wrist & hand fatigue

  • Hi mates,


    I wonder if some of you have the developed the same pathology that I have, two years ago I started to feel some loss in both hand dexterity as well as wrist and hand pain ( with tingling, if this word is right ?), especially after a day of work.


    I've been working in IT for 15 years , and started typing on a computer keyboard ( if you can call a ZX81 a keyboard LOL) by the age of 11. I started the guitar around 17 . I took like 5 guitar lessons in my whole life , never been told about warming exrcices during these lessons :( , I had to find it on my own.


    I've seen a few ergo therapist and have not being diagnosed in carpian canal syndrome. However I've not passed the neurological/electrical tests on my hands.


    I fount that some necks are more comfortable for me that other, and cannot play for more than two hours a day now ( this is why I spend this time recording as much as I can and not much noodling). I really miss the dexterity I had back 20 years ago :( .


    two years ago , I started to do some warming exercises and stretching for my hands , arms , shoulders and back, it's a daily routine now and I feel better with it. I also installed a big punching bag in my garden ( with clothes in it) and my hands are much stronger and the pain seems to go away with these exercises/training.


    Did some of you get through these troubles ,and how did you get rid of it ? I have to find a definitive solution since I also have this problem at work.

  • Personally, I wouldn't be punching anything. It leads to calcium build ups in the joints from what my doctor told me, reducing dexterity further. Tingling in the finger tips and a loss of sensation, however small, screams RSI to me, but if you have been diagnosed negatively, I'd say go for further tests. My cousin once was sure that he'd developed some muscle-wasting syndrome, even went for an MRI scan, only to realise he'd been playing too much Call of Duty on XBOX 360....


    Cheers,
    Sam

  • I deal with this every day by profession.
    Can't offer an opinion by a distance, but I'd say it's a good thing you're reacting positively.
    I'd also tend to disregard the punching-ball's contribution to the perceived improvement in a direct sense, most probably it's just exercising in itself which helps you.


    Too bad you don't read Italian (do you?), I've written a book addressed at guitar players but it has been published in Italian only.
    I'm currently writing a second one which I hope to publish in English as well, but it will take some time.


    There would really be other things I'd be able to tell you if we were in personal touch but, as a general consideration, it's good you're reacting well.


    Anyway, should things take a different route, feel free to PM me: we'll think of something :)


    Best wishes dude :thumbup:

  • I get swollen tendons along the ulna where it joins the wrist. Started a few years ago and prevents me playing anywhere near as much as I used to or would like to. If I play for more than an hour a day or particularly if I practise legato exercises, it swells again and hurts for days. I've had this checked in the local hospital and had x-rays and ultra-sound scans, which showed that 'there were some changes in the tendons'. However, the doctors have given me no idea how to deal with it or how to help it get better! So, basically I just have to manage it as best I can and as with the OP stretch - the hand in particular. This seems to help a little. Icing it and anti-inflammatories have no noticeable effect at all. I already have my guitar strap pretty short to lesson stress on the wrist, but don't really know what else to do.

  • hi. here's my cents. I have been strugling with tendonities for years thus I had to become an expert in dealing with them. true is the fact that not everybody that has them do have them for the same cause. but what I'm about to write can give you a clue on things you might want to consider.


    facts:
    - I used to play up to 10 hours a day, sometimes more.
    - tendonities were all at the fretboard wrist
    - they alway stroke the tendons right before the hand attaches to the wrist.
    - sometimes they were located in other parts of the same fretboard hand.
    - 95% of the times tendonities are cause but the excessive striking of the fretboard hand fingers to the fretboard itself.


    remedies I did:
    - Always warm up for at least 10 minutes with EXCLUSIVELY alternate picking excercises
    - before playing do a swedish bath (don't know iof this is called this way but it is the hto/cold alternate water application) on the fretboard wrist, doing it by bathing it alternatively with super hot (almost irresistable) water and ice cold water, let's say 10 seconds each, repeating the thing for something like 5 minutes
    - do some work out to make the wrist stronger.


    a comment on all of the 3 remedies.


