Prevention and Treatment of Art-making Related Injuries
5yr
TeResA Bolen
I hope at some point the Draftsmen will take this on in an episode of the show, but in the meantime, do any of you have any suggestions on how to avoid, prevent, minimize, or treat repetitive motion injuries related to your craft (such as Alexander Technique or Feldenkrais that are popular among musicians)?
Thank you in advance for sharing your wisdom!
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@Teresa Bolen we've been asked medical related questions on the show before and Stan and Marshall don't like to give out medical advice since they're not doctors. This does seem like a topic of interest for many artists though, so we may try to get a real doctor on the show at some point to talk about it.
That’s an intelligent decision, especially given how litigious some people can be. Inviting an expert as a guest on the show sounds like a really cool idea!
Been trying to incorporate Marshall’s advice from the most recently release Draftsmen podcast since last week, about stretching and strengthening muscles in opposition, making up my own stretches. Found this online today from Doctor Jo, and they feel quite helpful. Her YouTube info says she is a physical therapist, and doctor of physical therapy. Hopefully it will help bring some relief for any of you who are suffering. https://m.youtube.com/watch?v=DEf5AGef4yI
I'm not sure how helpful this is but if you're drawing a lot and feeling strain in the hand and wrist you can try switching your grip on a pen/pencil. So far I've found 3 grips that work pretty well (although they are each better at different types of strokes).
1) Standard grip most people use for writing, etc.
2) 'knife grip' or brush grip. I dont know what this is technically called but I've seen a lot of other artists use it especially for large sweeping strokes and curves. The most similar grip I can think of is a fork or knife while eating. I attached a really sketchy example.
3) 'claw grip'. I have no idea what else to call this. I don't think I've ever seen another artist hold a pen like this except one time Ian McCaig described it. Basically it is gripping the pen between the index and middle finger with thumb for support (I'll just attach another picture).
Probably better advice is to also switch how far away from the tip of the pen/pencil you are holding it. I usually find I grip too hard and put a lot of strain when I hold it really close to the tip.
I'm easily injured from daily mundane tasks. Of course I got injury from drawing too. I saw that video before and it's very helpful in injury prevention. The fact that you're even asking makes me guess you may be prone to injury too. With that in mind, here's what I really think.
Just go see a physical therapist as soon as you feel pain and discomfort, even if you could only afford a session or two. Do NOT persist on until you've consulted your therapist.
The danger of asking people what to do for a certain type of injury (e.g. wrist injury), is that there are so many muscles around a joint, for one pain there could be 10 different reasons your'e hurting, even just for artists. And different causes require different kinds of exercises; even the same injury requires different exercises at different stages of your recovery. A lot of muscles work complementary to each other, so when you stretch one way you'll benefit some muscles and hurt the others. Therefore one exercise could relieve pain for someone, but aggravate for someone else.
I learned my lesson the hard way when I got lower back pain from painting (sitting for too long). I looked up online and many YouTube tutorials from physical therapists and chiropractors. Most of the videos suggest stretching, which makes sense because I do sit for too long. So I would follow all sorts of tutorials bending forward, like touching my toes, put my hands on the wall and bend 90 degrees stretch, etc. After years of that it just got worse and worse. I'd been seeing a chiropractor. It was great in relieving pain but not good at preventing, and he couldn't tell me what caused my pain and how to prevent it. It got so bad I had to go see a "real" doctor to take an x ray. They didn't see anything wrong physically so they referred me to a physical therapist. The physical therapist told me I do need to stretch, but not that direction. I need to bend backwards! She also told me I'm overly flexible and that's why I'm prone to injury, so too much stretch exercises is actually not that great for me. She gave me a few simple exercises to do, like tie a band around my ankles and walk horizontally, and walking crouches. What does that have to do with my lower back? I doubted. But dang, I felt significant improvements in a few days. Never in a million years would I think those exercises would help my lower back, and stretching forward is bad for my case.
I had carpal tunnel before, shoulder injury and right thumb injury, all craft-art related. I'm still slowly recovering from the right thumb injury from drawing just a few hours too long in one day. When I had carpel tunnel I was instructed to stretch my hand one direction, and when I got my thumb-wrist injury I needed to stretch a different direction, because they are slightly different muscle groups. It's just so risky to self diagnose and self treat. If you care about the longevity of your art career, I would find a physical therapist and they'll taylor an exercise routine for your unique circumstance.
