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Wednesday, July 11, 2012


Medial epicondylitis lateral epicondylitis and carpal tunnel syndrome in Guitar - same cause

This is a common question that we get regarding golfer's elbow:

'Hello, before I order, I was hoping you could address M.E. I guess it is called golfer's elbow I got my condition through lots of guitar playing. Is there a separate exercise for this inside elbow injury.'

This is a very important question for guitar players and other grip activities because it really tests the way that we look at any kind of repetitive injury. What I mean is that we look specifically at tissue that hurts or is symptomatic, but we have a tendency to stop their and not look at underlying cause. Any imbalance at the elbow, whether medial (golfers elbow) or lateral (tennis elbow) epicondylitis, is due to an imbalance of the muscles that flex the hand and wrist and the muscles that extend the hand and wrist.

The component that is most commonly missed by guitar players, commoners as well as therapists is the fact that, in repetitive grip activities, the finger and thumb flexor muscles are commonly flexed through their full range of motion, whereas the very important finger and thumb extensor muscles are not. The result is an imbalance between the 'pulleys' on the front of the hand wrist forearm and elbow and the 'pulleys' on the back of the hand wrist forearm and elbow. In other words it is not a fair fight. The result is imbalance at the joints of the hand, wrist and elbow.  Of course, this imbalance in the supportive structures results in hand, wrist and elbow imbalance.

Another common result is a shortening of the transverse carpal ligament as well as the transverse carpal arch which leads to carpal tunnel syndrome.

In a simple hand muscle balance scenario I have mentioned medial epicondylitis (golfers elbow), lateral epicondylitis (tennis elbow), and carpal tunnel syndrome all in the same breath. This is because the core cause of these conditions is muscle imbalance due to chronic repetitive gripping. These are not the only conditions caused by repetitive gripping, but they are the most well known and often the most debilitating. 

So in addressing the question of specific exercises for medial epicondylitis, it is vital to see that the corrective exercises necessary for full recovery from medial epicondylitis or golfers elbow is the same as the corrective exercises necessary for full recovery from lateral epicondylitis or tennis elbow and carpal tunnel syndrome. These are the exercises but trainer should be recommending for maximum performance and maximum injury prevention as well.

Traditional hand strengthening philosophies have somehow favored coiled grippers and spring-loaded grippers to the detriment of the athlete musician and worker. these facilitate small range of motion flexion only.

Handmaster Plus allows anyone who works or plays in the repetitive grip environment to easily offset the chronic acquired imbalances that cause medial epicondylitis (golfers elbow), lateral epicondylitis (tennis elbow), and carpal tunnel syndrome. Al in one easy motion. Balance the muscles that open the hand with the muscles that close the hand and you will rarely see these three conditions. Nothing could be easier. The exercise principles are very simple.

Handmaster Plus allows anyone to accomplish this in one continuous exercise the can be done anywhere. Click here for more information on Handmaster Plus hand strengthener to prevent and rehabilitate golfers elbow, tennis elbow, and carpal tunnel syndrome.

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Great post. This article is really informative and helpful. Thanks.
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