Image from page 591 of "Nervous and mental diseases" (1911)
Title: Nervous and mental diseases
Year: 1911 (1910s)
Authors: Church, Archibald, b. 1861 Peterson, Frederick, 1859-1938, joint author
Subjects: Nervous system
Publisher: Philadelphia and London, W. B. Saunders company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress
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s one of great fatigue, or there may be pain and tenderness.Tenderness along the course of the nerves is not uncommon. In somecases pain is located in the small bones and joints of the wrist orfingers. It may only occur on attempts to write, and it may or maynot be preceded by spasm. In certain cases it extends to the arm,axilla, and shoulder. Such paresthesias as pins and needles/ ting-ling, ache, tired feeling, etc., are often complained of, and maysimilarly extend up the arm. Actual hyperesthesia or anesthesia areencountered only when neuritis is associated. Course.—Commonly insidious in onset, writers cramp may develop 582 NEUEOSES. with some suddenness, after an emotional, moral, or physical storm, andtends to progress so long as writing is persistently attempted. If theopposite hand be trained, it usually also becomes the seat of cramp, whichis likely to increase more rapidly than on the side first affected. Ifwriting be completely abjured, the cramp gradually becomes less and
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