Archive for the ‘Miscellaneous’ Category

How to tell the difference between arthritis and tendonitis

Saturday, April 16th, 2011

The initial symptoms of arthritis and tendonitis can feel very similar, so here's an easy home-diagnosis way to tell the difference: try taking glucosamine for two weeks. If it helps, you likely have osteoarthritis. If not, it's more likely a tendon problem.

What's the reasoning here? Glucosamine (often packaged with MSM and/or chondroitin) has been shown in quite a few scientific studies to help with cartilage formation. Cartilage is what your joints are made of, and what arthritis attacks, so upping the rate of production in turn helps your joints. End result: you feel better...if you have arthritis.

On the other hand, glucosamine will not help with collagen formation, and tendons are made of collagen. So it stands to reason that if you feel like you have "joint pain", take glucosamine, and don't experience any relief, one very likely culprit could be your tendons. (Tendon insertion points are often very close to joints and it can be difficult to tell exactly where the pain is coming from.)

Taking NSAIDs, using ice and so on can provide temporary relief for either condition, but since both arthritis and tendonitis are both the result of inflammation, using these treatments won't help you distinguish between the two. And knowing which one you have is of course very important if you intend to treat the condition yourself.

If you do decide that you have a tendon problem, however, and you've had your pain for more than a couple of weeks, I caution you against assuming that the issue is tendonitis. More likely it's tendonosis, which is an actual degeneration of the tendon. (This is especially true if you take NSAIDs and they don't help.) If you think that this might be your problem, have a look at my tendon test. It'll only take a minute, is completely free, will tell you whether you have tendonitis or tendonosis, and give you some options about what to do about it.

Nutrition for tendon pain

Saturday, April 9th, 2011

I recently received a question from someone who purchased Target Tendonitis. He asked about the advisability of fasting if you have tendonosis.

Although fasting can have some beneficial effects, I do not advise anyone who is suffering from tendon or fascia problems to do it. The reason is simple: your body needs nutrients to heal itself, and if you're fasting you're not providing it with the basic "stuff" that's necessary to do the job. I recommend some nutritional supplements in the book, but these recommendations are based on the assumption that your basic nutritional needs are already being met. If they aren't, the supplements aren't going to do you much good by themselves. A diet that is lacking in vitamins, minerals or protein (to say nothing of all three at once!) is going to pose serious, serious problems when it comes to healing your tendons.

Assuming that your basic diet is okay, one thing you can do to help heal yourself if you have tendonosis or fasciosis is get a good kelp supplement and take it regularly. Kelp contains iodine, which is helpful for the formation of collagen, the basic building block of tendons and fasciae. My favorite out of the products listed on Amazon is Icelandic kelp, which is harvested during the cold months and washed in high-mineral fresh water, which adds further minerals to the already good mix that kelp naturally contains.

Note, however, that just taking a supplement isn't going to be enough to cure yourself if you have long-term tendon pain. Anything over about two weeks is most likely going to be tendonosis, not tendonitis (I know, I know, but believe me, your doctor is wrong. Do the research yourself and see.), and in that case the collagen fibers in your tendon have become either bunched or damaged to the point that they are going to require actual realignment in order to work properly. This is what the exercises in Target Tendonitis provide (along with a lot more detail about the nutritional side of things), and why it has such a high success rate for people who haven't seen much effect from nutritional therapies alone. A combined, holistic approach works much more quickly than any single measure.

A REAL Cell Phone Problem

Thursday, February 17th, 2011

I've written about cell phones before and the tendency for power users to develop tendon problems in their thumbs. But my friend Mike Geary has put together an article about another problem that men who keep cell phones in their pockets may develop, and believe me, it's a lot worse than a sore tendon!

Mike is the guy behind The Truth About Abs, which has been sold in something like 160 countries (if you're interested in firming up your midsection it's an excellent program), and he's been delivering good information about fitness and health for over half a decade now. The article on the other side of this particular link is based on some information given by Tim Ferriss, (of The Four-Hour Workweek fame) in his new book The Four Hour Body. Ferriss enjoys using himself as a human guinea pig, and while his methods are certainly unorthodox, I can attest from personal experience that they work. If you carry a cell phone in your pocket, male or female, you definitely want to take a few moments and read what he and Mike have to say.

