What Causes Shivering Of Hands While Writing?

Posted on Wed, 1 Apr 2015

Question: I HAVE 2 ISSUES. ONE I AM GETTING CRAMPS IN MY RT ARM. IAM NOT ABLE TO WRITRE PROPERLY. THERE IS A SHIVER IN MY HANDWRITING. IAM 47 YRS OLD. BUT I WRITE LIKE 80 YR OLD.IT IS LIKE A WRITERS CRAMP. I CONSULTED A NEURO ONE YR BACK. THEY SUGGESTED SOME TABLETS BUT THE PROBLEM PERSISTS. I DRIVE TWO WHEELER A LOT. NEARLY 50 TO 60 KMS A DAY. I HAVE CERVICAL SPONDYLOSIS, LUMBAR SPONDYLOSIS. IS THE CRAMPS DUE TO THIS OR ANY PROBLEM RELATED TO BRAIN. I TOOK MRI OF BRAIN 3 YRS BACK. IT WAS NORMAL. BUT THE MRI OF SPINE REVEALED SPONDYLOSIS OF SPINE AND LUMBAR . IAM AFRAID THAT I WILL BE UNABLE TO WRITE TOTALLY AT ALL IN DUE COURSE. THE SECOND PROBLEM IS SINUSITIES. SOME SIDDHA DOCTORS PETRIFIED ME BY SAYING I HAVE HEAD SINUS. THAT SINUS IS NOT ONLY IN MY NOSE BUT WATER CLOGGING IN THE HEAD. THEY SAY THAT I GET NECK PAIN BECAUSE OF SINUS IN THE HEAD. IE WATER IS STAGNATED IN THE BRAIN.THEY SAID THAT PEOPLE WILL GET MAD AND BRAIN WILL GET AFFECTED IF HEAD SINUS IS NOT TREATED IMMEDIATELY. I DO NOT HAVE ANY RUNNING NOSE OR FLUM. I SNEAZE A LOT I GET ITCHY EYES, WITH SLIGHT PAIN IN AND AROUND NOSE AND TOP OF HEAD. I GET RESTLESSNESS AND FEEL HYPER IF I CATCH COLD OR IF GET SINUS ALLERGY SYMPTOMS. GIDDINESS IS ALSO THERE SOMETIMES. IS IT NEURO PROBLEM . IS IT ALARMING AND SERIOUS. WHAT SHOULD I DO. ANY TESTS OR MEDICINES TO TAKE.

Answered by Dr. Ajay Panwar (45 minutes later)

Brief Answer:
Please upload a video/upload a sample of writing.

Detailed Answer:
Hi XXXXXX XXXXXXX
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.

If you would have presented to me as an outpatient with this medical history,I would have advised you to please upload a video of your hand shivering/writer's cramp while writing,so that I may get an exact idea of what are you going through.
Also,writer's cramp is characteristically identified by handwriting.So,please upload a sample of your handwriting here,which will help identifying the etiology.

The kind of cramps and shivering you are mentioning is unlikely to occur as a result of cervical or lumbar spondylosis.On the same lines,intracranial pathology is to be considered only after a primary pathology like writer's cramp/writing dystonia is ruled out.At this point,brain and spine pathology are the unlikely causes for the same.

If it is writer's cramp,some of the anti-dystonia drugs and botulinum toxin injections may be of help.

Your sinus related problems,not at all,appear to be of neurological origin.You appear to be unnecessary horrified.Please be reassured.Its nothing serious.Please visit an ENT specialist and get treated for your sinusitis.Don't worry,its as simple as that.

Please follow-up after uploading a video of your hand shivering/cramp and a sample of your handwriting.

Waiting for your follow-up.

Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj