Brief Answer: Could be writer's cramp or benign tremors. Detailed Answer: Hi, Thank you for posting your query. I have noted your problem. Based on the description, there are two possibilities: 1. Writer's cramp (or focal dystonia)- in this condition, there is difficulty in writing. Hand and forearm pains and the handwriting is not good. There is no difficulty in doing any other activities such as holding a cup of tea or a glass of water, etc. This can be treated with medications such as pacitane (trihexiphenidyl) and revocon (tetrabenazine). If there is no improvement, then, botox injections can be given. 2. Benign or essential tremors: There is shivering or tremors of hands and it occurs while doing any activity with hands. Medications such as beta blockers and clonazepam can help. In medical history, you have described your wife's condition. Is this query about you or your wife? I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information. Wishing you good health, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist Apollo Hospitals, Hyderabad, India Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar My BLOG: http://bestneurodoctor.blogspot.in

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