I don't normally ask for this kind of help, but I think I need some clear-headed advice from my sister dancers...
I have a wrist injury that I first noticed about four months ago and, due to slowly increasing discomfort, finally discussed with my doc this past Monday. The cause is unknown and the diagnosis of Tenosynovitis, a swelling of the sheath surrounding a tendon, is clinical only (meaning we've ruled out other likely problems and he's guessing this is it). If the swelling is reduced, the issue will likely resolve itself and I can go my merry little way. If the swelling continues or gets worse, the sheath could burst and then I'd have a longer recovery period and possibly require surgery. An MRI would likely give a definitive diagnosis, which would lead to a more efficient solution plan, but the doc wants to wait three weeks before going that route.
Which leads me to my dilemma. Over the next three weeks, I'm to wear a splint (which I am), take an anti-inflammatory drug (which, again, I am), and do no dancing - which I have a problem with. For one, dancing keeps me sane, PERIOD. For two, I've got a recital in two weeks, my very first. I'm part of two-hour practices twice a week and another three hours worth of classes, not to mention another hour and a half, at least, in the ballroom. I'll skip the ballroom classes, fine, but to do nothing AT ALL for three weeks AND miss my first recital? *shudder*
The diagnosis could be wrong. It could be right and I could dance and nothing at all could happen. It's a gamble, obviously. Do I take it, recognizing how important dance is to me? Or do I stay home, become a nasty, moody bear for three weeks and wait a whole extra year to be in the recital, on the (slight) possibility I could do further harm?
What would you do? Or, even, what HAVE you done in similar situations and are you glad you did?
Thanks very much, ladies. I appreciate your input!
I have a wrist injury that I first noticed about four months ago and, due to slowly increasing discomfort, finally discussed with my doc this past Monday. The cause is unknown and the diagnosis of Tenosynovitis, a swelling of the sheath surrounding a tendon, is clinical only (meaning we've ruled out other likely problems and he's guessing this is it). If the swelling is reduced, the issue will likely resolve itself and I can go my merry little way. If the swelling continues or gets worse, the sheath could burst and then I'd have a longer recovery period and possibly require surgery. An MRI would likely give a definitive diagnosis, which would lead to a more efficient solution plan, but the doc wants to wait three weeks before going that route.
Which leads me to my dilemma. Over the next three weeks, I'm to wear a splint (which I am), take an anti-inflammatory drug (which, again, I am), and do no dancing - which I have a problem with. For one, dancing keeps me sane, PERIOD. For two, I've got a recital in two weeks, my very first. I'm part of two-hour practices twice a week and another three hours worth of classes, not to mention another hour and a half, at least, in the ballroom. I'll skip the ballroom classes, fine, but to do nothing AT ALL for three weeks AND miss my first recital? *shudder*
The diagnosis could be wrong. It could be right and I could dance and nothing at all could happen. It's a gamble, obviously. Do I take it, recognizing how important dance is to me? Or do I stay home, become a nasty, moody bear for three weeks and wait a whole extra year to be in the recital, on the (slight) possibility I could do further harm?
What would you do? Or, even, what HAVE you done in similar situations and are you glad you did?
Thanks very much, ladies. I appreciate your input!
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Re: Stupidity, or necessary risk?
Thu, April 17, 2008 - 8:35 PMI'd dance and just be careful that i didn't fall on it.. I don't think i'd be zilling much.. and maybe i would curtail wrist movements.. but shoot... the rest of you isn't wounded. -
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Re: Stupidity, or necessary risk?
Thu, April 17, 2008 - 8:56 PMHah, Irena, you made me laugh out loud!
Nope, the rest o' me is fine and dandy. Can't speak to those around me during the three "dance-free" weeks, though. *grin* On the flip side, I'd likely have company during my "convalesence". LOL! -
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Re: Stupidity, or necessary risk?
Sun, April 27, 2008 - 11:44 AMmy daughter had a broken arm for her first performance.
We just put pretty fabric on her arm brace (it was a "green break", so it only required her to have a brace on it)
and she danced and danced...
just kept her brace on...
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Re: Stupidity, or necessary risk?
Thu, April 17, 2008 - 8:48 PMOK so for a 'wrist injury' you have been told to do no dancing? It makes sense to rest and splint the area injured but to stop doing all physical activity? If there is a possibilty of an infection in the swelling then maybe but it does not sound like that is the case.
I would just wear the splint, take the meds, as well as elevate the wrist above your heart when possible and once a day ice it for 20 mins. RICE (rest, ice, compression and elevation). Adjust your performance to limit wrist movements, wear some support (even the splint) and enjoy yourself.
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Re: Stupidity, or necessary risk?
Thu, April 17, 2008 - 8:50 PMOh been there, done that,
If I don't dance then I am not living -
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Re: Stupidity, or necessary risk?
Fri, April 18, 2008 - 6:48 PMYep. It's the difference between existing and thriving. What's funny is how clueless I was until after I began; then suddenly, the world took on a whole new sparkle. : )
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Re: Stupidity, or necessary risk?
