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Curing tendonitis
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gj Michelob
Posts: 1531
Joined: Nov. 7 2008
From: New York City/San Francisco
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 RE: Curing tendonitis (in reply to Pimientito)
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IIncredibly ironic coincidence, I am not sure you followed my vicissitudes, which I memorialized on these pages. I had the same exact problem affecting exactly the same spot you marked. After a year of temporary relief through the most painful acupuncture, I finally saw an orthopedic surgeon, specializing in hand surgery. Perhaps my problem had in fact degenerated to “calcification’ and it required surgery. 3 weeks later I am now rehabilitating the LH index, by constant movement and finally -and most gingerly- played a few falsetas.
I wish I had tried your method, but above all I wished I had –as am now told I should have- done two critical things:
1. 15 minutes warm up before playing (guitar-less finger exercises, including the 2 Chinese spheres, or squeezing a rubber ducky ball, and stretching, stretching, stretching the fingers, and then stretch them a little more….); and
2. 15 minutes ice-pack application on the weak spot, particularly after lengthy sessions or generally before calling it a night.
We are getting’ old, amigos!!
below a pic of the remaining yet fading scar.
Images are resized automatically to a maximum width of 800px
 Attachment (1)
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gj Michelob
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Date Aug. 8 2009 10:47:14
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Florian
Posts: 9282
Joined: Jul. 14 2003
From: Adelaide/Australia
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RE: Curing tendonitis (in reply to gj Michelob)
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i am glad to hear u recovering Michelob, i hope it feels as fresh as new for you amigo
quote:
I wish I had tried your method, but above all I wished I had –as am now told I should have- done two critical things:
1. 15 minutes warm up before playing (guitar-less finger exercises, including the 2 Chinese spheres, or squeezing a rubber ducky ball, and stretching, stretching, stretching the fingers, and then stretch them a little more….); and
2. 15 minutes ice-pack application on the weak spot, particularly after lengthy sessions or generally before calling it a night.
thank you... noted
to anyone else feeling any kind of litlle pain...if you dont allready do take this very serious...its no joke...and if anyone finds any other interesting articles, suggestions on this kind of stuff please share..i for one am very interested
perhaps we should have our own PDF guide of suggestions and good ideas for warm up exercises here, ideas like Pimientito, anyone elses who is either experienced it or has knowlodge on the subject like we once had a guide on recording an flamenco chords..
even if it dosent affect you now it might save u pain in the future..i for one have no idea where to look for information on this kind of stuff, i am sure theres others
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Date Aug. 8 2009 10:59:04
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Florian
Posts: 9282
Joined: Jul. 14 2003
From: Adelaide/Australia
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RE: Curing tendonitis (in reply to Pgh_flamenco)
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wow Pgh thanks ..now i know exactly what i have and 100% certain i have it carpal tunnel, everything this guys describe exactly how i feel and what i am going to have to do do after the next commitment (il spend about 30 minutes warming up before that time ) .. and after clear 4 - 5 weeks in classes and gigs and gonna go , get it done , get it out of the way. hope its not expensive   ..can get through and by with just practicing my right hand for about 3 weeks..with open frets arpegio, pulgar, rasqueado, picado, permanently mute the strings with a cloth and practice rithm...brakes...no problem ( i would acctualy benefit and almost welcome it, i wont be able to move on or get sidteracked even if i wanted too trying to play falsetas so il be forced to pay more detailed attention then ever),
i can get creative with making sure i use the time well as long as i dont have to compleatly stop (theres no reason why i cant exercisse the other hand, i got no problems whatsoever in the other hand) ..that would drive me insaine...it was hard enough for one night when my guitar was getting a port fitted
really thank you amigo i appreciate u took the time 
quote:
I had the same symptoms for about 9 years, it started very gradually and became progressively worse. Gripping the clutch on the motorcycle became an ordeal, I finally went to a neurologist this past Novemeber to get checked out.
The Dr. performed a nerve conductivity test, which is a painless (although irritating) series of mild electrical shocks from tiny needles placed into opposing ends of different muscle groups (read: painless).
The speed at which the electrical current travels from point A to point B can be compared against established baseline numbers. The Dr. compares your results to these...
If there is compression in the nerves from the carpal tunnel, it will be very easy to diagnose. Turned out that I had severe Bi-lateral carpal tunnel syndrome.
My Neurologist then recommended a great orthopedic surgeon whom he has referred many patients to. The Ortho did a couple x-rays in his office, and had a grip strength testing device. His conclusions supported the Neurologist's diagnosis. Before I left his office, I scheduled surgery for the left wrist which was the worst. That was this past Novemeber...
