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What to Do When MS Affects Your Ability to Write
Numbness, tremor, and lack of fine motor control can make it difficult to write by hand, but a number of strategies can help. By Milly DawsonMedically Reviewed by Samuel Mackenzie, MD, PhDReviewed: January 11, 2018Medically ReviewedWriting by hand is good for your brain, but MS can make it difficult.Giorgio Magini/StocksyIn recent years, many public schools stopped teaching children to write in script because some educators thought that technology had rendered writing by hand an outdated skill. Lately, though, the teaching of cursive writing has been making a comeback, in part because research has shown that writing by hand is good for peoples’ brains.
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Hannah Kim Member
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Tuesday, 29 April 2025
“The physical act of writing promotes brain health,” explains Juliann Hansen-Zlatev, an occupational therapist (OT) in Castle Rock, Colorado. So do other fine-motor activities of the fingers and hands, such as knitting or woodworking. For those living with multiple sclerosis (MS), though, a variety of MS symptoms can make writing by hand hard, even if the writing involves only signing a birthday card, endorsing a check, or drawing up a grocery list.
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Zoe Mueller 8 minutes ago
Hansen-Zlatev says that numbness and delayed motor control are the two most significant symptoms tha...
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Evelyn Zhang 1 minutes ago
It can be hard to do things rapidly.”
Tremors, which can also be caused by MS, can impede smooth w...
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Aria Nguyen Member
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Tuesday, 29 April 2025
Hansen-Zlatev says that numbness and delayed motor control are the two most significant symptoms that affect the ability to write. Discussing numbness she says, “For people with MS, it can feel like wearing a pair of gloves while trying to do things like write with a pen or sprinkle salt onto food.”
As for delayed motor control, she says, “People with MS may feel as if their hands are clumsy and thick.
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Isabella Johnson 9 minutes ago
It can be hard to do things rapidly.”
Tremors, which can also be caused by MS, can impede smooth w...
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Scarlett Brown 3 minutes ago
“This is when you go to reach for something and suddenly your hand is all over the place and shaky...
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William Brown Member
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Tuesday, 29 April 2025
It can be hard to do things rapidly.”
Tremors, which can also be caused by MS, can impede smooth writing, and they take two forms, says Hansen-Zlatev. One form is an intention tremor.
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Julia Zhang 3 minutes ago
“This is when you go to reach for something and suddenly your hand is all over the place and shaky...
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Brandon Kumar Member
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Tuesday, 29 April 2025
“This is when you go to reach for something and suddenly your hand is all over the place and shaky.” Another kind of tremor that makes writing tricky is a more generalized tremor, causing constant shakiness. RELATED: Getting a Handle on MS Tremors and Shakes
Small Adjustments Can Make a Big Difference in Writing Ability
Despite the obstacles, some simple adjustments can make writing easier.
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Victoria Lopez 7 minutes ago
An occupational therapist is best equipped to help you find the adjustments that will help the most....
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Charlotte Lee 8 minutes ago
She uses a fat, easy-to-grip pen. “It’s an arthritis-friendly pen, shaped like a bowling pin,”...
An occupational therapist is best equipped to help you find the adjustments that will help the most. Lisa Emrich, 49, who was diagnosed with MS 12 years ago, found a relatively inexpensive tool that helps her do better with writing.
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Sophie Martin Member
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She uses a fat, easy-to-grip pen. “It’s an arthritis-friendly pen, shaped like a bowling pin,” she says. Still, Emrich, who works as a professional musician and music teacher and also blogs about MS, says, “My handwriting is horrendous.
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Alexander Wang 17 minutes ago
I can’t read it anymore. And taking notes in a lecture is so difficult. That developed with MS.”...
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Andrew Wilson 3 minutes ago
Fatter pens can be helpful if you have decreased sensation in your fingers or impaired coordination....
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Hannah Kim Member
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Tuesday, 29 April 2025
I can’t read it anymore. And taking notes in a lecture is so difficult. That developed with MS.”
Below are some other adjustments, suggested by Hansen-Zlatev, which may make it easier for you to write by hand:
Pick the right pen.
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Lily Watson Moderator
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Fatter pens can be helpful if you have decreased sensation in your fingers or impaired coordination. “With a thinner pen, you don’t feel it in your hand as much.
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Sophie Martin 2 minutes ago
A fatter pen will have more surface area available to grip,” explains Hansen-Zlatev. A pen with a ...
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Ella Rodriguez 17 minutes ago
Slipping a gripper onto a thin pen or a wooden pencil, the kind that children use when learning to w...
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Victoria Lopez Member
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A fatter pen will have more surface area available to grip,” explains Hansen-Zlatev. A pen with a textured grip can also help.
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Slipping a gripper onto a thin pen or a wooden pencil, the kind that children use when learning to w...
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Charlotte Lee Member
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Slipping a gripper onto a thin pen or a wooden pencil, the kind that children use when learning to write, can also make it easier for you to maintain your grasp on the writing implement, says Hansen-Zlatev. A weighted pen, which, as it sounds, is heavier and also thicker than an ordinary ballpoint pen, may help to dampen the effect of tremors.
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Ava White 44 minutes ago
Slow down. “Most of us are accustomed to writing quickly,” says Hansen-Zlatev....
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Zoe Mueller 17 minutes ago
Try slowing down and see if that makes writing by hand more satisfying and successful. Write in curs...
The words flow together, so it’s less fatiguing. You’re not picking the pen up and putting it down as much,” explains Hansen-Zlatev. Use wide-ruled paper.
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Ryan Garcia Member
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This gives you more room to write, making it easier to write more legibly. Get your body mechanics right. “Set yourself up at a sturdy desk or a table, sitting in a chair so that your whole body is well supported,” says Hansen-Zlatev.
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Alexander Wang 19 minutes ago
Make sure the surface holding the paper is at the right height. If you have tremors, resting your ar...
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Daniel Kumar 27 minutes ago
“For some people that may be at the beginning of the day, when you haven’t had to deal with a lo...
Make sure the surface holding the paper is at the right height. If you have tremors, resting your arm on that surface can help. Choose the right time of day for writing tasks, when your energy level is higher.
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“For some people that may be at the beginning of the day, when you haven’t had to deal with a lo...
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Brandon Kumar Member
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“For some people that may be at the beginning of the day, when you haven’t had to deal with a lot of other fatiguing activities,” she says. It may also be after you have had a good rest break.
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RELATED: 6 Hand Exercises for Multiple Sclerosis
Seek Professional Help for Tailored Solutions<...
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For example, “Does the tremor come from your shoulder or from your hand?” Hansen-Zlatev says. De...
The answers to the challenges that MS poses are not one-size-fits-all. “If you have symptoms that get in the way of writing and doing other daily tasks, consult with an occupational therapist,” says Hansen-Zlatev. A professional with experience in MS rehabilitation can make recommendations based on the specifics of your symptom.
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Sebastian Silva Member
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For example, “Does the tremor come from your shoulder or from your hand?” Hansen-Zlatev says. Details like that matter in selecting the right tool or technique to improve your writing function.
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Kevin Wang 5 minutes ago
In addition, she says, “You may need to use one strategy in the morning and another one in the eve...
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Julia Zhang Member
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In addition, she says, “You may need to use one strategy in the morning and another one in the evening. My advice is to brainstorm with an OT.”
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