From Tommy Atkinson
Posted March 31, 2005 at 05:19 AM
Also there's a great book written by a cellist who had tendonitis problems, called Playing (Less) Hurt I really recommend.
Tommy, the first and important advice is DON'T PRACTICE THROUGH AN INJURY! I really mean this, it you do, it will only get worst. Violin is a sport in essence, and athletes know better than to keep training through an injury. As hard as this may be to hear, and I know that this situation bites, heal first, then start playing again. In the meantime, think of what you may have been doing wrong that could have caused the injury in the first place so that you don't get injured again once you start playing again.
GOOK LUCK and Cheers!
Yet, on the other end of the scale, you definitely shouldn't be playing the same amount you did before tendinitis. I am only able to play about half an hour, (with 2-3 minute breaks every 8 or so minutes) when I used to play 2 or so hours daily. This keeps my muscles from breaking down, without straining them. At the first twinge of pain, stop and ice, though.
My PT also stresses the need to exercise "opposite" muscle groups. For example, if you already have strong biceps, then work on the tricep area. When you strengthen oppostite muscle groups, they can help take over some of the stress that the already develped muscles endure. This takes the strain off some muscles.
Heat can be very helpful when your arm isn't inflamed. Ice is best when there's swelling and pain, though. I've heard good things about hydrotherapy, deep tissue massage, and acupuncture, as well. I personally have had the best luck with ultrasound therapy. It really works wonders.
Over all, I'd recommend you find an excellent physical therapist that specializes in arm/hand injuries. I think I'd still be in pain and out of commission without my physical therapist.
Good luck and hope you feel better soon!
It is my understanding that all muscles are attached to the skeleton by tendons. Thus, there is always a tendon involved where a muscle is involved. Tendonitis generally occurs because a tendon is strained by activity that is too strenuous for a relatively weak muscle. Much of the treatment of tendonitis is aimed at strengthening the muscles to avoid putting undue strain on the tendons. My understanding could be wrong, and I invite anyone with more specialized knowledge to let me know.
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