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Primary education

Sons hand hurts when writing

36 replies

2020hello · 28/04/2020 16:03

Hi all,

My 6 year old hates writing and whenever we write he says it hurts his hand and his hand aches.

Does anyone know if this is just lack of use and muscle pain or could it be something else?

I need him to start writing it's becoming an issue with school and every parents evening were told he doesn't write enough.

I thought maybe more lego and some colouring. It seems when he holds the pencil or pen he squeezes quite tight on the end...

Any advice gratefully received.

TIA

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Norestformrz · 29/04/2020 18:56

Strange as it may sound children who complain of pain when writing often have poor core strength and shoulder girdle strength so climbing frames and monkey bars can help as can writing on a chalkboard or any vertical surface ...paper attached to the wall or an Easel

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Embracelife · 29/04/2020 10:53

...it shows where the issues are

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Embracelife · 29/04/2020 10:52

f we do all of this when do people think we should see an improvement?

It depends. You need assessment and diagnosis
If he has hypermobility it can be lifelong and may need splints Nd strategies and using laptop and rests.
After lockdown get a physio and OT assess8. Tge ABC movement battery is a standardised assessment of gross and find motor skills and provides a really useful overview of areas a child is struggling with...then you can ask physio or OT for strategies and inform school

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Embracelife · 29/04/2020 10:48

And let him type words that can be easier if you want to work on spelling

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2020hello · 29/04/2020 09:35

@lljkk

He doesn't last long at lego to be honest either and he doesn't play a playstation hes only 6!

He plays with tools and building which is not using his fingers more his hand I guess.

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Bimbleberries · 29/04/2020 09:30

Look up "monk's grip" (other names as well) as an ergomonic alternative way of holding pens/pencils. It really helped me and I had lots of pain.

Carbon paper underneath writing is another way to monitor pressure, as you can see if you are pressing too hard if it makes a mark on the second layer of paper (and doesn't risk making holes in the paper and ruining work!)

Also you can get light-up pens (novelty items at Christmas etc, not sure how easy it is to find them other times of the year), where when you press hard, the light comes on - you can have a challenge not to let the light come on for a certain number of seconds, etc., and it's good even when the children want the light to come on to get them aware of how hard they are pressing or not and to discover what it feels like to press hard or gently.

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lljkk · 29/04/2020 08:57

Sounds like whinging just because he doesn't enjoy concentrating on writing. Let us know how much he hates Lego or playstation controls.

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TheStarOnTheChristmasTree · 29/04/2020 08:46

My DD is hypermobile and her physio had her try out lots of different pens and pencils to see which ones caused the least discomfort when writing. She also gave her some exercises to do.

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2020hello · 29/04/2020 07:52

@norestformz

Thank you so much for this comprehensive list, It is amazing, i will start on some of these activities.


If we do all of this when do people think we should see an improvement?

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Norestformrz · 29/04/2020 06:51

https://www.swft.nhs.uk/application/files/5614/5995/2571/handwriting_development.pdf


