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A Note from Your Other Absentee Blogger

My posts have been pretty scarce lately, as well as somewhat disorganized. There are a lot of things that I’d really like to blog about, but I haven’t had time to really consider them lately. Part of that is recovering from surgery–not much longer for that–but there’s something else as well.

I have tendonitis in both wrists. I’m experiencing tingling (parasthesia) in the fingers of my left hand, and discomfort in both wrists. There isn’t much pain. That’s good, because pain is bad. On the other hand, pins and needles are not much of a disincentive, which means that it’s difficult for me to stop doing the activities that aggravate the condition.

I’m taking anti-inflammatories. I have a splint that I’m supposed to wear to bed, and a very light brace I wear during the day. I am supposed to ice my wrists whenever possible, use contrast baths each evening and over lunch, and stretch very frequently during the day. I’ve also gotten some advice on ergonomic arrangements. I’m learning to say, “I can’t carry that,” and, “Can you carry that for me?” I have a difficult combination of problems to treat: inflammation is helped by ice and rest; stiffness by warmth and stretching; poor circulation by exercise. I’ve also been aggravating each wrist by using them to cover for the other. I exhausted my left wrist when my right wrist started to ache a little bit and exhausted my right wrist when my left wrist started to tingle. The surgery and recovery have been problematic, too–if I had been able to wear a backpack these past several weeks, my wrists would not be so tired. If I had been able to visit the gym, my circulation would be better.

Until recently, it was aggravated by typing and carrying heavy objects. This weekend, however, my right wrist started to ache while I was painting.

That terrifies me. The cure for a repetitive stress injury is either to radically rearrange the position in which you do whatever activity (typing), or to do it less frequently (carrying grocery bags), or to stop doing it for a long time (pushups). I really don’t want to stop painting, or paint less frequently–it’s very difficult to become proficient at something that you don’t do very often. And, of course, I love painting and want to do it all the time.

But that’s not really the issue. People with severe motor impairments manage to paint, as well as to make art with all kinds of other media. Frida Kahlo learned to paint after a severe injury. She continued to paint through decades of chronic pain and exhaustion. Chuck Close continued to produce photorealist artwork after suffering a collapsed spinal artery that left him paralyzed from the neck down. Wrist tendonitis that I’m not even allowed to call carpal tunnel syndrome yet is minor. It is extremely unlikely that I will have to give up even the media I prefer, let alone all the ones I haven’t tried yet. It is most likely that I will have to approach painting and other kinds of making art the way that I’m supposed to approach every other dangerous activity: carefully.

That’s the problem. A repetitive stress injury is hard work; it requires management and care. In order to keep painting, I’m going to have to do a lot of research into safe and unsafe positions, materials, and techniques. I’m going to have to arrange all of those solutions, and then I’ll have to faithfully perform them for the indefinite future. I’ll have to develop a more conscious, more mature relationship with my body than I have ever been forced to construct before.

I’m also going to have to develop a more mature relationship with my injury. Part of the public perception of disability–the clear bright line between disabled and able–is the idea that there are perfect bodies and broken ones. Non-disabled people aren’t supposed to break. We don’t have to think about things like accomodation. We don’t have idiosyncratic needs. We aren’t invalid. We aren’t incapacitated. The desire to see non-disabled bodies as infallible results in the need to project fallibility onto disabled bodies. Our abilities are infinite. Their abilities are minimal. Our needs are negligible. Their needs are exceptional. Our accomodations are justified. Their accomodations are extreme. And my hands are just fine, thank you.

And to tell the truth, it’s the need to cling to that belief about my own perfect health that’s doing me the most damage. I have a lot of trouble thinking of myself as someone whose health can no longer be assumed. I have a lot of trouble thinking of my ability to use my hands as endangered in any way, which means that I have a lot of trouble seeing my continued ability to use my hands as dependent on all the little things I’m doing to protect them.


17 thoughts on A Note from Your Other Absentee Blogger

  1. I sympathize. I get very nervous whenever my wrists start hurting from typing or using the mouse. If I couldn’t type to write and file stories, I have literally no idea how I would make money.

  2. I sympathize. I get very nervous whenever my wrists start hurting from typing or using the mouse. If I couldn’t type to write and file stories, I have literally no idea how I would make money.

    Thanks. It’s improving and will continue to improve; all of that is just dependent on how much attention I give to recovery.

  3. I went through a bout of tingling and pain in my wrists and arms a few years ago. I spend a lot of time parked in front of a computer—which was the main source of my problem.

    So, I changed the elevation of my keyboard and mouse so that my wrists were no longer bent. I bought ergonomic keyboards for home and work. (They take getting used to, but they’re a godsend.) Then, I learned as many short cut keys as possible so that I could use the mouse less. Finally—and this is a trick I learned from other friends with repetitive motion injuries—I started taking a B-complex vitamin.

    I don’t paint, though, so I’m totally clueless about that.

    I’m sorry to here about your injury, piny. I hope you get well soon. I’ve missed reading your posts. Thank you for writing in spite of your injury!

  4. My sister had wrist tendonitis too. The company she worked for was doing stuff in an attempt to help her – (she would be off the computer for a certain ammount of time each week.)

    But the injury didn’t stop getting aggrivated until she was forced to stop her job entirely for about 6 weeks. (in that time she didn’t type at all.)

    take care and remove all the strain from your wrists if possible while you’re recovering.