Capsaicin for tendonitis

Friday, December 3rd, 2010

I've been seeing a lot of talk around the internet lately about using capsaicin to relieve or cure tendon pain. The idea is that, applied topically, capsaicin will activate the pain nerves, but then make them less sensitive (through an overload effect), so as to reduce the overall amount of pain.

For example, this site says:

Capsaicin “numbs” the sensation of pain in joints affected by tendonitis. This effect occurs from capsaicin blocking the production of a neuropeptide named substance P, which is responsible for the sensation of pain.

and then lists this study as their reference: Deal, C. L. The use of topical capsaicin in managing arthritis pain: A clinician's perspective. Seminars in Arthritis and Rheumatism. 23(6):1994;48-52, 1994. I won't comment on the blockage of substance P, but I will say that this site doesn't know what it's talking about when it comes to tendons. First, tendons aren't joints; the structures are completely different (collagen vs. cartilage). So the fact that something that works in a joint has absolutely no bearing on tendons, and talking about "joints affected by tendonitis" is simply wrong. Second, the study is about arthritis pain, not tendon pain. Sorry, but those are different, too.

So, one argument down. Another is that applying heat to a painful area can produce relief. There may be some merit to this idea. After all, people use hot-packs all the time. But the problem (as I mentioned in my post about menthol and tendon pain) is that capsaicin doesn't produce any real heat. Sure, you'll feel like something's on fire, but no actual increase in temperature occurs. The capsaicin just causes your body's heat sensors to react as though there was real heat.

To put it bluntly, capsaicin for tendon pain is a bad idea. Icing a tendon can be a good therapy for tendon pain that's not too severe and hasn't been around for long, but even that won't be effective for persistent tendon pain. Heat...well, heat just isn't on the scientifically-verified menu -- not even real heat. Also, there is absolutely no research showing that topical capsaicin creams and so on are effective, and anecdotal reports of trying to rub chili powder and so on directly onto the skin usually end badly.

If you have persistent, long-term tendon pain, it's a good bet that you don't have tendonitis, but tendonosis, and neither heating nor cooling is going to help much. Long-term pain usually means tendon degeneration, and for that you're going to need some targeted exercises and a good nutritional strategy to rebuild the affected area. Target Tendonitis provides both, and comes with a 60-day money-back guarantee.

Stretching for tendonitis

Friday, November 19th, 2010

Let's talk about stretching.

Stretching your muscles is just a good idea all the way around. But there are a lot of people out there who talk about stretching the tendons as well. With tendons the possible benefits of this are less clear, and unfortunately it's pretty much impossible to stretch a muscle and not stretch the tendons that are connected to it at the same time.

Muscles work by contracting lots of fibers, each of which contains smaller fibers within them, and each of those smaller fibers contains even smaller fibers within them. Furthermore, these fibers have a bit of elasticity to them. When you use your muscles, these fibers contract 100% (not all of the fibers at the same time, of course; just enough to get the job done) and then they relax. So you've got muscle fibers sliding along each other on at least three different levels of size if you're doing anything more strenuous than lifting a piece of paper.

Sometimes your muscles develop adhesions, which is basically some of the fibers sticking together so that they don't slide properly, and failing to release. These sticking points can get really painful if left untreated, and stretching after exercise (and just on a daily basis in general) goes a long way toward preventing this.

But now let's look at tendons. Tendons are made up of collagen, which is a completely different structure. It attaches your muscles to your bones, and is less elastic. There have been a lot of studies done on the effects of stretching tendons before exercise, and the results are unclear. In some sports it seems to help performance and prevent injuries, and in others it doesn't. Basically, it breaks down to the type of sport that you're doing. If you engage in something like American football or soccer, which is pretty high-impact, stretching seems to help. If you're doing something low-impact, like swimming or cycling, then it may actually detract from performance, because in these sports you want the muscle power to be transmitted directly to the pedal or whatever. Having a stretched and elastic tendon makes this less efficient.

So what should you do? Well, here are some recommendations:

1. Unless you're doing something that's high-impact, warm up by performing light movements of the same type that you're going to be doing when you exercise. So for swimmers mimicking the arm strokes before you get into the water would be a good idea.

