I think I may have started having trouble while learning to play the keyboard or the guitar. And then noticed problems in other areas including daily activities but mostly bothered by writing. Have tried Botox and it was successful but it's not permanent help and to costly to continue now. Was bothered while at work so I tried to get a disability help but that did not work out. Went through occupational therapy which gave some Ideas but no real progress. Some days bothered more than others and continue to look for treatment ideas and relief