In Part One I touched briefly upon disorders, treatments and an
admonition to find another way to heal oneself other than traditional
treatment. In part two I talked a bit about movement of the wrists
(dorsiflexion, ulnar deviation, radial deviation, etcetera) and the body
in whole. Here I'd like to talk briefly about why some people will
never heal.
If an injury is the result of improper movement or
from extensive stretching of the tendons, to the point that they have
micro tears and consequent layers of scar tissue, the only way to heal
is to cease creating micro tears and break up the existing scar tissue.
Imagine if you cut a three inch circular hole in your favorite sweater
then without replacing the missing swatch, simply sew up the hole. The
knot that ensues and the stretching and pulling of the fabric is sort of
what happens to your muscles when they are hog-tied by scar tissue.
In
order to cease creating micro tears one needs to stop moving and
bending incorrectly and stop stretching the tendons to the point where
the body needs to create scar tissue. Coaches and physical therapists
prescribe stretching to warm up muscles when really, all they are doing
is creating micro tears in the muscles and tendons. The body's response
to this minor damage is to rush blood to the damaged site which makes
the body feel warm. The body is not technically warming up, it is
rushing blood to the site to immobilize the tissue: Nature's cast. If
coaches really want to warm up the body of their athletes they would
make them sit in a sauna and give them a massage. Just ask Olympic
trainers.
In order to break up the scar tissue created by over
stretching, you need to, well, stretch. The solution to this conundrum
is actually very easy; allow the body to move naturally in its mid-range
of motion. That is why I am a strong opponent to the use of braces
because they inhibit the body from moving in its mid range of motion and
also forces the wearer to overcompensate by using other unnatural
movements on areas of the body which will only strain new joints and new
tissue. This new misuse and overuse will facilitate a downward spiral
of repetitive motion disorders. I have heard many stories where the
inital pain started as a twang in the forearm, then a sharp pain, then
numbness of the hand, followed by constant pain in the wrist, then elbow
and shoulder pain, back pain follows then it become bilateral. Revisit
that old song, "The hip bone's connected to the knee bone."
Most
injuries occur because the athlete (or musician) had something not in
proper alignment in the first place and over or under compensated with
another part of the body which wasn't intended to move that way. Proper
movement promotes healing, plain and simple. Once the body is trained
to move properly, scar tissue will begin to break up, inflammation will
go down and symptoms will disappear. The body will begin to work as
efficiently as it was designed while it is slowly freed from the tether
of scar and pain.
Have you ever been buried in snow or sand to
the point where you couldn't move? Brute force will not free you from
the mass piled upon you. However, if you gently move up and down, left
and right, forward and backward, you will create little air pockets.
As the pockets increase in all directions, not just one, you will
eventually obtain enough space where you can use more and employ larger
muscles to displace greater mass and eventually break free (unless you
are in a ten foot deep avalanche). The person with over and misused
tendons must start out the same way; free to move effortlessly in every
direction and expand from there. After meeting with my practitioner
for the first time, during the following week I experienced painless
snapping sensations in my forearms. That was the scar tissue breaking
and releasing my tendons as they began to move as nature intended. I
was no longer overstretching but moving just enough to entice the scar
to release its hold on my muscles. Much like the Chinese finger torture
we all experimented with as kids. The harder you try, the harder it is
to get free.
Unfortunately, when there is a glimmer of hope,
that is where many people give up on their training and begin moving
"normally" again. At that point, the ailment comes back with a
vengeance because they are no longer creating micro tears but tearing
the whole mass of scar tissue. Those are the type of people who never
heal, much like a yo-yo dieter. Many people won't even get that far.
Musicians are the worse. I had one student who dutifully practiced the
exercises that I prescribed to him then he practiced other music he was
interested in but, without employing the new movements I was
unconditionally demanding of him. He was using his motor memory which
was flawed and ingrained in his muscles and brain from the first day he
touched a piano, causing his problems of today. He was in a downward
going from one step forward to two steps back. There was no hope for
him to heal and I dropped him as a student after three lessons. Another
woman wanted to heal NOW! I told her it would be six months of moving
ONLY as I instructed her but that prospect was too difficult. She opted
for the quick fix of surgery. Two years later, her carpal tunnel
syndrome reasserted itself and she had a second surgical procedure.
This time following her surgery her fingers no longer responded the same
and she no longer plays the organ in church and still has pain. A
third student with the discipline much like I had did nothing but the
exercises I prescribed to him and after a few weeks he was pain free.
He continued working with me and very soon he was playing much better
than he did before his injury. His symptoms were gone and he was able
to transpose his new found discipline to other parts of his body where
he told me his walking, driving, hiking and skiing drastically
improved.
A friend of mine complained most of his life of knee
pain. His physical therapists dutifully treated his knee pain
symptoms. After over twenty years of icing, exercising and resting his
knees he saw a new doctor who told him that his knee problems was in his
hips. Because he had a hip problem he unnaturally over compensated
each step which put unnatural and misaligned strain on his knees. With
very simple sleuthing, the doctor discovered that his hip problem was
caused by an old shoulder injury. The shoulders and hips work together
when we walk. His right shoulder was frozen in tandem with his right
hip which caused stress problems in both knees. The bulk of the damage
was in the hip so he had a hip replacement and the knee pain practically
disappeared.
The difficulty in trying to help someone to help
themselves is that they need to give 100% of their effort and dedication
toward the healing process. Anything less is unacceptable and doomed
for failure. There can be no deviation from the course. With the
insidious disorder of tendonitis, in the words of Yoda, "There is no
try, only do." There is no option for cheating, no break from dedicated
effort, no shortcuts and no going back. The only way to heal is the
hard way - by making movement easy and effortless as the body was
designed. It is really simple. But, we flawed humans want it now.
Buddha
said "Before enlightenment there is chopping wood and carrying water.
After enlightenment, there is chopping wood and carrying water. The
differences are tremendous but not visible."
-Malcolm Kogut.
No comments:
Post a Comment