Surgery was performed under local anesthetic, and was really no big deal at all. It was NOT painful, that night I had regained full sensation in all fingers of my left hand!
Stitches cam out two weeks later, and I had to wear and Ace bandage for a week or so. There was nothing else to it, seriously.
This was by far the smartest health-related thing I have ever done. I will have the other hand taken care of this Holiday season. This is one of those things which I could kick myself for not having looked at sooner, it is such a relief to not have perpetually numb fingers in my left hand. I even sleep better too!
Blue Cross/Blue Shield picked up the enitre tab, I had no out of pocket for the procedure...
quote:
My first guess is you're gripping the neck too hard
someone else said exactly what i thought
amazing id have probably gonne on beeing uncomfortible without doing anything about it if Pimientito didnt bring it up...told u guys lately that i love you ?
chers, i am relived to read that its curable a fairly simple surgery..maybe il try and take a video cam with me to the surgery and see if hel let me film it ...that'l be fun 
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Date Aug. 8 2009 12:16:52
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gj Michelob
Posts: 1531
Joined: Nov. 7 2008
From: New York City/San Francisco
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RE: Curing tendonitis (in reply to Florian)
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quote:
its not that common ...but perhaps we can research too see if theres detailed books that cover this type of subject...and warm up exercisses, u know educational stuff...and add it to prizes..
I agree with you, Florian, regardless of any joke, it would be quite edifying a mission to gather information on these musicians’ disorders and start a separate subject on the Forum.
I will ask the surgeons I have seen here and Italy for sound literature and authority on this subject. I read everywhere that musicians related injuries and conditions have been neglected by orthopedic studies over the years, and only recently have aroused more attention. Hopefully, we will be able to share some critical information about this problem.
When I first posted this on the forum, about a year ago, I received so many comforting messages by many well meaning friends recommending rest and milk. However, it is not rest but movement, spiting pain and agony, which will save one’s hand from the problem’s worst escalation, calcification –then needing surgery.
It would be a tremendous service to the community to collect more information on this subject and educate ourselves out of folkloristic grandmothers’ remedies, often worse than the evil they mean to heal.
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gj Michelob
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Date Aug. 8 2009 18:47:41
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Exitao
Posts: 907
Joined: Mar. 13 2006
From: Vancouver, Canada
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RE: Curing tendonitis (in reply to Pimientito)
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Pimientito:
Beg your pardon, but if you got rid of your tendonitis in 36 hours, it probably wasn't tendonitis.
Part of my job is recognising and treating repetitive stress injuries(RSIs), and technically, that's what you had (unless this is a flare-up of a previously diagnosed case of tendonitis). It may seem like nit-picking but there is a distinction, and it can be important. It can be a bad idea for people to diagnose themselves.
In this case you've done a good job describing how you treated an RSI , and probably prevented actual tendonitis from setting in. So it's good and useful information for other guitarists.
In my work I would have likely immobilised a bit more than you did, but it's my job to err on the side of caution (keep people working instead of on compensation).
Tendonitis tends to be persistent and requires much more care and rest than 36 hours. An RSI can be handled in the time frame you described.
e.g. My tennis elbow took months to get better and it still twinges a year later, so it's not fully cured.
In a workplace, if the injury had not markedly improved within 2-3 days I'd definitely be sending the person to medical aid.
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Date Aug. 9 2009 5:43:43
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Exitao
Posts: 907
Joined: Mar. 13 2006
From: Vancouver, Canada
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RE: Curing tendonitis (in reply to Pimientito)
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I think you meant semantic.
While condylitis (mine was lateral epicondylitis, BTW) is much more persistent, than most types of tendonitis, it's worth pointing out that once any type of tendon injury is aggravated (or simply untreated) and does become chronic these types of injuries can really take time to heal.
As some of the foro members are (semi)professional or just serious enthusiasts, I think that they might be more upset at an extended interference with their ability to play, than something that affects a regular job (sometimes it's our hobbies that make our work lives tolerable).
Anyway, I liked your treatment method, I had no beef with that.
I might suggest that a self-adhesive crepe might be more convenient for longer term treatment (for people who are already chronic). Fingerless glove(s) on top of that if you need to work with your hands so you don't need to retape too often.
As I said before, 3 days and no improvement, go see a doctor.
In regards to whoever mentioned using heat, that should be avoided while there's swelling. Heat tends to aggravate swelling. Once the swelling has been gone a day, maybe...
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Date Aug. 10 2009 4:37:41
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