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Luis, I wish you a quick recovery. And Rick, I thank you for sharing your wisdom. I have been wracked with chronic pain since my mid-teens and have gotten relief from many of the things you mention. Then there's the stuff I haven't tried yet, like acupuncture. NEXT STOP: ACUPUNCTURE! Again, thanks! Tim Mungenast Editor/Writer/Proofreader: www.linkedin.com/in/timmungenast Guitarist/Composer/Vocalist: www.reverbnation.com/timmungenast --- On Sun, 12/9/12, Rick Walker <looppool@cruzio.com> wrote: > From: Rick Walker <looppool@cruzio.com> > Subject: Re: Tennis Elbow > To: "Luis Angulo" <louie.angulo@yahoo.com>, "LOOPERS DELIGHT (posting)" > <Loopers-Delight@loopers-delight.com> > Date: Sunday, December 9, 2012, 7:10 AM > Hi Luis, > > Over Use Syndrome is very common with anyone who does > anything over and over and over. It can come from > typing; texting on a cell phone; playing > tennis; playing guitar...........anything where > thousands of motions occur > daily. > > From my knowledge of it (and I've professionally helped a > half a dozen drummers with this problem > to get back to equilibrium), all muscles > work in the same way: > > Namely, when you make a motion with your wrists, > ankles, elbows, knees, et. al. one muscle > stretches on one side of the bone and a compensatory muscle > contracts on the other side. > > I'm a lay person and not a doctor, obviously, but I've > encountered these problems so many times > that I've learned a lot about it................so take this > with a grain of salt, but I promise, there is some wisdom > in what I say. > > What happens in Over Use Syndrome is that one makes > hundreds of movements in one direction; > meaning that one muscle is always stretching while it's > compensatory muscle is contracting but > the same amount of motion is not happening in the opposite > direction. > > So, when you are in a place where your muscles are > inflamed chronically, one has to do a few > things: > > 1) Refrain from the motion that exacerbates > the condition until the pain and the swelling go away. > It may be efficacious to ice your inflammation (but be sure > never to ice more than 20 minutes at a time because you can > injure you muscles by freezing them just as surely as you > can by overusing them. > > This may take a long time. It might mean > not picking up glasses; not playing guitar > or anything > that exacerbates the condition...........This one is tough, > but you may just have to do it. > > 2) Your convalescence can be assisted with > the use of anti-inflammatory drugs (as simple as > Aspirin or Motrin) and/or Cortical Steroids. > Cortical Steroids can radically reduce inflammation but > they also have a lot of potential side effects that are not > great. The last time I took them for an > chronic > infected sinus condition, I started having bruising > all over my body at the very slightest of > trauma. Some people even believe that the > constant use of Cortical Steroids can lead to > Cancer...............others site what's called a 'rebound > effect' which means that the inflamation goes away until the > stoppage of the drug and then returns even greater. > Personally, I avoid them like the plague, but they can > save someone who has Lupus from death. > > 3) Go to an Acupuncturist. Chinese > medicine has a great track record with over use conditions > compared to > Western medicine which frequently only advocates ceasing any > exacerbating motion or drugs. This may take > some time and some money, but the quicker you convalesce, > the better. As an alternative, a > really good Chiropractor may be able to assist you , as well > as a good trained Physical Therapist who specializes in > precisely what you suffer from. > > 4) Once you start to feel > better, look at the kinds of motions that > are making your condition worse and see if you can figure > out a set of exercises that will stretch your muscles in > EXACTLY THE OPPOSITE DIRECTION than the motions that are > causing your problems. In the long > run, this is super important. I can't more > highly stress it. > > Towards that end, with Hand and Finger > pain, the Chinese make little silver and > enamel covered small balls which are designed, specifically, > to be rotated inside of the palm. Rotate > them around each other inside of your palm in a clock wise > direction for 20 times and then rotate them around each > other inside of your palm in a counter-clockwise direction > for another 20 times. By doing this, > you are actually using every single set of major muscles in > your hands, equally. > > My wife had Over Use Syndrome, playing too