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FDP Forum / The Chop Shop / Elbow Tendonitis?

5Strats
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Edmond/OKC

GospelBilly!
Apr 8th, 2019 08:21 AM   Edit   Profile  

I've developed tendonitis in the left elbow which is painful. It doesn't hurt to play guitar, until I stop and straighten out my arm.

You're supposed to refrain from doing the activity that caused the tendonitis, but I can't stop playing guitar!

I've seen a physical therapist, but not a doctor, at least not yet.

Thanks for any advice.

Peegoo
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Just beyond Mars

there's a world of fools
Apr 8th, 2019 08:42 AM   Edit   Profile  

Get properly diagnosed before you go into any sort of treatment. If a PT treats you for tendinitis and you've actually got some arthritis happening, that is not good at all.

Meantime, naproxin and stay hydrated.

Ryder
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Northwest Missouri

Butterscotch Blues
Apr 8th, 2019 08:49 AM   Edit   Profile  

I had it in both elbows a couple of years ago. Not from guitar playing. But, I had to kind of heave my guitar up and get the strap over my head all in one motion. Then let it drop on my shoulder.
My doctor said she could give me a shot but I declined. It took about a year to go away on its own. The pain slowly subsided as time went by.
It does hurt though so do what you gotta do.

Achase4u
Contributing Member
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U.S. - Virginia

Apr 8th, 2019 09:03 AM   Edit   Profile  

Yea man. I am a walking set of injuries that directly involve guitar playing.

Dequervains tenosynovitis in my left wrist, probably from years of karate blocks and blocked punches

Golfers elbow tendinosis now for over a year

Cubital tunnel syndrome affecting the ulnar nerve

and arthritis in the cervical spine which hurts/causes dizziness when playing a lot if I am not perfect with my posture and force myself to take breaks.

This has all been for years ongoing, now.

So I will try to give you some tips from experience.

First, Geno is right. I would say *for now*, STOP any activity that you suspect to be involved in the inflammation process of that tendon.

Take an NSAID(check with doc first always), and ice the area for a minute or two several times a day, with very cold ice. Not your traditional long 20 minute ice, a much colder one.

Ice dipping is even better if you can.

Get a sink or bucket, fill it with frozen water bottles and cold water. Dip the affected area for maybe 10 seconds.

LONGER IS NOT BETTER. If you ice too long, you will actually *trigger* the inflammation response again.

If this is truly tendonitis, then it is a recent, short term inflammation you have developed. Many medical professionals are finding that what was diagnosed as tendonitis is actually tendinosis, a long term, non-inflammatory degradation of a tendon.

If this has been a few days to a couple weeks, probably tendonitis. Longer, tendinosis.

If you don't take a break from the activity, it will inevitably become tendinosis. This is what I have in my arm now after a years time.

The good news is this - if you follow a docs advice(press him for PT as well) and rest, ice, NSAID, it'll go away with little permanent issue probably.

Get some good PT exercises for the appropriate diagnosis for stretching and addressing any muscle imbalances that may have contributed to the development of the 'itis.

Tendons take a while to heal. They are not vascular like muscle tissue. They actually receive their nutrients and blood that is just passing by subcutaneously. That means they heal slowwwwwwwly.

Tendons are made up of collagen fibers. Collagen production and repair in a body is a slow process.

Tendons don't heal like other tissue. The collagen fibers lost in tendons are lost forever. That tissue will never be again. This is why prevention is important.

The good news is, as a tendon Phd has discovered, tendons will generate healthy tissue alongside the damaged tissue. In fact, you'll end up with more healthy tissue than you had before!

Fascinating stuff.

Just remember, a break for a while now to listen to more music, practice some ear training and music theory will be better than a year and counting of tendinosis like your pal achase4u has.

Best of luck in healing.

(This message was last edited by Achase4u at 11:07 AM, Apr 8th, 2019)

Achase4u
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U.S. - Virginia

Apr 8th, 2019 09:10 AM   Edit   Profile  

Also,

You need a plan of "re-entry" to playing after healing.

If you jump into playing again, no warmups, 3 hours a day, you are asking for trouble.

Same with any activity.

Warm up. Jumping jacks, vacuuming, whatever. Get blood to the tissues in your body.

THEN stretch. Cold muscles and tissues don't stretch.

Then warm up slowly on the instrument, for about 15 minutes. Easy stuff, single string, no chords just to get the hands moving on the instrument.

An ounce of prevention...

5Strats
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Edmond/OKC

GospelBilly!
Apr 8th, 2019 02:39 PM   Edit   Profile  

I should have it checked out by our doctor or a via a referral. I just assume it was tendonitis, but I'm not certain.

Thanks for the feedback. This does feel different from tennis elbow which I had on my right arm a few years back (it was from rushing to take my pedalboard off stage for the next band and lifting wrong).

Achase4u
Contributing Member
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U.S. - Virginia

Apr 8th, 2019 02:49 PM   Edit   Profile  

Could be elbow bursitis, arthritis. It would be good to get it checked. Usually true tendonitis appears tender, red or swollen.

gdw3

LA-la-land, CA

Insert clever comment here
Apr 8th, 2019 05:06 PM   Edit   Profile  

Tendonitis is kind of a generic term for irritated tendons. It isn't necessarily the core issue. I have arthritis, which in turn causes tendonitis, so have to treat both. As Achase4u says, it could be bursitis, which is an enflamed bursa, which is basically the sac around the joint. Treatment for that might be different.

5Strats
Contributing Member
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Edmond/OKC

GospelBilly!
Apr 9th, 2019 06:01 AM   Edit   Profile  

Thanks for the additional info. I'm going to make an appointment with my doctor.

I didn't play guitar for the last two days and it seemed to help some when I played a bit this morning.

FDP Forum / The Chop Shop / Elbow Tendonitis?




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