I recently ran into a great blog for classical guitarists, for whom I have the utmost respect (and strong hint of jealousy as a wannabe guitarist, especially picker). Classical guitar is beautiful, difficult to learn and can be challenging on the body, especially the hand, carpal tunnel wrist and elbow... all due to repetitive gripping. When I see classical guitarists not understanding the finger exercise application of Handmaster Plus as a MUST-HAVE training aid to keeping them strong, performing well and preventing injury, I have to comment... otherwise carpal tunnel syndrome and tennis elbow will continue to run rampant.
I have been working with repetitive grip injuries for 20+ years. If you play guitar, you WILL develop finger muscle imbalance - it is simply a fact relating to the mechanics of gripping. If your technique is better, the imbalance may be less. Regarding carpal tunnel syndrome, there is a basic muscle imbalance at play here which will be shared by ALL guitarists. Several of the intrinsic finger muscles that contract repetitively in both the cording hand and picking hand are attached to the transverse carpal ligament, the roof of the carpal tunnel. There is nothing to offset the shortening of these small muscles and thus the space within the carpal tunnel changes and pressure within the carpal tunnel increases putting the median nerve at risk. Strengthen the muscles that oppose flexion (grip) and you remain strong, healthy and in balance. It is not an emotional topic to me, just factual. I used to see musicians come in over and over with this same simple muscle imbalance displaying as carpal tunnel syndrome or tennis elbow mostly - and yet no one in the music industry to this day has any idea of what to do except 'treat' the symptoms (rest, ice, cortisone, etc). It appears that no one (other than my group) has worked to understand the imbalance itself. It is not complicated. It is the same imbalance seen in repetitive-grip athletes and workers for over 20 years.
We used to give patients multiple exercises (elastic bands, grippers, etc.). But they would not resist accurately through full ROM's and the patient wouldn't find time or wouldn't remember them. Now since developing Handmaster Plus, the musician will easily be able to exercise all 18 hand muscles (the 9 that close AND the 9 that open the hand) through full natural ROM's in one easy, continuous exercise. Muscle balance couldn't be easier. The only barrier to proper training for the hand, wrist and elbow NOW is the musician or poor advice.
Do not misunderstand, Handmaster Plus is a 'training tool' and a 'rehabilitation tool', not a stand alone treatment tool. It is designed to maintain balance, prevent injury or rehab/rebalance injuries (after proper treatment). If you are have acute pain Handmaster Plus is not meant as a panacea in place of a health care professional. See your doctor for acute treatment - and then advise them about using Handmaster Plus as a complimentary rehab and rebalancing exercise after treatment protocol. In other words, SO IT DOESN'T DEVELOP AGAIN! Most doctors do not understand the mechanics of grip or the cause of carpal tunnel syndrome and tennis elbow. If they did this simple flexor vs extensor muscle tone imbalance would not be such a neglected issue and musicians would understand and act accordingly. When I see musicians say to visit a doctor and not use Handmaster Plus, I find it humorous. Repetitive grip activities CAUSE muscle imbalance. If you do not think for yourself and learn about your body (in this case the interplay between the grip muscles and the hand opening muscles (the grip stabilizers), you will never understand this imbalance and always be chasing your symptoms. You must offset this inherent muscle imbalance if you expect to stay healthy and strong, play well and prevent injuries from classical guitar. Keep in mind the flexor/extensor muscle balance issue is also at the root of most classical guitar elbow, wrist, finger and thumb problems as well - so it is no small subject if you are serious (which I find most classical guitarists are!). Thanks for the opportunity to speak on this most vital muscle imbalance. I hope I can influence classical guitarists toTHINK and train properly BEFORE this conversation so that they likely never enter it. Your performance and injury risk are both at stake. Feel free to ask me any questions at info@doczac.com or visit www.handmasterplus.com for more information.

Labels: carpal tunnel, classical guitar, finger exercise, Handmaster Plus, repetitive grip, tennis elbow

Labels: boxer, boxing, finger exercise, grip strength, hand exercise, rehabilitation

1. Is the hand moving through all ranges of motion, both opening & closing?
2. Is the hand moving naturally, in 3 dimensions?
3. Are all peripheral nerves to the hand being stimulated (median, ulnar & radial)?