much > guitar; typing incessantly on a computer keyboard and > finally, trying to lay some bass guitar licks on her > album. Her hands were in such pain that she > could hardly do anything...........................She > stopped all her activity and started using these Chinese > balls and almost miraculously, she came back to being > able to play and type again without pain. > > The trick is committing to using your muscles in exactly the > opposite directions than the directions used with > whatever has caused you the most pain. > > 5) Lastly, Western Medicine will > advocate surgery. With chronic wrist injuries they > will advocate for > Carpal Tunnel Syndrome surgery. My > acupuncturist has told me, "always make this the very last > resort > to such a problem." I know a > professional drummer who traveled all the way from Hawaii > because he had heard that I was having good luck with > re-training drummers in how to change their habits so that > they were no longer having Over Use Syndrome. > He already had Carpal Tunnel surgery scheduled if working > with me didn't work out. I just sat down and > watched him play and saw immediately where the physical > dysfunction in his technique was. > I got him to change the position of his left wrist so when > he hit his brutal 'backbeats' that his hand was not bent at > the wrist when he struck. It took him two weeks > of working with me and he cancelled his surgery and now hes' > doing great without pain. > > All I did was look at him, physically, and I could see what > he was doing to hurt himself. > > So, think about videoing yourself to see where you are > making motions that are constantly going in one direction > (with out a commensurate and exactly opposite movement to > balance the motions out). > > Pick up that cup of coffee and have your wife watch you do > it. Figure out what the exact opposite movement would be and > develop a series of stretching exercise to do both before > and after any repetitive stress motions (specifically, > playing guitar). > > 6) By the way, excessive consumption of Caffeine has > been to joint pain and stiffness in the hands, so you might > cut back on your consumption of > it. Additionally, I've heard a lot of > people have had good results in reducing inflamation of > joints by consuming Glucosamine and > Chondroitin. I've also heard that taking > Cod Liver Oil or other fish oils can have a salutary > effect. > > 7) Lastly, some motions are tied to > tightness and lack of flexibility in other parts of your > back. > If you have issues with tension , as an example, in your > neck, your shoulders, the upper muscles of your back, > they can have negative repercussions that will effect your > arms, elbows, wrists and finally hands and fingers. > > Again, have somebody you know well watch you and > notice where you tend to keep your tension > held. Figure out what muscles you > could stretch that go in the exact opposite direction of the > muscles you use when you are 'uptight' physically or > emotionally. > > 8) Someone who's well trained in these things can talk to > you for just a few minutes and then watch you pick things > up; play guitar, et. al. and tell you what's up > with your body. Don't be cheap! > Spend some money to get a handle on it and > it might just save your career as a professional musician > before Over Use Syndrome knocks you out. > > 9) Lastly: Years ago I had some > really problems with my lower and upper back. One > morning I woke up unable to get out of > bed. I went and saw a really good > chiropractor and he hipped me to the fact that we need to > stretch our basic muscles in both directions to stay > flexible and healthy. He told me to go buy > three meters of rubber surgical tubing (about 1/4" to 1/2" > in diameter and very flexible). He then showed me how > you can roll it in each of your hands and then stretch it > out by putting your hands in back of your head, in > front of your heads; stretching in every > single direction up and down and sideways in both in front > and in back of your head. By doing this, > you are stretching all of those muscles in all > directions. I started doing > it and it was almost miraculous. My back > pain went away and has rarely come back. When it > does, it's usually because I've stopped doing those > exercise. It literally only takes 20 to 30 seconds a > day and is a great way to wake up in the morning. > > I hope some of this helps. Again, I'm > not an expert, but I researched it a lot and these things > seems to work. > > Good luck, buddy!!!!! You are a > wonderful musician and I hope this doesn't impede your > artistry for too long. > > Rick > > > >