Well, writing with a pencil can be painful, especially if your grip isn't correct, or if you are struggling to maintain a correct grip. Some ways we have addressed this in the past were to use pencil grippers (generic foam ones) and to use big broad tipped markers. I can't really say that they've helped.
Today, I've discovered that there are a wide variety of pencil grippers out there, so we're going to have to try some different types. The blog The Anonymous OT has a great guide to pencil grips, with lots of pictures. I was surprised to learn that you can't just go to the office supply store and buy therapeutic pencil grips, though. They can be sort of expensive. Amazon charges $5 for one grip (but its a lot less per grip if you buy in bulk).
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