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justinkagan1 
Registered User
(8/10/00 8:17:29 am)
Myofascial therapy
Hey gang; if anyone is familiar with myofascial therapy, esp. as a treatment for recurring tendinitis, please write me.

David Sanders 
Registered User
(8/10/00 9:19:14 am)
Re: Myofascial therapy
What is it?

Dorie Straus 
Registered User
(8/10/00 10:02:02 am)
Re: Myofascial therapy
Manipulation and stretching of fascia, aka massage and exercise of fascia tissue, I believe along certain points.

If you ask me, J, I'll take you to Dr. Chen, 5 generations Chinese medicine. Get off the internet; he'll fix you up good.

Edited by Dorie Straus  at: 8/10/00 10:02:02 am

sarah schenkman
Registered User
(8/10/00 12:15:22 pm)
tendinitis
I had very bad tendinitis last year - couldn't play at all for a couple of months - found occupational therapy to be most helpful - heat, massage, cortisone delivered by electrical charge, not injection. Accupuncture didn't help at all. But the therapy plus just resting the arm did.
Good luck - and don't exercise it - that just aggravates.

justinkagan1 
Registered User
(8/10/00 10:29:07 pm)
Re: Myofascial therapy
David: You can get some of the skinny on MFR at the site
www.myofascial-release.com/
I'm not really sure, and won't be until properly diagnosed, if my "condition" (not serious, but nagging, and after a particularly intense Strauss+ summer, worth investigating)is merely low-grade tendinitis or something muscular, which is where the MFT would be useful. I'd like to think I can lick this problem while still playing and lifting light weights, which I enjoy immensely, instead of the alternative (see Sarah's post), which is not playing for a few months, a plausible but impossible solution for a freelancer. I have begun a practicing routine of a much "lighter" variety, never forcing, which is an unusual variation for me. You've never had any related physical probs, aside from the donut thing?

G M Stucka
Registered User
(8/10/00 11:54:09 pm)
Re: Myofascial therapy
Justin, I had tendinitis (isn't it really spelled tendonitis?) in the index finger of my left hand several years ago. I thought my career was at an irreversable halt until I consulted a doc in NYC who recommended moderate playing ("Don't play if the pain is greater than a 5 on a scale of 1 to 10") and then complete immobilization of the affected area when not playing (he had me tape my index finger to my middle finger). This cured my particular condition in about a week and a half.

FWIW, I've been warned that cortisone, tho a "quick fix", can be really dangerous in that it masks whatever it is that one is doing to cause the injury. Cortisone also weakens muscle tissue.

David Sanders 
Registered User
(8/10/00 11:55:26 pm)
Re: Myofascial therapy
I've had pains for over 30 years, and have been going to chiropracters for about that long. I've had many different types of treatments.
Two years ago I had to stop playing for about 10 weeks because of tennis elbow (NOT from tennis!). I went to one physical therapist who made it worse. I finally found a great physical therapist who helped me considerably. I was back in 6 weeks.
I went back to her about 6 weeks ago because I had a pinched something or other that was causing tremendous weakness and pain in my right arm and shoulder, but wasn't stopping me from playing. It is almost completely better now. I'm still doing exercises for it, mostly strengthening.

There's a wonderful Chinese massage therapist in Flushing. When I went to her she was about 75 years old, with hands of steel. A Chinese man in my orchestra knew her from China, and four of us went to see her during a tour about 3 years ago. I went back on my own several times. She likes to do 12 treatments in 12 days, but I generally went for 4 in 4 days, the most time I would be in New York. The problem is she speaks no English whatsoever, so my friend would call her and arrange it. She does this from morning til night, 7 days a week. And you have to like really DEEP massage, with lots of SCREAMING.
If you're interested, I'll send you her name.
David

G M Stucka
Registered User
(8/11/00 12:30:52 am)
Re: Myofascial therapy
David, I thought you told me about a different massage "therapy" you had in NY involving a 22 year-old. Hmmm, I guess I misunderstood.

sarah schenkman
Registered User
(8/11/00 3:38:43 pm)
tendonitis - how's my spelling
My tendonitis was in the elbow (tennis elbow not from tennis)and while I know people who have been helped by cortisone injection, I know of people being hurt by it and I wouldn't try it. The negative charge thing is not risky and combined with heat and massage, I think quite effective. I do think that the one thing that hurt my arm the most was lifting weights which I thought would strenghten my arm.
A lot of places have music medicine clinics which I hear can be really helpful.

David Sanders 
Registered User
(8/12/00 12:46:00 am)
Re: Myofascial therapy
That one must have slipped my mind.

zambocello
Registered User
(8/12/00 5:31:51 am)
prevention
As with any physical health matter, an ounce of prevention is worth a pound of cure. For me, the prevention is exercise. Think about it -- if playing the cello is one's most vigourous activity, cello playing will cause injuries from time to time.

Besides running and other exercise for aerobics, and sports for fun, I lift weights -- especially for strengthening to avoid injuries. I began 20 years ago when I got my first full-time orchestra job. My back started aching after a few months. After a few weeks of weights I had no more problems and have had none ever since. (Another result is that while I'm no strong man friends call me to help move. It's usually good for a meal and beer!)

Most importantly, if you have not been exercising or very active START SLOWLY! With weights it is also important to stretch and to balance the muscle groups, i.e. exercise the abductors and aductors both. This is challenging for me because pulling exercises tire my hands out so that, even with stretching, I sometimes feel stiff for cello playing if I exercise very hard.

Weights aren't for everyone, but I wanted to share my experience of benefiting from them. On the other hand, I HATE massage. Different strokes..........

manoamist
Registered User
(8/13/00 5:11:34 am)
Re: tendonitis - how's my spelling
How about rotator cuff tendinitis? (that's the correct spelling,strangely enough) I have just taken up playing again (after almost 20 years away from it), and although I believe I had this ache before,it has definitely become worse. The orthopedic surgeon recommends ice 4x a day and staying away from what hurts, which is cello! I am devastated to think of 2-3 months away from this! Does anyone have experience with overcoming rotator cuff tendinitis?(left shoulder, pain under the deltoid muscle,front and side of shoulder) It aches most when I play in thumb position up high, so I have to stop and ice it. This is NOT acceptable to me!

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