 

Handmaster Plus™ Practice Applications:

	Summary	Why Handmaster Plus?
1. Carpal Tunnel Syndrome	Repetitive flexion activity resulting in shortened and/or inflamed flexor tendons is most often causative. Bone & joint alignment are affected. Muscular imbalance and/or swelling precipitate a decrease in the space of the carpal tunnel. Median nerve pathology results.	1. Equalizes the ratio between flexor and extensor muscle strength.  2. Strengthens finger and thumb abduction. 3. Increases blood flow and lymph drainage through the CT. 4. Exercises muscles through full, natural planes of motion.
2. Lateral Epicondylitis (Tennis Elbow)	Overuse or direct injury occurs to the tendon(s) of a finger and/or wrist extensor muscle at its origin, the lateral epicondyle (of the humerus). Weakness and/or  tendon pathology (usually avascularity) is often causative.	1. Strengthens all finger extensor AND wrist extensor muscles (see tennis elbow exercise). 2. Equalizes the ratio between flexor and extensor muscle strength.  3. Increases blood flow and lymph drainage. 4. Exercises muscles through full, natural planes of motion.
3. Medial Epicondylitis (Golfer’s Elbow)	Overuse or direct injury occurs to the tendon(s) of a finger and/or wrist flexor muscle(s) at its origin, the medial epicondyle (of the humerus). Weakness and/or  tendon pathology (usually avascularity) is often causative.	1. Strengthens the finger flexor muscles. 2. Equalizes the ratio between flexor and extensor muscle strength.  3. Increases blood flow and lymph drainage. 4. Exercises muscles through full, natural planes of motion.
4. Osteoarthritis	Many varying causative factors for joint inflammation including overuse, traumatic, metabolic & genetic origins. Painful swelling, nodules & reduced ROM are common physical findings.	1. Increases blood flow and lymph drainage to/from cartilage. 2. Improves range of motion.      3. Exercises muscles through full, natural planes of motion. *Begin by using soft product & progress as indicated. If patient cannot perform basic exercises with soft product, discontinue.
5. Osteoporosis	Decrease bone density resulting from factors such as metabolic factors, sedentary lifestyle, aging and poor diet. Fracture potential resulting from minor trauma is greatly increased.	1. Resistive exercises stimulate increased Ca+/element absorption and bone formation ,Wolfe’s Law 2. Increases blood flow (O2 & nutrients) and lymph drainage. 4. Exercises muscles through full, natural planes of motion.
6. Circulation/ Post-mastectomy, / Reflex Sympathetic Dystrophy/ Raynaud’s Disease	General group of conditions resulting in a reduction of normal blood flow to the hand, wrist and forearm.	1. Stimulates an increase of blood flow and lymph drainage to the area.
Repetitive Stress Injuries (RSI’s)	Repetitive, imbalanced daily actions result in overuse, tissue imbalance and/or injury. Ergonomic and wellness exercise principles are generally ignored. Workers are physically not prepared for their workload.	1. Equalizes the ratio between flexor and extensor muscle strength (strength & balance). 2. Increases blood flow and lymph drainage to the area. 3. Exercises muscles through full, natural planes of motion. 4. It is a complete, convenient and cost-effective workplace injury solution. Everyone happy.
Neuropathy/ Stroke Rehabilitation/ Nerve Palsies/ Spinal Cord Injury/Intention Tremor/ Parkinson’s Disease	Many causative factors result in an interruption in the conduction or coordination of nerve messages to cells, tissues (especially muscle) & organs.	1. Classically, putty or sponge balls are used in rehabilitation. The radial nerve is not stimulated unless extension & abductor muscles are used. Handmaster Plus™ stimulates ALL peripheral nerve roots. *Begin by using soft product  & progress as indicated.
Injury, Sprain & Fracture Rehabilitation/Post-Surgery Rehabilitation	Sprains & fractures are generally not rehabilitated and instead left to heal without thought of scar formation & ROM recovery. Post-surgery cases usually include very little or no follow-up exercise program. Any post injury/surgery exercise is usually limited to putty or a squeeze ball.	1. Exercises muscles through full, natural planes of motion. 2. Ensures blood flow and lymph drainage for prevention of chronic adhesion. 3. Equalizes the ratio between flexor and extensor muscle strength, ensuring optimal ROM & recovery.
Athletic Performance Enhancement & Injury Prevention	Generally accepted principles in athletic training involve strengthening reciprocal muscle groups and preparing the body completely for competition. Any edge that can be given to the athlete increases the chance of success. Many sports are based on daily repetitive gripping in competition, practice and training.	1. The only product to strengthen finger/thumb extension and abduction (7 muscles previously neglected). Increase speed, control & stamina of muscles that open and spread the hand. 2. Equalizes the ratio between flexor and extensor muscle strength, ensuring optimal performance and injury prevention.
Musician Performance Enhancement & Injury Prevention	Stamina, coordination, range of motion and injury prevention are all important for musical performance and longevity. Many musical pursuits are based on daily repetitive gripping in competition, practice and training.	1. The only product to strengthen finger/thumb extension and abduction (7 muscles).                2. Equalizes the ratio between flexor and extensor muscle strength, ensuring optimal performance and injury prevention.
DeQuervain’s Syndrome	Caused by repetitive motion where the thumb is constantly being required to move up and down - such as when using a computer keyboard or typewriter.	1. Equalizes the ratio between flexor and extensor muscles. 2. Increases blood flow and lymph drainage to the area. 3. Strengthens thumb extensor and abductor muscles.

Labels: carpal tunnel, finger exercise, hand exercise, hand strength, Handmaster Plus, lateral epicondylitis, tennis elbow