Orthopedics and traumatology

Wrist tendonitis, the ailment that attacks child gamers


Spending hours sitting in an armchair in front of the television or the computer playing Fornite, Minecraft or FIFA has serious consequences for the health of children and can lead to back pain and what is not back pain. The addicted to video games, better known as gamers, they cannot support their back against the backrest due to the adrenaline that the game generates, so they bend and get closer and closer to the screen. And it is not the only thing, being all the time repeating the same gestures with the hand, they suffer wrist tendonitis.

Tendons are a collection of collagen fibers, small blood vessels, and other elements that connect muscles to bones. If tendinitis or tendinosis occurs, (which is a non-inflammatory process but of a more degenerative type), the collagen fibers become "disoriented", disoriented, vascular changes occur, and the nervis nervorum become irritated. All this increases the pain, the weakness of the tendon, and facilitates its rupture.

Initially, tendonitis usually improves with movement. As it gets worse, they also bother making the gesture, causing a limitation of mobility, and finally they hurt constantly even if the specific area does not move. In acute cases, the pain increases more at night.

Tendinitis occurs when the tendon and sometimes nearby areas become inflamed for different reasons, which we will detail later. Inflammation is the mechanism that starts the body to try to repair the damaged area.

It is important that a good inflammatory process takes place so that a good repair of the tendon takes place. If we block the inflammation at its onset, the first 6.7 hours, we will be achieving that the quality of tissue repair is not optimal. The problem with inflammation is that it becomes chronic over time.

- Overload due to very repetitive gestures, excessive use and little rest, which generates repetitive microtrauma in the tendon.

- Bad execution of the movement or sports technique in question. Example, incorrect grip of a racket or, in our case, bad ergonomics on the computer, excess arm tension when clicking or holding the mouse, etc.

- Postural imbalance. Sometimes we have a lack of coordination between a muscle group and its opposite. We present more strength, tension or stiffness in some and a lack of activity in others, with which the body is forced to compensate by increasing the tension or demand on different muscles or tendons.

- Cervical or upper back problems, which alter the musculature of the upper limb.

- Visceral problems. Bad digestions, reflux, gas, constipation ... A viscera that does not work well, reduces its vascularity and can create painful reflections in other distant places.

- Metabolic causes and poor diet. The presence of diabetes greatly increases the likelihood of developing tendonitis, as sugar increases the stiffness of collagen.

- A food based on processed, Refined flours, trans fats, low-quality dairy, consumption of sausages and a lot of red meat, alcohol and deficient in vegetables, fruits, fish and healthy fats, increases the basic inflammation of the body, making us more prone to suffer from many disorders.

- Use of certain medications. Some antibiotics, statins or aromatase inhibitors, can worsen the quality of the tendon.

The wrist tendonitis more frequent is the call De Quervain. Here the tendons and sheaths of the separator and extensor muscles of the thumb become inflamed.

It is very typical of people who spend many hours in front of the computer, mothers who have just had a baby, cleaners, gardeners ... All actions that involve repetitive movements of the hand or wrist.

This tendinitis causes pain around the thumb and its muscles, the wrist and even the forearm, and causes discomfort when making movements with the thumb such as grasping or stretching these tendons.

An exercise that bothers, but goes very well to stretch and mobilize the tendons within their sheath is the one that we can perform ourselves, grasping the thumb with the rest of the fingers of the hand, placing the elbow at a 90º flexion, hitting the anterior face of the forearm to our side, and making a movement of the wrist of "ulnar deviation" (as if you wanted to bring the little finger towards the ground).

This stretch must be done until we feel tension and we will keep it at least a couple of minutes. If the discomfort goes away in less time, we can increase the stretch a little more, and maintain other minutes in the new position.

To avoid chronic tendonitis, we recommend physiotherapy and osteopathy treatment in the early stages. The longer this condition lasts, the more structures it involves, the more fibrosis occurs and the longer it will take to recover.

The physical therapist will make a diagnosis to try to discover the origin of the tendinitis and will treat the neck, spine, diaphragm, arm or visceral system of the patient if it is related to tendonitis.

At the beginning, stretching, gentle mobilization and isometric contractions of the muscle will be performed without forcing (it contracts without any joint movement), then we will go on to perform isotonic exercises and we will end up doing eccentric exercises in the last recovery phase (where the muscle is activated when is in stretch). Through the controlled tensioning of the tendon, we achieve the synthesis of collagen.

When there is a lot of inflammation, we use manual lymphatic drainage techniques, myofascial techniques, electrotherapy, and we can help ourselves with appliances such as INDIBA (A radiofrequency that helps us improve the tendon both in the acute and chronic phases, depending on how we use the different frequencies and intensities and resistive or capacitive mode).

EPI (percutaneous intratissue electrolysis), despite being an invasive technique, also offers very good results in chronic tendinopathies. It consists of introducing a galvanic current into the tendon, using an acupuncture needle that activates tissue repair.

Another technique used in tendinitis is CYRIAX or deep transverse massage. It consists of making a deep friction without cream or oil, so as not to slip on the skin, perpendicular to the tendon, making passes to one and the other side of it. It is kept for a few minutes, according to the tolerance of the patient. After this we will not put ice, since what is intended is to favor the rearrangement of the collagen fibers in the correct direction and break adhesions.

This treatment by a professional can be complemented with certain guidelines to follow:

- He Total rest It is not recommended, since immobility hinders the work of the lymphatic system, which is essential to eliminate substances that accumulate in the area of ​​inflammation and produce more tissue rigidity. But relative rest is necessary to improve the pathology.

- Carrying weights should be avoided, and perform the repeated movements that cause the discomfort as much as possible.

- The latest studies suggest that anti-inflammatories are not indicated either, (except in specific cases), since they interfere with the inflammation-resolution mechanism and, although they seem to speed up recovery, there is a worse healing of the tendon fibers.

- Regarding the use of ice, It helps to reduce pain since it reduces inflammation, but it seems that it also interferes (although less than anti-inflammatories), in the recovery of collagen fibers, producing a smaller size of regenerated muscle fibers with its use.

- A practice that does not interfere with the normal process of inflammation is the old egreen or red clay plaster. It consists of mixing clay with water and leaving them for several hours in the inflamed area. On top we put a cloth and roll it with transparent film.

-To improve the inflammatory process we can aueat quality fats(avocado, oil from seeds of first cold pressing, fatty fish ...) that contain GLA, DHA, EPA ... and will produce lipoxins, resolvins, protectins that help to resolve inflammation.

- We can help form collagen by supplementing vitamin C, consuming foods that contain it, or taking amino acids such as glycine or proline, present in the gelatin that is produced when the skin is cooked, bones, tendons or ligaments of cattle or fish.

You can read more articles similar to Wrist tendonitis, the ailment that attacks child gamers, in the category of Orthopedics and on-site traumatology.

Video: The Dr. Levi Show #33: Social Media Q u0026 A. Gaming, Fitness u0026 Thumb Health (September 2020).