2. Include foam rolling in your warm-up. Foam rolling is great for breaking up adhesions in both muscles and tendons. Most gyms have those cheap blue ones, and if you've never foam rolled before they will do the job just fine. (Foam rolling will likely hurt the first time you try it, so go slowly and lightly.) For more advanced athletes and/or those who have really stubborn adhesions, you can get this monster from Better Fitness Products:

RumbleRoller The RumbleRoller is a foam roller that's specifically optimized for myofascial release.

3. Save the stretching for the warm-down. You'll get all the benefits and none of the drawbacks doing it that way, and both your muscles and tendons will thank you.

Stretching is a great way to prevent tendon problems from occurring before they happen. If you already have tendonitis, however, much less long-term tendonosis, it won't be enough to cure you. So start doing it regularly today!

The 2nd Edition of TT is (finally!) here

Thursday, September 23rd, 2010

Back in April I mentioned that I was working on the next edition of Target Tendonitis. At the end of that post I said that the new edition would be ready in "another day or two".

Ha.

When I wrote that I thought that I had things pretty well covered in the first edition. And you know, I did... But then I went to read up on some of the newer research that's been going on, and one thing led to another, and April expired, and May (along with a few more months) came and went, and the more I got into it, the more there was to get into. But now - FINALLY - I feel like I've added enough not only to have caught up with the current state of the art (mostly in the nutrition section; the exercise recommendations haven't changed much), but also to justify calling this a Second Edition. (I make small changes on a regular basis, but this was a major overhaul.)

So what's new? Well, probably the most helpful part is the new FAQ that I've included at the end of the book. Readers have been asking questions along the way, and every time I get a question it makes me realize that something in the book needs to be explained a little more clearly, or that another piece of information needs to be added. And many of them have suggested additional content as well. For example, there's a great new exercise from a guy named Ed Horne who's a bass guitarist. Ed gave me permission to use his name in the book, and I'm really glad he did, because he's been through the wringer. If you play the guitar and think your tendon pain is bad, believe me, there's at least one guy out there who's had it worse. But his misfortune can benefit you, because he has tried "everything". And now you can have the benefit of his experience.

There are also more pictures, more particular recommendations that go to specific sports, more information in the nutrition section... Long story short, it's just a better and more complete book. So if you order now, you'll basically be getting a bunch of extra information for free. Better hurry, though... If Target Tendonitis was a great value before, now it's a steal! I don't know how long it's going to be before I raise the price.

To see if Target Tendonitis is right for you, why not take my quick (and free!) tendon test? It'll take less than a minute, and it will quickly and accurately tell you what sort of tendon pain you have.

Writer’s tendonitis

Tuesday, August 10th, 2010

Nadia Lee, an up and coming writer of romance fiction, interviewed me a few days ago for her blog. She'd been suffering from wrist and forearm pain (mainly minor RSIs stemming from too much typing and mousing) for a few weeks and -- after seeing a doctor and getting physical therapy for months -- finally got sick of it. Since I know her in real life I gave her some advice on how to get rid of her pain, as well as tips on how to manage the cause of the problem in the future.

While I don't give away any secrets in the interview, if you're a writer it might be worth your while to check it out.

Target Tendonitis now on Kindle!

Tuesday, July 27th, 2010

The title of the post pretty much says it all: due to the great response I've gotten for Target Tendonitis, I decided to create a Kindle edition. The Kindle version is exactly the same price as the regular ebook -- $19.97 -- but of course you don't need a computer to read it. If you order it from outside the USA, though, you'll be charged an extra couple of bucks because of Amazon's overseas ordering policy. (Don't ask me why - I can't imagine what could cost more about downloading something in Asia or South America compared to the USA.)

Anyway, the content is exactly the same as the ebook, so the only reason to order the Kindle version would be if you just want to have it on your Kindle. But for those who do, now you can get it.

Next up: Target Tendonitis in Spanish! (Don't look for this one for a while, though...)