Primary
Fine Motor Skills
Things to remember:
Upright working surfaces promote fine motor skills. Examples of these are: vertical
chalkboards; easels for painting; flannel boards; lite bright; magnet boards (or
fridge); windows and mirrors; white boards, etc. Children can also make sticker
pictures; do rubber ink-stamping; use reuseable stickers to make pictures; complete
puzzles with thick knobs; use magna-doodle and etch-a-sketch as well. The benefits
for these include: having the child's wrist positioned to develop good thumb
movements; they help develop good fine motor muscles; the child is using the arm
and shoulder muscles.
Fine Motor Activities
Moulding and rolling play dough into balls - using the palms of the
hands facing each other and with fingers curled slightly towards the palm.
Rolling play dough into tiny balls (peas) using only the finger tips.
Using pegs or toothpicks to make designs in play dough.
Cutting play dough with a plastic knife or with a pizza wheel by holding
the implement in a diagonal volar grasp.
Tearing newspaper into strips and then crumpling them into balls. Use
to stuff scarecrow or other art creation.
Scrunching up 1 sheet of newspaper in one hand. This is a super
strength builder.
Using a plant sprayer to spray plants, (indoors, outdoors) to spray snow
(mix food colouring with water so that the snow can be painted), or melt
"monsters". (Draw monster pictures with markers and the colours will run
when sprayed.)
Primary
Picking up objects using large tweezers such as those found in the
"Bedbugs" game. This can be adapted by picking up Cheerios, small cubes,
small marshmallows, pennies, etc., in counting games.
Shaking dice by cupping the hands together, forming an empty air space
between the palms.
Using small-sized screwdrivers like those found in an erector set.
Lacing and sewing activities such as stringing beads, Cheerios,
macaroni, etc.
Using eye droppers to "pick up" coloured water for colour mixing or
to make artistic designs on paper.
Rolling small balls out of tissue paper, then gluing the balls onto
construction paper to form pictures or designs.
Turning over cards, coins, checkers, or buttons, without bringing them to
the edge of the table.
Making pictures using stickers or self-sticking paper reinforcements.
Playing games with the "puppet fingers" -the thumb, index, and middle
fingers. At circle time have each child's puppet fingers tell about what
happened over the weekend, or use them in songs and finger plays.
Place a variety of forms (eg. blocks, felt, paper, string, yarn, cereal,
cotton) on outlines
Match shapes, colour, or pictures to a page and paste them within the
outlines
Primary
Self-Care Skills
Buttoning
Lacing
Tying
Fastening Snaps
Zipping
Carrying
Using a screwdriver
Locking and unlocking a door
Winding a clock
Opening and closing jars
Rolling out dough or other simple cooking activities
Washing plastic dishes
Primary
Sweeping the floor
Dressing
Scissor Activities
When scissors are held correctly, and when they fit a child's hand well, cutting
activities will exercise the very same muscles which are needed to manipulate a pencil
in a mature tripod grasp. The correct scissor position is with the thumb and middle
finger in the handles of the scissors, the index finger on the outside of the handle to
stabilize, with fingers four and five curled into the palm.
Cutting junk mail, particularly the kind of paper used in magazine
subscription cards.
Making fringe on the edge of a piece of construction paper.
Cutting play dough or clay with scissors.
Cutting straws or shredded paper.
Cutting
Use a thick black line to guide cutting the following:
A fringe from a piece of paper
Cut off corners of a piece of paper
Cut along curved lines
Cut lines with a variety of angles
Primary
Cut figures with curves and angles
Sensory Activities
The following activities ought to be done frequently to increase postural muscle
strength and endurance. These activities also strengthen the child's awareness of
his/her hands.
Wheelbarrow walking, crab walking
Clapping games (loud/quiet, on knees together, etc.)
Catching (clapping) bubbles between hands
Pulling off pieces of thera-putty with individual fingers and thumb
Drawing in a tactile medium such as wet sand, salt, rice, or "goop".
Make "goop" by adding water to cornstarch until you have a mixture similar
in consistency to toothpaste. The "drag" of this mixture provides feedback to
the muscle and joint receptors, thus facilitating visual motor control.
Picking out small objects like pegs, beads, coins, etc., from a tray of salt,
sand, rice, or putty. Try it with eyes closed too. This helps develop sensory
awareness in the hands.
Midline Crossing
Establishment of hand dominance is still developing at this point. The following
activities will facilitate midline crossing:
Encourage reaching across the body for materials with each hand. It
may be necessary to engage the other hand in an activity to prevent
switching hands at midline.
Primary
Refrain specifically from discouraging a child from using the left hand
for any activity. Allow for the natural development of hand dominance by
presenting activities at midline, and allowing the child to choose freely.
Start making the child aware of the left and right sides of his body
through spontaneous comments like, "kick the ball with your right leg." Play
imitation posture games like "Simon Says" with across the body movements.
When painting at easel, encourage the child to paint a continuous line
across the entire paper- also from diagonal to diagonal.

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2020hello · 28/04/2020 19:11

Thank you so much for your comments, I did look up dyspraxia last night and have noted that.

I will also check the links now and look at hyper mobile as I'm not sure what that is.

I will also try the slope.

I think it does hurt him even tho he does not want to write, but then I wonder if his fine motor skills are under developed.