Thu, April 17, 2008 - 10:24 PM< "I would just wear the splint, take the meds, as well as elevate the wrist above your heart when possible and once a day ice it for 20 mins." >
Yup. Be good to your body, and try to keep the pain & stress at bay before you dance. I had Tenosynovitis of my thumb... boy was that a journey. Moist heat is great, warm water soaks, and also a topical anti-inflammatory cream called Topricin CTS. May your body & spirit be well!
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Re: Stupidity, or necessary risk?
Fri, April 18, 2008 - 8:05 AMDANCE and don't use the wrist !!!!!!!!!!!
I had 3 different surgeries on my left arm and wrist over a period of a year and a half and was up there dancing with a cast on my arm. It hindered my snake arms and for one of the surgeries, my zilling, but it sure didn't stop the rest of me!
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Re: Stupidity, or necessary risk?
Fri, April 18, 2008 - 9:49 AMMiranda. You mention this is your first recital. I am guessing you are not, in that case, yet professional or hard-core. That said, you and your dance sisters should forgive you for missing your recital.
LAY OFF. Swelling will happen. And if its your first recital, you won't be mindful enough of that hand. That, and you'll probably be doing a LOT of rehearsals.
I hurt myself while training for a marathon. I tried to train on an elliptical for a while to keep up my mileage, when I should have been resting and putting NO weight on what turned out to be a stress fracture. Fortunately, the powers that be gave me a mean respiratory and sinus infection that stopped my chances of running anyway. If I hadn't been forced to lay off, I could have really hurt myself. It was hard. I was depressed (cried hard over this one). I felt like a slug. BUT I got through it, and I'm happy that I can dance and run today.
Doctors don't know a lot of stuff. Its so easy for them to squelch your passion. They don't care. But I would recommend you use your passion to practice gently and mindfully, and then cheer your sisters on at the recital. There will be more recitals, but your body is sacred and there are no more of those.
Hope you find an answer! -
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Re: Stupidity, or necessary risk?
Fri, April 18, 2008 - 1:18 PMI second Julie--I danced through the pain on something similar in my foot, and now have permanent damage as a result. There will always be more performance opportunities. You only get one body. -
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Re: Stupidity, or necessary risk?
Fri, April 18, 2008 - 2:44 PMThirded. It may sound easy to dance without using your wrist, but unless you are very, very careful (to the point where I would probably put my whole arm in a sling to remind me not to use it while dancing), you may injure yourself much more than you are currently experiencing. And that's no fun. It isn't worth it, to me - and I've been in that position. I have scoliosis, and I have been sidelined for a month at a time waiting for my back to be in good shape before I can dance. It's hard. It makes me cry. But it is worth it, in the long run.
Dance more, even if it means not dancing now.
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Re: Stupidity, or necessary risk?
Fri, April 18, 2008 - 9:57 AMI can't give you any advice on the do it / don't do it question. I don't know enough about your situation.
I would suggest, though, if you haven't done it yet, see a chiropractor about your wrist. The chiro may not be able to do anything or help in any way. But you don't know until you try. And any good, reputable chiropractor won't go ahead and TRY anyway, just to make a buck.
It's not the same issue, but I have carpal tunnel. I find that a regular adjustment every few weeks keeps me from having the horrible, chronic pain and keeps me from having to have painful surgery. I still have to be mindful of some bellydance arm positions and muscle "pops" because those seem to activate the pain areas, but I can dance with no residual problems.
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Re: Stupidity, or necessary risk?
Fri, April 18, 2008 - 7:12 PMLadies, you've been a great help, thanks!
Those of you who recommended I continue on.. you totally echo my own feelings! I was excited to see so many validate what I wanted to do.
Unfortunately, I've danced the last three nights (two two-hour practices and a one-hour veil class), and, with or without the splint, there's been a goodly amount of discomfort at the end of the evening. : ( Either I suck at isolating that area (which is highly likely, since I'm so new to this), or it takes very little to set it off. Either way, I think I'm gonna have to stand down at least until the recital.
I'll probably participate on May 3rd, though. It's only one day with a couple of run-thru's and then the performance, which is all of two songs.
So, I'll take a little bit of everyone's advice! : ) And after the recital, I'll be a good little dancer and do everything the doc asks. LOL! -
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Re: Stupidity, or necessary risk?
Fri, April 18, 2008 - 9:30 PMI hope you will still be able to, after the recital. Keep in mind that ignoring the doctor's advice til then may very well result in being incapacitated for much longer than initially told. You could make it worse, doing that.
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Re: Stupidity, or necessary risk?
Fri, April 18, 2008 - 10:36 PMHi Miranda! Of course, the choice is yours on whether to take the risk or not, but if you do decide to dance, I'd recommend skipping the veil classes. I'd also encourage you to wear the splint. Please be tender to yourself. As others have said on this thread, you only get one body.
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Re: Stupidity, or necessary risk?
Sat, April 19, 2008 - 4:53 PMYou are all so kind to write so much!
I accept your advice and the signals my own body is sending - I will stop all dancing between now and the day of the recital. I'll still go to my classes and practices, but I'll participate from the sidelines, no dancing at all.
