Writers cramp is two types: 1. Simple writers cramp; Simple writer’s cramp is associated with overuse, poor writing posture, or holding the pen or pencil improperly. However, symptoms begin after holding the writing tool for just a few moments, not after hours. 2. Dystonic writers cramp: Dystonic writer’s cramp is less common than simple writer’s cramp and may occur as part of generalized dystonia that affects several parts of the body. In this case, the involuntary movements can occur when you’re doing other non-writing tasks, such as using a knife and fork. Treatment : There’s no simple, one-size-fits-all approach to treating writer’s cramp. And there’s no cure. You may need to try a variety of therapies, and probably will have to combine a couple of them. A typical treatment plan may include: Physical and occupational therapy. Learning how to hold your pen differently, using fatter pens or grips, using special-made splints, and changing your paper or arm position can all help writer’s cramp. Botulinum Neurotoxin injections. Botox injections into selected muscles can help ease writer s cramp, especially when the wrist or fingers move into unusual postures. Oral medications. Anticholinergic drugs, such as Trihexyphenidyl and Benztropine, help some people. Both pallidotomy and pallidal deep-brain stimulation have been effectively used for generalized dystonia, but surgery isn’t usually necessary for task-specific dystonia like writer’s or brushing your teeth may also be affected. If symptoms not improved please consult your doctor he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further.