Tendinites et Douleurs du Violoncelliste

1. Haut du bras 

2. Coude

3. Poignet

4. Nuque

5. Entre les omoplates

1. Tendinite
2. Le syndrome d'"oversuse"
3. La bursite

• Ergothérapie 
• Sophrologie 
• Feldenkrais 
• Qi Gong 
• Hatha yoga (fait plus lentement que le yoga Vinyasa, les poses de Hatha yoga sont tenues plus longtemps, permettant plus d'étirements et de renforcement musculaire.

• échauffement avant de commencer à jouer 
• apport alimentaire riche et sain
• boire de l'eau régulièrement - thé blanc +
• considérer un renforcement musculaire (gainage)
• en période intensive, se faire masser pour relâcher les muscles
• faire des pauses régulièrement
• légers étirements en coordination avec la respiration. 

Je suis convaincue que l'intégration de biomécanique dans la pratique du violoncelle est un domaine clé dans le développement du jeu du violoncelliste. Les coups d'archets, les mouvements de la main gauche et des doigts ont un mouvement créé par des leviers, c'est pour cela que nos douleurs au violoncelle ont principalement une cause mécanique.

Mouvement optimal = Technique optimale

N'hésite pas à prendre rendez-vous et nous établirons ensemble un plan de travail.

J'ÉVALUE MES BESOINS

:

• Lateral Epicondylitis Tendinitis & Tendinosis

• Medial Epicondylitis Tendinitis & Tendinosis

• Rotator Cuff Tendonitis & Tendinosis

If you do not find the cause of the pain, yes. 

When a tendinitis becomes chronic, there may be restriction of motion of the joint due to scarring or narrowing of the sheath of tissue that surrounds the tendon (see tendonosis below).

There is no "easy fix"but do not think you will lose time, it is the opposite! You will get a stronger technique and better sound after the healing a rehab process.

Overuse syndrome happens to professional cellists after an intensive and very demanding practice, recordings, competitions or performance activity. In the best case, it will go away with rest, a lot of water, diet, and good sleep. But be careful with tendinosis.

 There is a common misconception that symptomatic tendon injuries are inflammatory; often are mislabeled as “tendinitis.*

.

What is a tendinosis?

Tendinosis is caused by chronic overuse of a tendon. The most common overuse tendinopathies in cellists involve the rotator cuff (shoulder joint), medial and lateral elbow epicondyles.

It can occur in cellists:

• who practice vigorously without enough rest in between practice sessions
• whose tendinitis is left untreated
• with a posture issue
• with tight calf muscles

Most patients with overuse tendinopathies (about 80 percent) fully recover within three to six months, and outpatient treatment should consist of relative rest of the affected area, icing, and eccentric strengthening exercises. Although topical and systemic nonsteroidal anti-inflammatory drugs are effective for acute pain relief, these cannot be recommended in favor of other analgesics. *

• resting the affected tendon
• taking a break every 15 minutes
• applying ice for 15 to 20 minutes, several times a day
• tape for support of the affected tendon
• performing light stretching exercises
• moving the affected area through its natural range of motion to prevent shortening of the related muscles and increase circulation
• physical therapy, posture work
• strength training
• massage
• nutrition, including vitamin C, manganese, and zinc for the synthesis of collagen production *

• physical therapy, posture work
• strength training
• resting the affected tendon
• taking a break every 15 minutes
• applying ice for 15 to 20 minutes, several times a day
• taping - for support of the affected tendon
• performing light stretching exercises
• moving the affected area through its natural range of motion to prevent shortening of the related muscles and increase circulation.
• massage
• nutrition, including vitamin C, manganese, and zinc for the synthesis of collagen production *

Collagen is a general term for structural proteins in the skin and connective tissue.

Food sources of collagen include the following:

Fish, Chicken, Egg whites, Citrus fruits, Berries, Red and yellow vegetables,  Garlic, White tea, Leafy greens, Cashews, Tomatoes, Bell peppers,  Beans,  Avocados, Soy, Herbs high in collagen (Chinese knotweed, horsetail, gynostemma), Herbs that help to produce collagen (gotukola, bala, ashwagandha). *

"since collagen cannot be absorbed and is broken down into amino acids when consumed, the consumption of collagen does not guarantee that any new collagen will be made."

What about collagen supplements?

"Most collagen supplements undergo hydrolyzation to form hydrolyzed collagen that makes it easier to absorb and turn into tablets, capsules, and powders. Some supplements are infused foods that are drinks and/or edibles injected with collagen. Ingesting more than 20 grams per day may be harmful according to some dieticians."

Even though it was the tendon was inflamed, the true cause was the musculature. This is why you will have to re-educate.

Good posture puts the neck, head, shoulders, and thorax in the ideal position for muscular efficiency.  It also ensures that the weight is distributed correctly and that the forces placed on each structure are tolerated.

It takes a lot of patience and observation but there is no alternative solution.