Hi, Teresa!
I'm currently going through physical therapy for, pretty much, my whole body. That is, from my feet to the muscles in my neck. And as long as you aren't suffering from a disease or have joint/muscle damage that can only be fixed with surgery, you are on the right track. Obviously, going to a doctor and getting a professional observation is the safest course, but let's run forward assuming that you're healthy and your ailment can be rectified through targeted exercise.
But first, I'd like to bring up another point Marshall made in the podcast. When things start to hurt, people avoid doing what makes them hurt. That's just the human thing. When one walks up the stairs and gets knee pain, what's the universal reaction? Avoiding the stairs. But, really, that just lets the injuries get worse. According to the professional I'm seeing, who has a Doctor of Physical Therapy, being active is the only hope you have.
I took the Doctor Jo route before seeing a professional. And it didn't help me. The reason it didn't help me, was because I was recruiting the wrong muscles. For instance, when I tried to exercise my glutes, I would use my hamstrings. Doctor Jo actually has a video about this called, Dead Butt Syndrome. I didn't know I had this though, it took a professional to point it out and get me to recruit the muscles properly.
If you can save up for physical therapy, or you have health insurance that will cover it, that's the way to go for any kind of recurring pains that have to deal with muscles. But, let's say you want to tackle this all by yourself. The most important tip that I got out of my therapist is Stability. Let's delve into wrist pain. It's going to be a common point of injury for artists. My wrists, along with all of the other joints in my body, are weak. The good part about that is the fact that they can be strengthened. So I have a wrist injury. If I feel the muscles of my forearm I can feel where the muscles are tight and uncomfortable. If I feel the muscles on my "good" forearm, I'll notice that they are smooth and much looser.
So, what's happening? The muscles in my forearm are working overtime to keep my wrist stable. My bones moved too much and my brain didn't like that, so now my forearm is eternally cramped. To remedy this, my physical therapist has me wearing wrist supports when I do exercises, i.e., pushups, pullups and band work. And then as a separate set of exercises, I do grip strengthening. This includes focusing on wrist extensor, wrist flexor and general gripping exercises. Slowly but surely, I am strengthening the weak, opposing muscles in my forearm and my wrist is feeling better.
I also have a rounded shoulder. It's common for rounding to happen to both shoulders, but my bodies been fairly twisted since birth. So the side of injury rotates as you go down my body. Anyway, my neck hurts. Why? Because a lot of the muscles attached to the neck are also attached to the shoulder. My shoulder lacks stability. So all of the muscles around it are misused in order to compensate and get back that stability. Unrounding my right shoulder has released the tension in my neck.
To sum all of that up for an artist: I'm guessing the most common art-injuries are going to be wrist pain, shoulder pain and pain from forward head posture. The forward head posture is a side effect of looking down at a desk (or phone) for too long and your body adjusting to that position.
So for wrist stability, you're looking for grip training. There are plenty of videos on youtube. The important part here is to focus on stability. Doctor Jo, is great but when I look at her wrist videos they "don't dig too deep" into strengthening opposing muscles. They focus on stretching. If stretching fixes your problem, great! You win! But if the pain comes back the next day, it's because your brain is still trying to provide joint stability. Stretching tight muscles and using a lacrosse/tennis ball for self myofascial release can help greatly here. But the most important part is beefing up the muscles that aren't doing their job.
For shoulder pain, I would start with shoulder-impingement exercises and rotator-cuff exercises. As well has lower, trapezius exercises. If the pain gets worse when you do it, keep going- no, wait. What I meant was, "Stop. Stop and figure out something else." Here's a tricky part to my recommendation. I've tried all of these for my shoulder (my left shoulder, not the rounded one I just mentioned fixing) and I've only gotten mild relief. That's the next body part I'm tackling with my physical therapist this week. What I'm expecting to find is going to be similar to my glute problem. My guess is that I was doing the correct exercises with good form, but something that I couldn't diagnose myself is holding me back. Perhaps one of the rotator cuff muscles wasn't being used properly just like my glutes weren't being used properly.
Come on, will I hurry up already. This message is going on forever :P
Also, here's this:
https://www.amazon.com/TENS-7000-Digital-Unit-Accessories/dp/B00NCRE4GO/ref=sr_1_6?dchild=1&keywords=tens+unit&qid=1593550586&sr=8-6
Immediate pain relief from a Tens Unit. It doesn't solve the problem though. Just let's you ignore it.