Memórias de um Tratamento

Lembranças do meu 1º tratamento para a distonia de tarefa específica – escrita

My 1st treatment’ memories for specific task dystonia writing

Antes da 1ª aplicação da toxina botulínica - 16/07/2009

Antes da 1ª aplicação da toxina botulínica – 16/07/2009 Before the 1st application of botulinum toxin injections.

Depois da 1ª aplicação do botox - 25/08/2009

Depois da 1ª aplicação do botox – 25/08/2009 After the 1st application of botox injections.

Obs.: Fotos de Dr. Jovany Medeiros, Neurologista.  Photos by Dr Jovany Medeiros, Neurologist.


Recebi esta semana uma mensagem  através de email  informativo da  Dystonia Neuro Movement Disorder on  WEGO Health do qual sou membro, que trouxe uma notícia muito importante para os pacientes que tem distonia.  Neste email, Beka Serdans, a líder da comunidade diz que uma nova medicação pode ser mais efetiva no controle dos sintomas da distonia. Trata-se da mais nova toxina botulínica chamada XeominincobotulinumtoxinA que foi aprovado nos USA para tratamento da distonia cervical e blefaroespasmo desde 2005.

Botox X Câimbra do Escritor


botulinum toxin picture1 

  Estudo feito na Universidade de Calgary, Canadá, sugere que o uso prolongado da toxina botulínica pode causar atrofia e perda de força muscular tanto nas regiões próximas quanto nas distantes do local da aplicação, de acordo com reportagem da Folha de São Paulo.

          O uso do botox no tratamento da cãimbra do escritor tem um efeito positivo nas primeiras aplicações, porém com o passar do tempo percebe-se efeitos colaterais como atrofia e perda da força muscular. Já tive uma experiência assim tanto com o botox quanto com o dysport. Desisti das aplicações por este motivo. Tanto o botox quanto o dysport  implica no mesmo risco.

Overcoming Boundaries with the Writer’s Cramp

I have writer’s cramp since my childhood. I have used both hands to write: I’m ambidextrous. I have had difficulties to write since when I began to study at school. I didn’t know this disease.  I had always felt as a timid person because of this disability. So, I have developed social phobia due to dystonia.
Despite everything, I have studied and today I have a profession.  Anciently,  I thought I would never be able to do a course at the university due to writer’s cramp.  But nowadays, I am a psychologist.
I found that I had writer’s cramp in 2000 when I went to my neurologist. He prescribed Artane that had no effect and then he prescribed akneton, but I used for a short time, because I had not realized an improvement in dystonia.
Then, I began to take wine in meals for some time. Helped a little, but I did not wish to continue taking wine because dependence!
I went to the another neurologist, indicated by him. She suggested the introduction of botulinum toxin. I did not want because I was afraid and because it was expensive. I needed to get botulinum toxin injection every 4 months.
In 2008, I spoke to Doctor J.M. again and I got my first  botulinum toxin injection, in June. The SUS –  Brazilian Public Health  System – offers botox for free to neurological diseases. The second time I got my botox injection was in late November.
In 2008, December I did a consult with the neurologist at the Sarah Kubstchek hospital in Brasilia. A reference centre for neurologist diseases.
In  2009, January and February I did certain examinations in this hospital: blood, magnetic resonance…  And return to neurologist. I was submitted to a pedagogical and physiotherapy evaluation.
In April, I started to participate in an online community in a social network called Orkut, which gave me a lot of joy, because I met people who suffer the same desability as mine: writer’s cramp.
In May, I did another  pedagogy workshop. I relearned to write with the left hand. In the past, I had already learned to write with another hand, but I forgot due to lack of use it.
In July, I will get my 3rd botox injection with Doctor J.M., in his private clinic in Campina Grande – my city.
Well, I had dystonia since literacy. I’m left-handed and my mother taught me how to write with the right hand due to dystonia. In this way, my life became a hell. I always wrote slowly and without way to pick up the pencil and all my colleagues were laughing at me.
I have suffered much until today.

My school life has always been difficult and traumatizing…  Imagine you strive to study with writer’s cramp. I did not know I was a  dystonia  sufferer and I was forced to study by my parents. Today, I thank them despite all the suffering that I have experienced. They also did not know  I’ve always been a  dystonia sufferer since my childhood. The doctors did not know this weird disease…  Most people thought I was faking an illness to get attention. All were ignorant and stupid with me. This kind of distrust is what most mistreat anyone.

All this left me disgusted and angry. Nobody ever understood me and I did not know what was happening to me!  I thought would never be able to finish my studies.  One of the greatest achievements of my life was to graduate in psychology!

I have always practicing swimming, yoga and Tai Chi chuan  since my teenage years.  All this helped me a lot. Even today, I have practiced Tai-Chi…  I like to run and do weight training…
Today, after 40 years the disease began to worsen and I started to feel my hand becomes  with rigid and stiff movements. I can’t type as before. Writing and typing became bad and boring things.
Currently, I am using botulinum toxin, using a rubber thick pen and a ringpen which has helped a little. They are some palliatives and  intelligent adapters.
I have noticed that the botulinum toxin improves posture when writing, the firmness in writing and a better footprint in pencil. About the slowness and lack of agility to write it has no improvement. I’m still writing with strength.
Well, today I am 43 years and I realized that dystonia is worse. I can’t type with the right hand and have a difficulty to use the mouse. I need to use the computer and write often because of my profession. So, I have suffering too much with this limitation.
But we must move forward.
You know, I spent a long time not accepting my dystonia. But, I learned that we have to live well with dystonia, overcoming boundaries!