    the first came after a study I made which lasted several months. I used to be a guitar teacher (still am) at full time and had literally thousand of students. after countless hours of testing I determined that the best way to warm up the wrist/hand is by performing an exercise which allow the hand to move with the least effort possible. clearly legato and tapping (which is a sort of legato + a tap) are the worst scenario you can be on. sweep picking is not good as well. found out that alternate picking exercises are the absolutely best. this is because alternate picking is a very difficult technique and a very short percentage of players can do it as it is supposed to be done. since it is a coordinated technique, whoever tries it is forced to go very slow to attempt it. in addition, the force of the note (meaning the volume of each picked note) is done by striking with the pick as opposed to legato in which generally speaking each note have its volume by the left hand fingers as they strike the fretboard.
    as said in the fourth statement of the facts, most of the times guitar players tendonities are cause by the vibration coming from excesssive force with the hammering fingers. so, if you avoid too much force hammering it'll be a nice way to start. alternate picking exercise are the very best for this. you can simply do a chromatic quadruplet on all the strings, like if you start at the nineth fret with your index finger, the next notes are at the 10th, 11th and 12th. then the same in the a string, d string and so on.


    second statement of the remedies works very well and can be done at will all the times. it serves to enhance blood circulation on the bathing point. do it and you can feel an immediate easing of the hand movement. try it and let me know.


    third is what got me the most dramatic improvement.
    first off, there is no working out in the gym to reinforce the tendons which are not muscles. nevertheless if you reinforce your wrist as a Whole you can better fight against tendonities. you can start by using small weights and slowly moving up and down the wrist, moving to heavier weights in due time. if you get your wrist strong and I wouold say very strong, I assure you you will have much less tendonities cases on your side.
    a note: I don't mean you should become a gym rambo to better deal with tendonities. all I'm saying is that you have to have muscolarily stronger wrists to deal with wrist issues.
    before you or other comment of the myth that working out slows the palying hands, it is totally a myth which I myself busted. as a matter of fact I do as work out gymnastic things like handstands and so on which load to the wrist not less than 40 kg, sometimes even 80 kg when I do one hand handstand.
    so you can imagine that my writs are pretty much exposed to high load in perpendicular position (imagine my hands in the floor and the arm/body perpendicular).


    of course I don't overstress my wrist whil working out. but I never had tendonities since years all ready.


    one last thing: the remedies were not tested by me as a guinea pig. I tested them with dozens of guitar players with a 100% success except for those cases in which the problem resided in different location.


    in fact I had a case in which a student of mine had a wrist tendonities which were impossible to get rid of. we found out the issue was located not in the wrist but on the scapula, which being a bit bent, was touching a tendon in the shoulder, which inflammed some forearm tendon and all the way to the wrist which was aching. this case was solved by just adjust the scapula. but this are very rare cases.


    hope this helps


    michael

    "...why being satisfied with an amp, as great as it can be, while you can have them all?" michael mellner


    "Rock in Ecclesia" - new album on iTunes or Google music

  • I've been thinking about this a lot and maybe I have some advice for you (no chronological order, just some thoughts). I hope I use the correct terms to explain what I mean as I'm no native speaker.


    1. When you pick up your guitar start with something easy.
    2. Think about what John Petrucci calls "economy of motion". Ask yourself if a certain movement is really necessary and how you can optimize it.
    3. Keep your fingers parallel to the frets.
    4. Don't lift up your fingers too far from the fretboard. Let them float upon the strings as close as possible.
    5. Watch your fretting strength. Only very little strength is really needed to fret a note.
    6. Watch the movement and the really needed strength of your fretting hand's thumb.
    7. Experiment with the position of your fretting hand's thumb.
    8. Make short breaks. Think of something completely different during this time. Shake both hands and arms extensively.
    9. Experiment with the strap length. Watch the angle of your picking hand and your elbow.
    10. Raise the neck more against your head when playing the lower frets next to the saddle.
    11. Be aware that muscles and tendons are involved a lot when playing guitar. They need to be trained just like if you were a sportsman. Therefore it is ok if it hurts a bit when practicing. It must be a little stressful in order to make progress. But keep the effort and the resulting pain short. Shake hands and arms after this.
    12. Practice in front of a mirror and watch your movements.
    13. Practice stressful things over and over (each day, but only one or two times a day). It gets better with time, believe me.
    14. Watch your body posture.
    15. Practice to a click. Start slow (around 70-80 bpm, even if you play only quarter notes) and increase the tempo by steps of 5 bpm. Play very, very accurate in slow tempos. This will help you to play accurate in faster tempos.
    16. Stay concentrated.
    17. Play something easy after playing something stressful.
    18. Noodle around to a click. Play whatever comes to your mind. It is not that important that everything fits together perfect. When time goes by it will fit together by itself without thinking about it too much.
    19. It is important to start again if you made a mistake or played sloppy. But it is also important to continue playing if you made a mistake, because you must be able to play forth in a live situation.
    20. Think and watch all the time when practicing something hard but let yourself go when noodling around or playing something easy.
    21. The picking hand is as important as the fretting hand. Both hands need to be trained.
    22. Experiment with the way you hold your pick (strength and position). Little changes can have a huge impact.
    23. Have fun even if you play something boring. Play the boring things as musical as you can (watch Malcolm Young) and you'll get your satisfaction by playing them.
    24. Don't ever think about quitting to play guitar.


