question: whilst using a screwdriver 12 years ago to drive a screw into a stubborn piece of wood i felt a severe twinge in my hand. after that i noticed tremors in that hand and arm. went to docs and was told it was dystonia . a few years later noticed atrophy in hand and forearm . after a few mri,s they thought mmn. had ivig but no improvement. atrophy and weakness now spreading to other hand and one foot. i like a good drink and i smoke . i get tingling/numbness in both hands in the morning after a night drinking. could it just be my lifestyle that is causing it all or is it something else?