Drummer\u2019s tendinitis of the wrist is a common problem for drummers due to repetitive hand and wrist movements associated with drumming. It may occur in musicians who play for long periods of time without rest.<\/p>\n
This injury involves an inflammation of the extensor pollicis longus tendon that runs along the back of the wrist, closest to the thumb side.<\/p>\n
Any repetitive action from a non-ergonomically correct position that entails movements of the thumb and wrist to the \u201cthumbs-up\u201d position can put strain on the long tendon to the thumb. In extreme cases of drummer\u2019s tendinitis, tenderness, pain, and attritional tearing can occur.<\/p>\n
Signs and symptoms of drummer\u2019s tendinitis tend to occur at the point where a tendon pivots around a bony prominence near the wrist.<\/p>\n
Many patients develop tendinitis because their jobs or hobbies involve a repetitive set of motions which stresses the tendon to the thumb with concomitant motion of the wrist.<\/p>\n
Musicians playing any instrument in the band and orchestra can suffer from a variety of different tendinitides of the hand, wrist, and forearm. Drummers and trombone players seem to suffer the most from these overuse syndromes.<\/p>\n
Although tendinitis can be caused due to a sudden injury, it is more likely to develop from repetitive movement over prolonged periods of time.<\/p>\n
When the tendon becomes irritated and overloaded, the tissues begin to swell and inflame. This will normally begin the process of healing, however, if the movement that caused its injury continues, attritional tearing can occur.<\/p>\n
If the swelling constricts the tendon within its bony-ligamentous tunnel, pain, and loss of motion occur. Over time, this can develop into tendinitis of the wrist of even tearing.<\/p>\n
Ergonomic analysis and improvements to the musician\u2019s technique without detracting from their excellence may be useful to prevent future injury.<\/p>\n
Mild cases of drummer\u2019s tendinitis can be treated with rest, splinting and non-steroidal anti-inflammatories. If the pain is acute, players should seek immediate medical intervention.<\/p>\n
If your hand surgeon gives you clearance to move forward with conservative treatments, you should:<\/p>\n
Patients can begin early controlled motion to ease their wrist back into daily activities and practice.<\/p>\n
The treatment of tendinitis of the wrist depends on the severity and duration of the condition.<\/p>\n
Surgery is infrequent. Generally, the outpatient procedure entails rerouting the tendon to reduce pressure and improve its blood supply. There is a short recovery period. Chronic cases may require tendon repair or reconstruction with a greater need for occupational therapy.<\/p>\n
Tendon decompression or repair are generally successful in returning the musician back to work. The sooner patients receive care the simpler the nonsurgical or surgical may be, and the easier the recovery. Physical therapy is recommended in order to maximize mobility and comfort.<\/p>\n