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The cure for tendonitis, carpal tunnel syndrome and becoming a more efficient pianist or typist.

Transcript of Tendonitis slide2

  • 1. Curing Carpal Tunnel Syndrome (Median Nerve Entrapment) and Tendonitis By Malcolm Kogut Symptoms: Numbness Ache Tingling Sharp pain

2. What is a Symptom? A symptom is not what is wrong but a sign that something is wrong. If you are barefoot and step on a nail, pain is the symptom, the nail is what is wrong. You wouldnt just take an aspirin to solve your problem, you would take out the nail. If a cars tires wear out unevenly and faster than normal, that is a symptom that the alignment is bad. Getting new tires will not solve the problem. 3. If your wrist and arms hurt, that is a symptom that your alignment is bad. If a tennis player loses a match and smashes his racquet on the court, the broken racquet is a symptom that his sportsmanship is bad. In all of these cases, you wouldnt treat the symptom, but the problem. 4. Traditional Treatment Rest If you have the time and mental fortitude to rest long enough to heal, when you go back to doing the same activity with the same bad habits that created the problem in the first place, your problem and pain will probably reassert itself because nothing has changed. 5. Anti Inflammatory Drugs These simply mask the pain. The problem with drugs is that if you cant feel the pain, you may continue moving incorrectly causing more damage and be unaware of this continued problem until it gets so bad that the drugs have no more effect. Drugs can easily contribute to a downward spiral. Pain tells us that something is wrong. Dont eliminate the pain. 6. Brace/Splint These are the beginning tools of a downward spiral. The body is designed to move. If you hinder natural movement by isolating a specific part, your body will have to compensate for the lack of movement and overuse other parts. Splints treat the symptom and not the problem while at the same time they create new problems. Braces are good for broken bones but not necessarily soft tissue. Pain is good. It tells us that something is wrong and needs correction. 7. The body is designed to move sympathetically. For instance, when you walk, as your left foot and hip move forward, your right shoulder will go backward. If you walk with your right hip and right shoulder locked together, you will develop knee pain. The problem is the shoulder but your doctor will treat your knee because that is where the pain or symptom is. Take heed of the childhood song The toe bone is connected to the foot bone . . . 8. Surgery Before you consider surgery, read my slide about what CTS is. Physical Therapy When considering PT, read my slide about stretching. 9. Treating A symptom Think of the pain your foot would be in if you had a nail in your shoe. If you take off the shoe for a week (rest) your heel will heal. If you then put the shoe back on, the nail will just re-puncture your foot. Nothing has changed. 10. You can take medicine to mask the pain, you can even splint your foot (brace) and do leg lifts (PT) to strengthen the leg. None of these will help after you put the shoe back on. You have to treat the problem, not the symptom. Blood and pain is the symptom, the nail is the problem. In the case of MNE, CTS or tendonitis, pain and numbness are the symptoms. Improper movement is the problem. 11. Causes of Median Nerve Entrapment (or Carpal Tunnel Syndrome) Improper movement We are taught when lifting heavy objects how not to bend our backs but lift with our knees. How come nobody ever teaches us how to use our arms and hands properly? Dual Muscular Pull Our bodies are capable of many movements and just because we can, doesnt mean we should. See Dual Muscular Pull. 12. Over Stretching (warm ups) There is a myth that stretching "warms up" the body. What it actually does is create micro tears in the muscles and tendons so the body's response is to rush blood to the site in an effort to heal and immobilize the area of damage caused by stretching. That rush of body temperate blood gives us the sensation of "warming up." In actuality we are setting the stage for tendonitis. Stretching to the extreme range of motion is not healthy. It would be better to warm the body than its isolated parts. Olympic athletes sit in saunas or hot tubs to achieve this. 13. Sympathetic Movement Don't do this, but from a sitting position, turn your head as far back around as you can. Make note of how far you can actually go. You can mark your spot by picking an object to look at. You probably only turned your head approximately 90 degrees. If you moved to your extreme range of motion, because you isolated your neck, you probably felt discomfort, pain, strain or gave yourself whiplash. 