Playing With Fire #3

Median Nerve Entrapment, or carpal tunnel syndrome, is often the result of an inflamed long flexor tendon. When we move improperly or over stretch, micro tears form on the tendon and since the tendon has no direct blood supply it can't heal very quickly so the body places scar tissue in the tear as a quick fix. Tendons glide and stretch within the tendon sheath but scar tissue does stretch not and more stretching or continued improper movement creates larger tears. Soon, inflammation sets in. Our long flexor tendons run through the carpal tunnel where the median nerve also passes. It is a tight and compact space and when the long flexor tendon becomes inflamed or larger, there is no place for it to expand so it crushes the median nerve giving us symptoms of pain and numbness.

Overuse is not the problem or cause of tendon issues, misuse is. Worse yet is if you combine tmisuse and overuse. When you move properly, there is no overuse. Much like a car in peak condition, you can drive it for thousands of miles with little wear and tear. However, if your frame is bent or there is something out of alignment, wear and tear will happen very quickly. Our bodies are no different. Compare this wear and tear to the tires on your car. If your car is out of alignment and that imbalance is eating away at your tires, you can get new tires but the wear and tear will happen to the new tires, too. The better solution is to fix the alignment of your wheels. Likewise, fix the alignment of your movement. Treat problems, not symptoms.

Often doctors treat the symptom of this pressure to the median nerve with drugs, rest, splints, PT, injections or surgery. Symptoms should not be treated, problems should be and for most people, the problem is they are simply moving improperly. Even after surgery and the symptom is “cured,” the problem of poor ergonomic movement still exists. The doctor only made more room for more future inflammation.

The benefit of learning how to move properly is that not only will the symptoms of pain, fatigue and numbness disappear but, as a musician, your accuracy, speed and power will increase and improve. Also, as you transfer these movements to everyday life, you'll discover ease and effortlessness in other motions of your daily living.

There is one danger though, once you learn to move properly, there is no going back to improper movement. Moving improperly will promote muscle growth of the improper muscles and once you stop using them you will lose them, the incorrect muscles will atrophy. This is often referred to by musicians as being rusty. Proper movement does not need to be practiced once learned, like walking or riding a bike, it is always there. Improper movement requires constant maintenance because it is not natural. This gives rise to the old adage, “Miss a day of practice and you notice. Miss two days and your competition notices. Miss three days and your audience notices.” A proper, ergonomic or virtuoso technique, like walking, is there forever and requires no maintenance.

Should you ever go back to moving improperly, you can seriously injure yourself because the incorrect muscles will have atrophied. Proper movement is all or nothing. I have found that many people either don't have the patience, dedication nor intelligence to re-learn how to move. This is not a criticism, it just is.