我好像得了大拇指腱鞘炎，这还能玩电吹管了吗？提醒大家注意

sylion

有两周多了。是练习不得法？现在每天醒来，左手大拇指末端第一关节，都不能自主屈伸，需要辅助弯曲。伴有酸疼感。然后过一会才正常。
一直以为是开始玩电吹管大拇指过去没有做过那类动作，疲劳所致。刚才上网一查，吓着我了，这确定无疑是大拇指腱鞘炎。这个病的易得人群就包括乐器演奏者。

同好们，真得当心啊。

安颐爸爸

老大请多保重，判断为过劳所致，类似鼠标手、键盘肘的病患逻辑。
我长期使用大屏幕手机移动办公，也有同样问题，现在解决的办法是改用双手多指操作。
八度按键范围没有其它手指可以替代，建议休养，拉长使用间隔。

从另一个侧面，说明雅佳滚轮的设计，从人体工程学的维度，需要提升。

leeqihang

可能跟个人的细微习惯有关系，我从十六岁开始练习萨克斯到最近几年学习电吹管这二十多年来也没得过什么毛病，或许你在练习的时候左手拇指用力大了点，久而久之就造成劳损，你先放下吹管好好休息几个月吧。

sylion

确实和个人使用习惯有关系。我可能按得太紧太用力。我尝试调整一下角度尝试一下，同时注意不要长时间练习。

安颐爸爸

leeqihang 发表于 2016-4-9 14:44
可能跟个人的细微习惯有关系，我从十六岁开始练习萨克斯到最近几年学习电吹管这二十多年来也没得过什么毛病 ...

按照波姆体系设计的传统乐器都有一定高度的键程，可以抵消作用力。
雅佳系列型号的滚轮设计，用到一定程度，会出现失灵的情况，那时候想不用力，也不可得。

但老大的5000应该没买几个月，看来是太用功了。
建议休息缓解为主。

jiefang

sylion 发表于 2016-4-9 15:46
确实和个人使用习惯有关系。我可能按得太紧太用力。我尝试调整一下角度尝试一下，同时注意不要长时间练习。

可能是手指紧张不够放松引起的吧，我有一段时间也是吹的左胳膊肘难受，八度轮那很容易紧张，其实体会来放松轻按更能灵快一些，修养调整放松些时间会好起来的，祝早日恢复。

sylion

谢谢各位关注，我会适当休整调适一下。手指紧张、肌肉紧张这是大忌，一定要避免。

甲辰龙

俺似乎与老大您的拇指用力正相反，俺左手拇指是轻轻搭在滚轮上，很少用大力，相反地右手拇指为了托住管子，常常按得生疼，以至于Pitch效果很难灵活使用。

深圳张工

我的左手大拇指也有同样的情况。不知道怎样治疗才好

sylion

深圳张工 发表于 2016-4-10 16:47
我的左手大拇指也有同样的情况。不知道怎样治疗才好

那你可当心了。看起来我不是孤例。
对于小时候没有经过系统训练的，尤其要注意。
网上说可以戴类似护腕的东西（但护的不是腕），淘宝查大拇指腱鞘炎就出来一堆那东西。

安颐爸爸

深圳张工 发表于 2016-4-10 16:47
我的左手大拇指也有同样的情况。不知道怎样治疗才好

也是练习吹管导致的？还是有旧伤？

安颐爸爸

sylion 发表于 2016-4-10 16:59
那你可当心了。看起来我不是孤例。
对于小时候没有经过系统训练的，尤其要注意。
网上说可以戴类似护 ...

所有的护具，都是几个主要作用：
1、提供支撑，减少肿胀；
2、限制局部活动，让患处得以休养生息。

我的手腕有陈旧性老伤，已经超过二十年了。无法负重，形形色色的药品和护具用过很多。

飞的高

改为双肩背带，稍微紧一点，减少左手力度。好好休息！早日康复！

夫夫

老大最近一个多月应该都是吹wx5为主吧，wx5应该重量轻很多，如果不是持续长时间练习应该不至于这样啊

到时ewi系列，左手拇指既是8度控制，也是支撑管子的重要部分，如果过于持续练习我觉得肯定会劳累，建议老大还是减少持续练习，练习一阵就做做手指操，也希望各个ewi玩家和爱好者要注意啊。

sylion

夫夫 发表于 2016-4-11 08:28
老大最近一个多月应该都是吹wx5为主吧，wx5应该重量轻很多，如果不是持续长时间练习应该不至于这样啊

到 ...

