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Treating the Pain of Playing Musical Instruments


Copyright 2024, Mark Alan Wade

Primary Author: Kochan, A.
Journal Title: The Double Reed
Date Published: 2004
Language: English
Category: Overuse Syndrome and Musculoskeletal Injuries
Key Words: pain performance instrument musician treatment
Full Citation: Kochan, Andrew. Treating the Pain of Playing Musical Instruments. The Double Reed 27, no. 1 (2004): 74.
Full Abstract: Contrary to Drs. Liu and Haydn in their article, Maladies in Musicians published in the Southern Journal of Medicine in 2002, rest is not the only reliable treatment for overuse syndrome. Around the year 1998, a revolutionary new treatment called Prolotherapy, or proliferant therapy, was discovered to stimulate affected areas of over-use syndrome to heal. The body heals itself by responding to chemical signals emitting from damaged tissue cells. The body responds to these signals by sending macrophages to clear the debris, followed by fibrocytes, which stimulate the growth of new collagen, the basic material of tendons, ligaments, fascia and joint capsules. In the case of overuse syndrome, there are no damaged tissues and the body does not receive the chemical signals needed to heal. Prolotherapy works by intentionally causing minor damage to the affected tissues via an injection of dextrose (sugar water), which causes the tissues to elicit the chemical messages instigating macrophages and fibrocytes. While cortisone injections are effective in treating the pain, only proliferant therapy heals the actual tissue.