The ends if his fingers are white with the pressure so he definitely is pressing too hard but then that could be an under lying issue, I'm off to read all the links now and I will check his hands and report back

Thank you all so much

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Meadows20 · 28/04/2020 18:34

I'm hyper mobile and find writing super painful after a little bit. Wish I knew when I was a kid as I maybe would have got out of writing lines in detention 🙄

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Charmatt · 28/04/2020 18:30

Try developing his fine motor skills - big tweezers putting different coloured beads into different coloured bowls, Lego building, hamma beads etc all work really well. Crafty activities help too.

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Lordfrontpaw · 28/04/2020 18:28

Is he holding the pencil too tight? I remember our teacher creeping up behind students and trying to whip the pencil out of your fingers. We had quite a pencil wrestle one day when I wouldn’t let go! She said it hurt your hand if you held it too tight.

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cowfacemonkey · 28/04/2020 18:24

There is a website called Tools to Grow that have some nice pencil pressure activity sheets - helps children to think about how hard they are pressing down

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minipie · 28/04/2020 18:20

Watching as DD has this issue, she grips and presses too hard. She does have weak upper body strength so may be connected to that although she’s also sensory seeking.

We are using mechanical pencils at the moment as the tip snaps off if she presses too hard, so I’m hoping she will learn that way. Have also read about putting polystyrene under the page so they will make a hole if pressing too hard (can imagine dd getting really cross if that happens though!)

I will look up the hedgehog grip pens.

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MitziK · 28/04/2020 18:19

Triangle grip and fatter pens/pencils. Try to squeeze a lump of wood/plastic to death between your fingers and carve the words into the paper and you're always going to hurt yourself. Relaxing the arm and shoulder, so improving posture, also helps.

If he is very bendy and hurts himself a lot, it's worth getting him checked out for EDS when the NHS is nearer normality.

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cowfacemonkey · 28/04/2020 18:16

Use thera-putty (you can get it off amazon for hand strengthening) and fine motor activities
Do activities to build upper body and shoulder strength as this will help him stabilise his arm and free up hand muscles for writing. Getting him to draw/write on vertical surfaces is good for this as well
Check he isn't holding the pen too tight or pressing to hard
My son uses a stabile easy pen which has a nice grip and is more comfortable.

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Aethelthryth · 28/04/2020 18:01

Could be dyspraxia. My son used to have to stop every couple if words to stretch his fingers

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MayhapMayhem · 28/04/2020 17:59

See if you can get him to hold a small ball in the palm of his hand with the fingers you don't use for writing.
You can get hedgehog pencil grips with what look like "spikes" so they can't grip too hard.

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OhCrumbsWhereNow · 28/04/2020 17:39

DD has this problem - turned out she has hypermobility issues. She has Theraputty, but is moving to touch-typing instead of writing (severely dyslexic as well so not a problem for school, exams etc)

There are lots of devices for pen grip available on Amazon or from the specialist sites (the dyslexia ones have them) so worth trying some of them.

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Soontobe60 · 28/04/2020 17:31

www.sensorydirect.com/pencil-grips-writing-claw-pack-of-5.html?gclid=CjwKCAjwqJ_1BRBZEiwAv73uwEyF0JDxPGe9S50TtziID64sc7GXKQvj_V0dnRmcT8veSho1xWNErxoCa8QQAvD_BwE

These are good as they have actual parts for the fingers to go in.

Do lots of fine motor activities, e.g. Have a bowl of mixed dried pulses and he has to get all the peas out. Use play doh to make sausages and balls (salt dough can be made at home). Draw a swirly line on paper and he traces over it. Colouring in without going ovputside thelines.
Twinkl have lots of fine motor activities available.
www.twinkl.co.uk/resource/t-l-141-line-handwriting-worksheets

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EvilHerbivore · 28/04/2020 17:28

My son (also 6) has the same - the occupational therapist suggested putting bubble wrap under his page when writing as to encourage him not to pop the bubbles and therefore not press down as hard

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mastertomsmum · 28/04/2020 17:18

Could be dyspraxia or maybe just wrong technique being used

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