14. Now, working with your shoulders, stomach muscles and hips; turn from your hips, then add the shoulders, then the neck and you should be able to see about 180 degrees or, almost directly behind you. Keep in mind that every motion has an equal and opposite motion. While turning, if you were turning to your left, as your right shoulder moves forward, your left shoulder must also pivot backward. Don't anchor it. That sympathetic movement should be natural for most people but it isn't always. Whenever you isolate any part of the body, you run the risk of injuring a sympathetic part. If your right and left shoulders don't work together in the turn, you will not be able to turn as far, or, you run the risk of straining something. This is how many people incredulously get whiplash while simply turning their head to see if there is any oncoming traffic. 15. Now, stand up and add the knees and ankles to that mix. If you were looking to the left, keep your left foot anchored flat to the floor and pivot on your right toe. You can probably see at a 270 degree angle by turning and using all your body parts (of course, you could just turn your head to the right). All those movements as I dictated probably have you moving at your extreme ranges of motion. You should only turn you neck about 40 degrees, then your hips aiding you to about 90, then your shoulders about 130, and your ankles and knees to about 170. Your eyes can do the rest. 16. Herbs and Nutrition as a Cure I dont know. If the gasket lining your cars engine has wear and tear, upgrading the oil quality and octane of the gasoline you burn may help but wont solve the problem of the worn gaskets. YMMV. Try dietary supplements. I hear pectin works. It is still treating the symptom. Even if the additional nutrition helps to rebuild damaged tissue, you may still be damaging tissue by moving incorrectly. 17. What is a Dual Muscular Pull? Hold your hand out in front of you and while keeping your fingers together, like a little child wave bye bye. Now abduct your fingers, that is, spread them out as far as they will go, now try waving bye bye. Feels awful, doesnt it. Those are dual muscular pulls. You are using your muscles to do two things at the same time: spread out and flex. 18. When many people play the piano or type, they spread their fingers out and although momentarily and often imperceptibly, they are doing these pulls to their fingers. The same thing happens when you do the pop gun gesture. Pianists create dual muscular pulls with their thumbs when they cross it under their palm. It happens in the forearm when you extend or curl a pinky or thumb while moving other fingers. It happens when you raise a single finger high in the air as instructed to do in the ubiquitous Hanon exercises. Those movements are all bad. 19. Fingers are not designed to do the work we subject them to. Our arms are designed to do much of the work and the fingers are designed to attend to the finer details but in unison. Although they are very flexible, your hand and fingers should only do one thing at a time. The fingers are part of the hand. The hand can only move in one direction at a time so all the fingers should only work in that same direction. They can isolate but it isnt efficient. That is the difference between a child prodigy and a life long amateur. The prodigy has learned to move all five fingers in one direction at a time. More on that later. 20. What is Tendonitis? Within your wrist your long flexor tendons run from the forearm to the finger tips and on top of your wrist are your extensors. Hold your forearm with your other hand and move ALL YOUR FINGERS at the same time (never ever isolate a finger). Feel the muscles work? Those are the muscles which move your fingers. Those muscles become tendons which then attach to your finger bones. They move the bones much like a pulley. Now lay ALL your fingers across your opposite wrist like you are taking your pulse but DON'T squeeze with your thumb. Feel the tendons glide within? Many people mistakenly think their tiny and weak finger muscles move their fingers but it is the strong and powerful forearm muscles. 21. As the tendons move, they are in a sheath lubricated with synovium fluid which helps them to glide within. If you overstretch that tendon, you can tear it and scar tissue can form. Those scars can adhere to the sheath making it painful to move since each movement will tear at more tissue. If your doctor prescribed rest and braces, you will not be able to move properly and this gives the body a chance to make the scar tissue more permanent. Think of it like a room you never use and soon, cobwebs will form in the corners and spread from there. Not moving also dries out the synovium fluid because your body will think it doesnt need it. Much like the engine oil in an unused vehicle will settle to the oil pan below, the lubricant within your tendon sheath will dry up. This is a perfect example of why PROPER MOVEMENT PROMOTES HEALING and rest and splints dont. 22. What is Carpal Tunnel Syndrome (Median Nerve Entrapment)? Your wrist is made up of bones on the top, then tendons, then your median nerve, and it is all capped off by a sheath called the traverse tunnel ligament. It is a tightly packed structure with no ro