UPDATE: As of February 1st, 2012, the price of Target Tendonitis was raised to $29.97, due to the inclusion of eight new videos showing various exercises you can do for your tendons. There is a total of an hour and a half of detailed instruction, and the Kindle version DOES NOT COME WITH THESE VIDEOS. Because of this, I have not raised the price of the Kindle version, but if you decide to purchase it please be aware that you will NOT be getting the exercise videos, just a text explanation of what to do with a few pictures. If you have a decent background in exercise (ie, lots of time in the gym, etc.), then you may not need the videos. If not, then I strongly recommend that you purchase Target Tendonitis via this website, as you will not only receive the videos, but email support from myself as well if you need it. (I do not give support for Kindle purchasers, as it's impossible for me to verify whether they have actually bought the book or not.)

Forearm tendon pain from weight training

Friday, June 4th, 2010

It's actually becoming a little hard to remember at this point, but the fact is that before the mid-1970s or so, not many adults exercised on a regular basis. But then a guy named Jim Fixx started the jogging craze, and a few years later a woman named Jane Fonda started the aerobics craze, and a couple of years after that some Austrian guy named Arnold something-or-other hit the screen and made everyone want to have muscles. Far from being mere fads, these pursuits have been part of the Western lifestyle ever since.

And this is great. The benefits of consistent exercise, especially resistance exercise, are legion. Aside from the obvious looks and health advantages, a recent study by Barbara Strasser and her colleagues in the May 2010 issue of Sports Medicine gave some pretty convincing numbers regarding how much money the average 50-year-old would save by starting a weight-training program. Even counting the costs of gym memberships, workout clothes and so on, it's pretty obvious that you'll end up saving a lot on medical expenses down the road.

But as with every good thing, there are some drawbacks. One of the biggest with weight-training is the development of tendon pain in the forearms, mainly from gripping the bar over and over again in exactly the same way. Barbells and dumbbells in regular gyms are all exactly the same diameter, which can quickly lead to overuse pattern injuries such as tendonitis and tendonosis. (Click here for a quick, free test to find out which one you have.) Ask anyone who's ever had forearm tendon pain: it's difficult just to shake someone's hand, much less hold on to a bar loaded up with weights.

Fortunately, there are some ways you can get around this problem. One is to use machines, which often come with pads that don't require you to grip anything. Machines are not as good as free weights, though, because you don't have to balance anything, and therefore those small-but-important stabilizer muscles in your body don't get trained.

A much better solution has been provided by a company called Fatgripz. Fatgripz are devices that you can attach to a barbell or dumbbell to make them, well, fatter. Instead of the usual inch or so diameter of the bar, now you're dealing with 2.25" (5.7cm).

Fatgripz

This means that your hand doesn't close as much, which means that now you're exercising with all the muscles and tendons in your forearm in different positions. The result? Less pattern overload, and less tendon pain. In fact, by using Fatgrips on a regular basis (not every workout, but maybe every other workout) before you develop tendon pain, you might just be able to prevent it altogether. But for those who do have forearm tendon pain stemming from their time in the gym, Fatgripz offers a convenient and economical solution.

They also come with a two-month money-back guarantee, so it's hard to see a downside to getting a pair. Yes, if you decide to return them you'll be out a few bucks for postage. But they're quality goods, virtually indestructible, and I don't know anyone who's tried them and not liked them. When you compare the small chance of not liking these things to the potential for eliminating your forearm pain, it's really a no-brainer.

A couple of testimonials

Monday, May 24th, 2010

Got a couple new testimonials this past week, so I thought I'd share them here.

One is from Bob, who had wrist pain from overuse of his computer and who got a copy of Target Tendonitis. His response:

I used the techniques in your report, and my wrist pain went away within a week.

And from snowcat2, an internet acquaintance who has acute Achilles tendonitis, plus complications from mononucleosis:

Your information was really helpful. Thanks! I'm taking it slow.

These two responses show just how diverse tendon pain can be, and how much of a range there is in recovery time. Robert's case was resolved unusually fast; it's going to take snowcat2 a little longer. Both of them, though, are obviously happy with the way my techniques worked for them.

(By the way, if you're wondering why these testimonials aren't of the usual, superlative-laden, "OMG your book changed my life/enabled me to quit my job and make millions in my underwear while watching Baywatch reruns/got me dates with 187 Playboy playmates in just one night" sort, there's a very good reason: they're real.)

If you're suffering from tendon problems, what are you waiting for? Target Tendonitis costs less than twenty bucks (still!), and fully guaranteed at that. Other than your tendon pain, you really don't have anything to lose.