难以分得清是EWI还是wx5的原因，这个手指不适感早就有了，只是最近发现有晨僵现象。
以后注意就是了。

zhangxuewen4707

sylion 发表于 2016-4-11 11:18
难以分得清是EWI还是wx5的原因，这个手指不适感早就有了，只是最近发现有晨僵现象。
以后注意就是了。

Sytion老师你好！前几年我右手拇指不知何故就无名疼痛，医生说是腱鞘炎，那时还没玩电吹管。后来朋友借给我一个红外照射仪器，烤了几天，不知是仪器的作用，还是机体的自然恢复，慢慢也就好了。
sylion老师放心，问题不大。
要说受累，使用4000S应该是右手拇指（其他管子我不了解，但5000应该也是这样吧）。整个管子的托起、受力，主要还是在右手拇指，左手拇指次之又次。
不过既然不舒服，还是稍加注意。
顺便问一个不该问的问题，不知道老师们、群友们每天用电吹管都是几个小时？
两年多来，我每天一般保持在2~3小时练习。

sylion

zhangxuewen4707 发表于 2016-4-11 14:52
Sytion老师你好！前几年我右手拇指不知何故就无名疼痛，医生说是腱鞘炎，那时还没玩电吹管。后来朋友借给 ...

每天也就是2个小时左右，并且还不是每天都练。
右手托起这个挂上颈带应该轻松很多。

深圳张工

谢谢各位老师的关心，1、我以前（未吹管之前）该部位没有任何不适，2、经过分析：系本人在吹管时，总担心拇指与滚轮接触不好出现断音，故总是用拇指压紧滚轮所致。3、希望各位管友在练习时，手指别太僵硬，并利用换气、过门等间隙放松一下手指。4、如哪位有简单有效的治疗经验，请能分享一下，本人不胜感谢。

sylion

国外也有人出现拇指毛病。用了6个月恢复。

by tomasgato » Sun Feb 07, 2010 11:41 pm

IF YOUR THUMBS ARE HURTING YOU AFTER PLAYING YOUR EWI YOU ARE IN SERIOUS DANGER OF INJURING YOURSELF !! Tendonitis in your thumbs can/will linger for years and it HURTS !!! BAD !

When I first got my 4000s I loved it so much I didn't stop playing it. I played for hours at a stretch, and after short breaks, I'd go play some more. For hours. Every day for a couple of months. I mean, every day. I loved it.

One day I woke up and my left thumb hurt. Not all that unusual. Sort of felt like I slept on it maybe? I'm a very active vigorous athletic guy so I'm used to body aches and pains. Athletes play with and through pain.

If you are playing an EWI 4000s --- you are a musician.
There is NO GOOD REASON for you to be in physical pain because you are playing an EWI!

Back to my story. Me being me, as I said, I kept on playing. Noticing it was bothering me, I tried various things to alleviate the pain but because I hadn't realised it was the playing that was the actual cause of my thumb pain I kept at it. And naturally it got worse and then it became BOTH thumbs. I remember the moment it dawned on me that it was the weight of the ewi and me grasping it, holding it out away from me while playing that was the cause of my pains.

It was much too much TOO LATE !!
I stopped playing, but my pain slowly but surely turned into something akin to anguish --- non stop.

This is after owning the EWI 2 months, mid - November 07 to February 08 maybe, and playing pretty much non-stop daily. OK? I don't know how much time it takes to stress the tendons but I sure can tell you how long it takes before it stops hurting all day and night long. As I sit here and type this, they ache (but mostly in memory). (mostly). It was actually about 6 months before they (my thumbs tendons)calmed down from serious aching and there is no treatment for it (that I am aware of), other than to stop, cease, halt, doing what you are doing to cause it.

If someone knows of a treatment, PLEASE?!?!? post it?!

LOL

What I have done since regaining use of my thumbs and playing again is to pay attention to my hands and if they start to hurt to stop immediately. To keep that from happening, I lean forward abit when I play -- I have adjusted the strap that came with the EWI so that when it hangs in front of me, in playing postion, the white tip is by my chin so that tilting my head forward slightly the tip is there for my lips. I let the ewi hang from the strap with out holding it with my hands then grasp it lightly with both hands fingertips and thumbs so that it comes to the front of my torso against my right hand, with the front of thumb lightly touching the ground plate and the back of my thumb resting comfy like on the right side of my tummy. This way, the ewi is on a slight angle to the left and instead of holding it up with my thumbs, I have freed my left thumb to play on the now more vertical BACK of the ewi, (as opposed to the BOTTOM of it, which is what you have if you lift the ewi while you play). Since I play the ewi in trumpet fingering, my left hand always has ring and middle fingers in contact in front with the thumb in back for the rollers and the right side of my left index finger pushes the ewi very slightly to the right to be in playing position and I have discovered that the thumb on the rollers works better for me if I play with a lighter touch and conciously remind my self to loosen up my grip on the thing. I get fewer mis-touches which cause blurps and bleeps. Also, I noticed that I have a tendency to press harder (clutching) when I'm trying to play seldom used scales fingerings or anything that causes me to think (stress?) while I am playing. Maybe that's where the advice to "hang loose" comes in?