    Here are two links that might help you too:


    https://www.youtube.com/watch?v=TSrfB7JIzxY
    http://www.thomann.de/de/planet_waves_varigrip.htm


    Good luck!

    I could have farted and it would have sounded good! (Brian Johnson)

  • Hey Michael,


    I'd be very intersted in getting to know more about your experience, it seems you've worked on a lot of cases which makes it meaningful somehow.


    Just two notes:


    Actually, the best possible warm-up comes from a combination of free-body and technical movements. The difference Vs. a guitar-only warm-up is clearly perceivable, and warming-up time is definitely shortened down.


    There's some truth in the idea that *some* kinds of phisical training do no good to a musician. It all depends on the person, the nature of the exercises and the amount/density of the training.


    If/when


    1. training involves muscles of the hand/forearm which are supposed to react fast
    2. this involvement is based on static contractions requiring a (relative) meaningful amount of strenght
    3. the subject tends to develop a static kind of strenght/muscular volume
    4. the training is such that meaningful results are achieved as per the above
    5. the subject does nothing to compensate for this tendency, which is largely subjective


    then you can perceive a clear correlation to the loss of some music-related performance abilities.


    I hope we'll be able to share some experiences in the next future :)

  • Hi ! I'm really impressed by your answers , this goes into great detail and I cannot thank you enough :thumbup:


    I can see the pros out there are very concerned by this topic , as I can feel the involvement in your fight against these troubles. This should definitely go to the Wikpa.


    Sadly I cannot read Italian, Gianfranco, I will read your book as soon as you get in available, thx. I didn't know you were also a specialist in this topic ! Yes I'm not overwhelmed by my troubles, and I'm optimistic about it.


    Michael , these are great insights for me, I don't know if it is tendinite, but the practices will sure help. I also have a daily physical training which is really great for my health, but I have to reinforce my arms & shoulders exercises ( as well as "Scottish shower" as we call it in France Lol ). No tapping & speed licks anymore for me , but I've noticed that it tires the left hand very fast.


    Kempermaniac, thx , I don't play fast no more , neither do tapping and I also stopped playing with a pick 20 years ago , I'm much more of a slow hand and I try to compensate on feeling & expressiveness. I must say I don't practice guitar scales, covers ,transcription & and speed anymore as well, I only rely on my cultural background. I like to record, so I make lots of break while mixing, and I keep the difficult parts at the end when I'm really warmed up. I already have a daily gym for my back , arms & whole body, it sure helps a lot on overall health as well ( with good organic & local slow food ;)



    I have to read once again and integrate all this practices, but I'm already on a good way I think, since the warming exercises in the great vid are very close from what I do daily, posture is also very important. As with computers , I've been told to get the keyboard almost standing on my legs while sitting (like Paults said ) , and to have the middle of the screen at eye level ( this is very high ). I don't really like trackballs but I need to try this model.


    The main thing for me - I'm not a pro and I don't play live - is to have fun and get the positive side of my troubles : play slow , express myself better and stop as soon as it turns tiring or painful.