As for May 3rd, I have until the 29th to decide if I will participate. Giving up on something I've worked so hard toward for several months is a bitter pill to swallow.... : ( I can't quite bring myself to do it today.
You are all lovely folks. I thought this thread would die out after my last post, and you just keep coming with your concerns.... Thank you!
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Re: Stupidity, or necessary risk?
Sat, April 19, 2008 - 10:21 AMAnd that is what we all learn to do and that is to listen to our bodies. I know when a certain pain says to STOP! and when another one says take a rest or when I just need to ice or apply some heat. We all only have one body, good luck. -
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Re: Stupidity, or necessary risk?
Sat, April 19, 2008 - 1:46 PMto help reduce the inflammation, start at your shoulder and massage toward the body, pushing firmly to move fluids, move down to the brachium (upper arm) and again, push toward the body and then to the antebrachium (forarm) an move up the arm toward the body. This will help reduce swelling.
Ice, ice, ice. I would ice 20 minutes on and 30 minutes off 5 rounds, several times a day. After 72 hours, do hot/ cold contrast treatments. water about 105 and then ice 3 minutes hot, 1 minute ice, 5 rounds, several times a day. This too will help reduce inflammation, speed the healing process and reduce pain.
If it were me, I would leave the brace off and just make sure you are not putting any undue strain on it, if a movement feels awkward or gives discomfort don't do it, but move the joint gently in its current range of motion that is comfortable. Mostly I think braces do more harm than good in alot of instances. however, not actually seeing yours I can't say for sure.
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Re: Stupidity, or necessary risk?
Sat, April 19, 2008 - 4:23 PMInsist on the MRI. If he won't, ask for a 2nd opinion. Seriously.
I was having pain around the area of my Triceps tendon a while back. I had to stop a lot of activities for awhile because the doctor couldn't figure it out. He tried anti-inflammatories, then physical therapy, then shots, then sent me to a specialist. She decided to do an MRI at that point. I would like to point out that all of this got very EXPENSIVE--even with insurance. For what? The MRI revealed no damage to the tendon, so essentially they couldn't find anything wrong.
She said I could go back to what I was doing but to wear an elbow sleeve for support and take it slow. I still had occassional discomfort, but I wore the brace and continued to take it slow. Now, I'm an oddity. My parathyroid glands are in my forearm (from surgery to put them there), so I used to wear a pad all the time in my martial arts class to protect them. I found it uncomfortable to wear the sleeve and pad at the same time, so eventually decided to just wear the pad when particular exercises called for the extra protection. The pain gradually went away. All that trouble and all that expense was from the repetitive strain that the resistance that pad created when I held my arms in position with it on.
I'm rambling now, but the point of that is that it's worth it to get the MRI rather than go through the hassle of trying this, that, and the other to see what releaves the pain. If the MRI will let you know what's wrong, get it. Don't play the "let's try this first" game that doctors so love. Find out what's wrong so you can get on the road to recovery and make what modifications you need to according to that rather than just not being able to do what you love because it hasn't been figured out yet.
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Re: Stupidity, or necessary risk?
Thu, April 24, 2008 - 12:56 PMI have had no time to read the responses so maybe someone else already has said this.
Since your doctor does not seem 100% sure of the diagnosis, Over the years I have found this to be very helpful: get a second opinion from another doctor.
In one case, my doctor suggested surgery (similar problem to yours), went for a second opinion and it ended up being a lack of vitamins. 10 yrs later I find myself painfree, I do not take vitamins/supplements (I only did for 3 months until the pain left) and have had no need for surgery or any hint of the problem returning.
If your doctor is right, another doctor would confirm that. If the second opinion does not match the first, I would go to a third, and fourth, etc,
Maybe the reason is telling you are not supposed to dance is because of the mediaction he has given you, not necessarily the wrist itself.... just a thougth.
Hopefully the MRI will shed light on your case and you won't need any extra opinions.
Wish you speedy recovery.
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Re: Stupidity, or necessary risk?
Fri, April 25, 2008 - 10:37 AMI would still dance, but keep the wrist movements to a minimum and make sure you wear the splint day and night. I had something similar with my wrist, and the pain went away pretty quickly and I have not had any problems since then.
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Re: Stupidity, or necessary risk?
Sun, April 27, 2008 - 8:34 PMThere's lots of great advice here on both sides of the issue.
Dancing can cause an increased blood flow into the wrist and if the problem is one of an increase of fluids in the wrist, well, you want to avoid that. Wear your brace if you decide to dance. Do Not spin. Do Not use zils, Do Not do veil work. If necessary, your instructor can modify your part in the choreography to accommodate.
Cover the brace with a fancy gauntlet... maybe wear a matching gauntlet on the other wrist too.
Practice dancing with that hand elevated above the shoulder, a lot. This will help to avoid swelling.
I had a foot surgery the year before I discovered belly dance and cannot feel my 4th toe. It sometimes gets into an awkward position but I've learned to work around it. The people in my dance world don't even know about it.