  • Brain tumor
  • Oxygen deprivation
  • Infections, such as tuberculosis or encephalitis
  • Reactions to certain drugs
  • Heavy metal or carbon monoxide poisoning


Common symptoms include:

  • Excessive gripping of the pen,
  • Flexing of muscles,
  • Abnormal movement of the wrist or elbow,
  • The individual would often find it difficult to hold on to the pen and keeps dropping the pen.
  • Mild discomfort may occur in the fingers, wrist, or forearm.

It usually affects people between the ages of 30 and 50 years, both men and women.

A similar situation can be observed in musicians playing certain instruments, typists and golfers.

While it is not fatal or life threatening in any way, it definitely can be a chronic disorder and how it progresses after that is difficult to tell.

As is with other diseases, the sooner it is treated, lesser will be the complications and after effects.

Symptoms progress in following manner:

  • Early symptoms may include loss of precision muscle coordination (sometimes first manifested in declining penmanship, frequent small injuries to the hands, dropped items and a noticeable increase in dropped or chipped dishes),
  • Cramping pain with sustained use and trembling,
  • Significant muscle pain and cramping may result from very minor exertions like holding a book and turning pages.
  • It may become difficult to find a comfortable position for arms and legs with even the minor exertions associated with holding arms crossed causing significant pain similar to restless leg syndrome.
  • When called upon to perform an intentional activity, the muscles fatigue very quickly and some portions of the muscle groups do not respond (causing weakness) while other portions over-respond or become rigid.
  • The symptoms worsen significantly with use, especially in the case of focal dystonia, and a "mirror effect" is often observed in other body parts : use of the right hand may cause pain and cramping in that hand as well as in the other hand and legs that were not being used.
  • Stress, anxiety, lack of sleep, sustained use and cold temperatures can worsen symptoms.
  • Direct symptoms may be accompanied by secondary effects of the continuous muscle and brain activity, including disturbed sleep patterns, exhaustion, mood swings, mental stress, difficulty concentrating, blurred vision, digestive problems and short temper.
  • People with dystonia may also become depressed and find great difficulty adapting their activities and livelihood to a progressing disability.
  • Side effects from allopathic or conventional treatment and medications can also present challenges in normal activities.
  • 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.


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, and in most cases, laboratory tests are normal.

The hands can be affected by many other 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.

Home care

  • Reducing the amount of writing. Use of a keyboard instead of a pen may help.
  • There may be some benefit from using a wider pen or an attachment to make it wider.
  • Psychological treatment, such as habit reversal, seems no better than relaxation exercises. Historically there has been a tendency to classify the condition as a neurosis but the evidence points to a physical etiology.
Best homeopathy doctor for writer's cramp

Dr. Rohit Jain

He is a consultant homeopathy doctor practicing since 1997 with rich clinical experience.


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Sir, I am 50 yrs old I am a writer's cramp patient from 7 years,Pl. suggest me medicine for cure. Now right hand writing problems, from 1 yrs pl SUGGEST pain reliever without any side effects

Chandrakant Kamble
Jul 11, 2019 10:56 am Reply

sir writers cramp hand problem and not writing so hand pain ,headeck

M.Chkasi Nayak
Apr 8, 2018 8:26 am Reply

I am 46 years old, Male. I feel difficulty in writing in front of others.If someone looks on , my hand shakes and jerks and I always try to avoid writing in public. I also feel difficulty in put signature on important documents like agreements, cheque etc. Is it possible cure this illness permanently? pl. suggest treatment

Udayakumar C
Aug 31, 2017 2:33 pm Reply

Sir, I have been suffering from writers' cramp for more than 5 years but no significant relief is there. I am 26 years old. I consulted and undergone treatment under several allopathy, homoeopathy, yunani, ayurveda doctors but the condition is still same. I am not able to write and whenever I try to write,my elbow moves upward and it seems that the fingers and hand are jammed. Please suggest me the best in this regard.

Sudheer Kumar Verma
Aug 29, 2017 9:49 am Reply

I am writer's cramp patient from 8 years i am feeling lot's of problem in writing,eating,saving etc plz.Suggest me

Javed Khan
Jun 6, 2017 3:49 pm Reply

Dear Sir , I am Vilas Thite,34 yrs,from Barshi, Dist.Solapur,Maharashtra. I am teacher by profession and suffering from writer's cramp since September 2015. I took Homeopathic treatment of Dr. Borkar ,Mumbai for seven months(November 2015 to May 2016) and then till today taking Allopathic treatment of neurologist. But there is no improvement in my writing.Since last month I can't write even single word of 4 to 5 alphabets continuously.I can't grip the pen tightly and it slips towards upward direction. Here I am enclosing all medical reports and medical prescriptions. Please Give kind attention to this mail and tell me is there any permanent cure in homeopathy for said problem.And if yes how can I take your treatment ?

Vilas Thite
Feb 15, 2017 9:28 am Reply

Sir, I am suffering from writer's cramp for last 5-6 years. I feel difficulty in writing , while writing my hand shakes and it becomes more worst when I am over excited or nervous. Pl advice some homeopathy medicine.

Gireesh Goudar
Jan 14, 2017 2:29 am Reply

Sir....earlier I had very good hand writing but from the previous 3-4 years I am not able to write properly....my speed has slowed down and handwriting also becoming worse...OKs help

Ashutosh Gajendra
Nov 23, 2016 12:30 am Reply

Sir iam suffering from writer'scramps sinnce I have a stiffness my neck,shoulder two years ago.today iam vety nervous.because iam could not write a word .it is shame full me

Oruganti Nagaraju
Oct 22, 2016 10:19 pm Reply

Writers cramps since 1 year. I am 70 yrs old

Subhash Bhardwaj
Sep 8, 2016 11:49 pm Reply

Sir, I am suffering from writer's cramp for last 5-6 years. I feel difficulty in writing , while writing my hand shakes and it becomes more worst when I am over excited or nervous. Pl advice some homeopathy medicine.

Manoj Kumar Agrawal
Aug 17, 2016 9:47 pm Reply Sir I am a writer's cramp patient form 15 years,Pl. suggest me medicine for cure. Gopinath Mahapatra
Aug 23, 2016 12:35 am

Suffering from writer cramps.....last 10 years.....any remedy for it

Aug 14, 2016 11:40 pm Reply

Doctor I am suffering from writer's cramp since last two years. I found it very difficult to write even one sentence. Speed is very slow, abnormal movement of wrist & fingers. Elbow elevation while writing. Even I can't do my signature similar. Pls suggest treatment. My age is 38 years

Naveen Kumar
Jun 15, 2016 1:15 am Reply