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Showing posts with label massage - wrist. Show all posts
Showing posts with label massage - wrist. Show all posts

Saturday, November 21, 2009

Cutting tracks in the bush - Do you have any advice for preventing damage to the wrist and phalanges?

Hi there Gary,
I've recently started work.. cutting tracks... full time. This involves the use of a scrub bar (basically, a strimmer on steroids), which can be a bit harsh on both wrists and fingers after gripping onto the handles tightly for hours on end. Do you have any advice for preventing damage to the wrist and phalanges? Any exercises I can do at the end of each day?
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Gary comments:
These machines, even when used with a harness, require constant static contraction of the muscles of the upper body, especially of the forearms and hands. This may eventually cause spasm of the muscles and inflammation of the tendons and ligaments of the forearms, wrist and fingers.

The end results may be chronic injury such as lateral epicondylitis of the elbow and various tendonitis injuries to the wrist, such as DeQuervaine's tendonitis.

These kinds of injuries are common in sports such as Kayaking, rowing and tennis. We see these injuries in occupations such as the freezing industry where knives are used for hours on end for tasks such as boning. These are most common at the commencement of the season and usually disappear as the athlete or worker improves condition and becomes more adept at their work.

For example; incidence tendonitis is reduced in the freezing industry by ensuring that knives are razor sharp and protective gear is worn. These measures mean the worker does not need to pull so hard while being more relaxed knowing that a slip of the knife will not end up slicing a finger off.

So, the first step in preventing injury from using a strimmer is to first ensure the equipment is designed for the job, properly maintained and the worker is properly fitted with a carrying harness and protective gear.

The protective gear should include quality chainsaw gloves that have gel antivibration pads.

Eat like an athlete
Becoming progessively physically conditioned in the least time to do this repetitive work is dependent on the worker being thoroughly well nourished, just as one would do with an athlete in hard training. This means ensuring there is a little protein in the diet throughout the day and not all lumped into a single meal. Meals should be rich in plant antioxidants to soak up the free radicals produced during exercise.

Being out in the bush makes this a challenge; but I am assuming that the employer is bringing in supplies of food and this should includes fresh vegetables and fruit for the workers. Try to avoid the usual hiking stodge that lacks trace nutrients while gumming up the works.

Load Up Berry Brights and Load Up Fruitful Greens are convenient and refreshing ways to make up any dietary shortfall of fresh food. This can be added to a whey protein smoothie which can easily be made up while working the tracks by mixing these in a decanter. The powder ingredients can be pre-mixed in a plastic bag for use during the day.

It may be worth having a supply of Loadup Ultimate Recovery Stack on hand. A few scoops per day in, or additional to the smoothies, will help keep energy levels up and will definitely aid recovery from day to day.

Exercise and Massage

Stop every now and then and do some full range of motion exercises of the upper body, swivelling and swinging the trunk, arms and shoulders through their full range of motion. Do the same with the wrist and fingers.

Stretch gently during the day and do a more thorough stretching session after work has finished.

Take turns, with your mates, at the end of each day to massage all the muscles of the neck, shoulders and arms. You can use a quality massage wax such as Myo Heal. Concentrate massage on the tender spots. If you have the nutrients flowing into the body, healing will be rapid and strength and endurance will improve from one day to the next. Make the most of work breaks of 2-4 days to rest the arms and hands while keeping the daily massages going.

I reckon this should do the job with keeping you in good condition.

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Sunday, March 08, 2009

I need advice about how to self treat de Quervains tendonitis

I fell over a small wagon in the dark and I suppose that I tried to stop the impact with my hands which were palms down and arms bent at the elboe joint against my body.

I knew there were no bones broken but due to the severe pain through my thumb and wrist bone( on the tumb side) also when I bend the hands back the wrist joint hurts a great deal, I went to and had them X-rayed anyway.

The specialist barely touched my hands, diagnosed it as De Quervain's tenosynovitis and sent me to his therapist who put a compress of heat on for ten minutes, five minutes of ultrasound , ten minutes massage and another ten minutes of cold compress. This , after five sessions has done very little and been very expensive.

I am trying to continue my own treatment. I found the cold to be more damaging. So I am bathing them in hot water with epsom salts, traumel creme,tiger balm and I bought a massager with heat.

Any suggestions would be appreciated.

Marla
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Gary Responds
Thanks for the additional information about the injured wrists and about your occupation and lifestyle.

De Quervains would seem to be a reasonable diagnosis. The problem has probably been percolating below the surface and the fall stirred it up.

There are a number of approaches to be taken which, in combination, should bring about a full recovery:

Nutrition:
  • Please can you get an updated blood test to determine your blood iron and B vitamin levels. If any of these are not close to the upper range of "normal" then you need to do a deliberate programme of boosting these. I can advise how to go about this, if needed, once you have the blood test results.
  • It is possible that your adrenals are over-stimulated and may be nearing exhaustion. High chronic levels of cortisone soften bones and ligaments and cause joint and muscle pain. You are drinking too much caffeinated tea. This is no good for the adrenals. Please go for at least 10 days without any sources of caffeine at all and then do not start up again. consider going on an adrenal support programme. Refer here for more about adrenal fatigue.
  • Please ensure that your diet has more variety in quality fresh natural fats and oils. Excessively low cholesterol levels may contribute to your fragility. Please get a blood test of your lipids and send the results to me for analysis and advice.
  • Take vitamin C and glucosamine and chondroitin daily
  • Take schuessler tissue salts that contain calcium fluoride, silicaea, magnesium phosphate and calcium phosphate.
Massage
I am not a fan of mechanical massagers. It is much better to employ the services of a professional masseur and to have the arms thoroughly massaged from shoulders to fingers only once a week. Let them settle between sessions. Of course, there will be much attention during the massages placed on softening up the annular ligaments about the wrists and other areas of chronic pain. Please refer to my many articles about this kind of therapy and similar ailments to De Quervains for more information about massage.

Combined with good nutrition, massage gives wonderful results after about three weeks and ongoing.

Exercise
I see little pint in any more exercise than what you are doing in your job and daily living. There is no point in exercising structures that are weakened, inflammed and poorly nourished. As vitality is restored, your ability to use your wrists ever more vigorously duing every day activities will increase. Then, you might consider some more deliberate strengthening work.


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