Gifted Issues Discussion homepage Forums Twice Exceptional An excuse or dysgraphia, how to know?

If he complains about his hand when he writes to the point where his teachers allow him accommodations, there is an issue there. If it is getting progressively worse, I would definitely get it checked out. It could be something as simple as tendonitis from overuse or poor pencil grip, the kind of thing that is generally treatable and not necessarily related to dysgraphia. It could be a consequence of dysgraphia, but I would rule out other reasons for his hand pain and fatigue first.