    I have a special reward tip for you , for those interested in playing very fast and virtuously : when I was 20 my father ( physician ) gave me some memory boost for my science exams , a natural molecule from the Ginkgo Biloba tree ( I's called tanakan in France ) . While it did boost my memory & mind focus , I fount that 2 weeks of treatment gave me a guitar dexterity and speed I never felt before. I told it to my father and he laughed ; yes son , this medecine is also taken by violin virtuosos to increase their skills , this is a well know side effect. if you're interested in speed , it's really impressive, but you have to work it out daily, It won't make you play like Yngwie if you don't practise.


    thx again


    Renaud.

  • Mhhh... As a nutritionist and a personal trainer, I tend to not use, prescribe or advise about such substances.


    Like jinseng, coffeine and the like it's a stimulating molecula, whose action lasts as long as the blood concentration is high: since they're not able to induce a steady modification either in the tissues' metabolism or phisiology, they are not actually improving your abilities, but act like a drug (doping). The effect is based on different actions, but it would be a bit like drinking 7-8 coffees in order to feel more active or productive: not something you might want to do on a regular basis.
    Besides all, the class of moleculas stimulating hormons (like adrenaline, noradrenaline) tend to stress the body on the long run, like any exciting substance.


    I don't think ginko biloba would hurt a health person if seldomly taken (say once every several weeks), it's just that it's not able to actually improve performance or health, like other products can do.

  • started typing on a computer keyboard ( if you can call a ZX81 a keyboard LOL) by the age of 11


    Ah, funny!


    The first "micro" computer I have ever touched was an Osborne 1 and I was hooked...


    The first computer I bought was a Sinclair ZX81 in 1981 and was 11 also. I paid for it by cleaning up my room and passing the vacuum in the house when I was a kid.
    Needless to say that no one, even my parents, knew WTF I would be doing with that thing.


    I still have the ZX81 actually with the 16KB add-on. ;)
    I thought that I could never use all that memory space at the time... ^^



    As far as the punching bag goes, I would avoid it... It's a pretty violent warmup let's just say.


    Cheers,


    Marc.

  • Mhhh... As a nutritionist and a personal trainer, I tend to not use, prescribe or advise about such substances.


    Like jinseng, coffeine and the like it's a stimulating molecula, whose action lasts as long as the blood concentration is high: since they're not able to induce a steady modification either in the tissues' metabolism or phisiology, they are not actually improving your abilities, but act like a drug (doping). The effect is based on different actions, but it would be a bit like drinking 7-8 coffees in order to feel more active or productive: not something you might want to do on a regular basis.
    Besides all, the class of moleculas stimulating hormons (like adrenaline, noradrenaline) tend to stress the body on the long run, like any exciting substance.


    I don't think ginko biloba would hurt a health person if seldomly taken (say once every several weeks), it's just that it's not able to actually improve performance or health, like other products can do.


    totally agree with Gianfranco. I'm a nutritionist and trainer myself and, apart the first years of tendonities in which I didn't know how to handle them, I never used pain killers or similar. the simple reason is that they turn off the only alarm I have to figure out a solution: the pain. pain is an alarm from the body that requests an investigation. if I turn it off there won't be no way to know what worked and what didn't.


    clearly, if I have to do something and need to stay painless, then, but only in case of emergency, I can kill the pain.


    anyways.....as said, in my experience the most majority of the tendonities were caused by the vibration of the hammering fingers on the fretboard. more strenght = more vibration =more danger of hurting the tendons.


    so a guitar player should really learn that no matter how strong he/she hammers the frets, when the max volume is achieved, all the unnecessary strenght will cause excessive vibration that will be spread along the fingers.


    similar things happen when you run: impact vibration, this time on the ground. similar with tennis (as a matter of fact most tennis rackets have the so called vibrastop to dissipate the ball/racket impact).


    so, fisrt thing for me was to learn to play with less strenght in hammering when playing legato and tapping. speed, agility and finger stretch while playing never got me to tendonities. this is why I always advice to use alternate picking licks to warmp up, because the note strenght is given not by hammering but by picking.


    michael

    "...why being satisfied with an amp, as great as it can be, while you can have them all?" michael mellner


    "Rock in Ecclesia" - new album on iTunes or Google music

  • Wow, disn't know we were colleagues :thumbup:


    We should definitely try and spend some time in front of some beers... And/or some profiles :D


    Anyway, enough with the wiKPA... I think I'm going to get a brand new signature 8)