Are You Facing Dystonia In Your Hands? - Dr. Shivam Mittal

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Are You Facing Dystonia In Your Hands? Dr.
Shivam Mittal
Dystonia highly affects the hands, and then other
parts of the body like legs, face, neck, jaws,
etc. Hand dystonia is very annoying and
frustrating because it leads to functional
diability of the hands. What causes this is the
disorder of motor control characterized by
excessive muscle contractions that produce
involuntary movement like shaking. This makes it
difficult for patients to execute even the
simplest of everyday activities like holding a
cup, tying shoe laces, and buttoning up a shirt.
Almost one in every 2000-2500 people is detected
to have this form of dystonia.

• Types of dystonia
• Dystonias could be of various types, each
  depending upon the age of onset, affected part,
  etiology, and the tempo as mentioned below.
• Age of onset Dystonia that begins before 27
  years of age is termed as childhood onset
  dystonia which affects the lower limbs and trunk.
  The ailment that begins after this age is termed
  as adult onset dystonia which affects the upper
  half of the body.
• Affected part Dystonia that affects only a
  single body part is termed as focal dystonia and
  that which affects more than one part is termed
  as multifocal dystonia. Hemidystonia is that
  which is generalized.
• Etiology Dystonia when is the main sign of
  ailment is known as primary dystonia and that
  which is accompanied by another disease
  manifestation with an identifiable cause is
  known as secondary dystonia.

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• Tempo Dystonia can be constant, situational, or
  intermittent, depending upon its tempo.
• Symptoms of dystonia
• The initial diagnosis of dystonia involves
  excessive tightness in the muscles that activates
  the surrounding muscles, producing abnormal
  movement. Starting from there, dystonia could
  worsen or stay stagnant. Patients experience
  discomfort, dexterity, and fatigue in their
  hands. Initially, dystonia could affect certain
  task-related activities, but later it may become
  less specific and impair other motor activities
  too. Almost 15 of primary focal hand dystonia
  are seen to spread and become generalized within
  8 years of the symptom onset. This could be
  because of the oversuse syndromes or due to
  excessive muscle activity from the initial
  dystonia. Some of these dystonias include
  dopa-responsive dystonia, and dystonia due to
  genetic defect on chromosome 9. Other most common
  dystonia types include
• Writers cramp This dystonia is seen to be
  onset in 38 years of age, which is seen with the
  patient having an abnormally tight grip while
  writing. This could also include excessive
  finger and wrist flexion, forearm pronation,
  humeral abduction, and tremor.
• Musicians cramp This dystonia refers to hand
  task-specific dystonia during instrumental
  performances, which causes abnormal posturing and
  inability to carry out specific performances.
  Musicians facing this ailment can play any
  different instrument without difficulty, but
  their own specific instrument may give them
  problems. As a result, many artists lose the
  ability to perform at a professional level!
• Treatment of dystonia
• Patients could be given oral medications like
  baclofen or anticholinergics, or injections of
  botulinum toxin to denervate muscles that can
  reduce symptom severity. If all of this also
  doesnt resolve the issue, patients are then
  prescribed to undergo surgery like deep brain
  stimulation. If you are undergoing any such
  dystonia ailment, you are advised to approach
  Dr. Shivam Mittal for the best kind of genuine
  dystonia treatment in Bangalore, where you will
  be provided medications, injections, or
  surgeries, depending upon your condition.
• For more information, visit our website
  http//www.parkinsonsdiseasespecialist.com/