I looked at the thingys that hold it up from your chair or the floor but I am not convinced it is necessary unless you are physically unable to do it my way. I really don't want use a crutch lift. Probably only because it adds another piece to the set-up and if there is a way to lose any piece or forget to bring it -- I will. Once again, I think it is a very bad idea to lift the EWI 4000s with your thumbs to play it. It seems to me the holder is lifting the ewi more horizontal than vertical also but maybe with the weight supported by the apparatus it will be less likely to harm your thumbs. If you go that route please post your results?

I also looked at the guitar style strap and that looks interesting plus it has a locking swivel clasp which will make it much harder for me to drop my precious EWI. I think I will get that one and see how it works out.

I would have posted something prior to this about what happened to me, but I didn't think it happened to any one else. I never saw any other posts about this, so I thought maybe it was just ME -- that I was doing something wrong and normal people didn't. I have seen many videos of guys playing the EWI holding it out in front of themselves. Stronger thumbs than I possess, I guess.

Tom Cat

安颐爸爸

sylion 发表于 2016-4-28 13:55
国外也有人出现拇指毛病。用了6个月恢复。

写的很详细了。
看来雅佳的人体工学设计，又一次给用户带来困扰。

建议：
1、休息缓解，佩戴护具；
2、演奏时，将管身抬高，让更多的重量落在右手拇指；
3、使用斜背的肩带，或者双肩背带；
4、使用带拇指托的雅马哈WX5。

深圳张工

谢谢各位老师的关心。我已决定明天去动手术了（肌腱粘连松解术）。也有管友注射封闭针的（效果也很好）。

安颐爸爸

都到了动手术的程度了？
不应该是吹管按键导致的，您有旧疾？

sylion

kring安颐爸爸 发表于 2016-5-12 07:51
都到了动手术的程度了？
不应该是吹管按键导致的，您有旧疾？

绝对不是旧疾。张工和我的情况一样。
我现在出差在外地。我都停吹1个多月了，现在情况一点好转都没有。绝对是吹管子吹的。
我回去了也得去做手术。

安颐爸爸

sylion 发表于 2016-5-12 12:06
绝对不是旧疾。张工和我的情况一样。
我现在出差在外地。我都停吹1个多月了，现在情况一点好转都没有。 ...

我半年没碰管了，当然不是因为腱鞘炎，而是因为工作太忙。
最近一个月用了护具，有明显好转。

jiefang

张工玩吹管的时间不长吧，也伤了，真要注意了

zhangxuewen4707

sylion 发表于 2016-5-12 12:06
绝对不是旧疾。张工和我的情况一样。
我现在出差在外地。我都停吹1个多月了，现在情况一点好转都没有。 ...

sylion老师你好！
如果你的大拇指真的是腱鞘炎，十分认真地劝你不要轻易做手术。
我说过，我右手大拇指几年前也得过腱鞘炎（那时还没玩过任何管乐），也是疼痛，有二次晚上都疼醒，后来朋友借了一个红外线照射仪（如果没记错），自己其实也不太相信那玩意，有一天无一天的照了一段时间，其他没做什么治疗（好像贴过膏药，什么牌子的不记得了），不知道是仪器照射起作用，还是机体自愈，慢慢也就好了，一直以来也没有什么不适的感觉。
啰嗦这么多，总的意思还是劝你千万不要轻易做手术。这应该不是什么大不了的毛病，除非实在是疼痛难忍，非有必要。
好心建议，仅供参考。
说这些，也是感谢你一直以来对我的帮助，你是个好老师。

深圳张工

我已经动了手术。很快，恢复的很好

sylion

zhangxuewen4707 发表于 2016-5-14 11:01
sylion老师你好！
如果你的大拇指真的是腱鞘炎，十分认真地劝你不要轻易做手术。
我说过，我右手大拇指 ...

谢谢你的关注。快两个月了，贴膏药、艾灸、天天握热水杯，都不管用，还有越来越重的倾向。原来，是早晨醒来时拇指弯曲受限，到中午左右就好了。现在，从早晨到晚上都始终弯曲受限。再这样下去，我真的考虑回去做手术了。

sylion

深圳张工 发表于 2016-5-14 14:48
我已经动了手术。很快，恢复的很好

能否详细说说？多长的刀口？打麻药吗？要不要缝针？

sylion

今天下午做了手术。从脖子那打了一针麻醉，整个左臂没了知觉，就像不是我的一样。1公分多的刀口，封了三针，三天后换药。祈祷中。