  5. Thanks for bringing this up – I need the reminder. All day, whether I’m at the lab bench pipetting or the computer typing or at home blogging, I’m pretty much always doing something that would put me at risk for a repetitive stress injury. What’s frustrating is how a lot of people around me – coworkers, superiors, etc – won’t take it seriously. It’s hard to think of your body as losing a capability it’s always had, but in a workplace culture where people tend to scoff at safety (When have you ever seen a scientist actually wear a lab coat?) it’s even harder to get your coworkers to take it into consideration. But if I’m 23 and plan on getting in a good 30 or 40 more years of heavy computer use and lab work, I’d better be careful about the soreness, tingling, and numbness I already feel now and again.

  6. Feel better and take care of yourself. And rest your wrists if you can.

    I have the same condition, brought on by grad research and hours in front of a computer every day. The ergonomic stuff already mentioned helped a lot, but you’d be surprised at the things that aggravate it. I’ve had to give up embroidery, bread making, cut way back on writing and typing (and I’m a teacher, I need to write to do my job), seriously modify my yoga practice, and Ihave trouble lifting my kids. Swimming even bothers me. You’re right that we take ableness for granted until we aren’t anymore.

  7. Oof, my sympathies. I was diagnosed with the thoracic outlet syndrome version of RSI (basically means some nerves and such up in my shoulder/neck area were being pinched/distressed), and had to change my computer habits a LOT for a while, though some of the physical therapy I had also helped immensely. I’ve known way, way too many people with variations on that theme, though tendonitis certainly seems to be the most popular one.

    I hope you can get a good handle, soon, on how to do things without aggravating it.

  8. Sorry to hear about yoru tendonitis Piny. I had knee reconstruction almost three years ago and have been battling tendonitis off and on since then. The good news is that a serious round of physical therapy, ice, rest, stretching and ice can cure it. The bad news, for me at least, was that the activities that I did once healthy induced tendonitis again. Whatever you do, don’t be like me and wait a year in pain to get treatment again…

  9. Ouch ouch ouch. Could it be that in your care not to bust stitches, you’ve been tensing up more and thus increasing the strain on your wrists? I had RSI in one wrist back when I was a fiddle player. I cured it gradually by doing a mixture of yoga, acupuncture and Alexander Technique. Alexander Technique is particularly good — it’s all about teaching your body ways to move that don’t strain it, and thus getting around that reduction of mobility thing.

    I’m surprised that RSI hasn’t come back to haunt me now that I spend ten hours a day on a keyboard, though. Fingers crossed. Supply.

  10. Ugh. Been there. I had it bad when I was your age (god, I sound like Grandma) and working at a newspaper that had the most godawful old computers tossed onto any old table. These were the 70s kind of computers with the keyboard attached to the monitor. I never did get a firm diagnosis, since there are something like 400 varieties of tendinitis that can affect the hands and wrists, plus they shitcanned me a month after I filed my worker’s comp claim. Unsurprisingly, it cleared up to a great extent when I wasn’t working there anymore.

    It still bothers me from time to time, mostly when I have to do a lot of work with a mouse. Like now.

  11. …I’m reading this completely hunched over in front of my computer.

    Note to self: elevate monitor, move keyboard, enlarge screen resolution.

    Thanks for this, piny. I know it wasn’t intended as a wake-up call, but it serves as one. Best of luck in recovery, and I’d love to see your paintings at some point.

  12. When I started to have discomfort and weakness in my mouse wrist, I though I was being a total weenie to see a doctor about it, esp. because it wasn’t *that* bad. The doc kinda thought so too, but referred me to a visit with a physical therapist anyway, just to make sure. (thank god that my grad school health coverage includes any services that happen in the building for free, including PT.) Anyway, my amazing PT talked to me for a few minutes, poked and prodded me, and informed me that the problem was actually in my neck and shoulder, and that I should absolutely take care of it. She gave me strengthening exercises, stretches, and instructions about modifying my workstation. It’s helped a lot, though I haven’t been able to do the most important thing: buying a chair that’s high enough that my shoulder isn’t raised when I’m using the mouse. I can’t afford a new one. So I do what I can. But I’m so glad I didn’t ignore it altogether.

  13. I’m sorry to hear about your wrist pain. I’ve got a similar thing going on from too much typing. Ergonomic keyboards, desks arranged so that things are at the right height, and wrist braces (I like Smart Gloves a lot) have helped a ton. The thing that helps me most, though, is a program called Workrave ( http://www.workrave.org/welcome/ ) that helps me keep track of how long I’ve been typing and mousing, and prompts me to take breaks when appropriate. Stopping for ten minutes every forty five and doing something else makes a tremendous difference.

    It’s easy to say “I will stop and take frequent breaks!” of course, but difficult to actually do it when you’re in the creative zone. Having a reminder pop up on the screen is the only way I can keep on track. Maybe you could set up something similar for yourself when painting through the use of programmable electronic timers?

  14. When I started to have discomfort and weakness in my mouse wrist, I though I was being a total weenie to see a doctor about it, esp. because it wasn’t *that* bad. The doc kinda thought so too, but referred me to a visit with a physical therapist anyway, just to make sure.

    Huh. According to the care providers I’ve talked to, if you’re experiencing pain or discomfort, it’s automatically serious. That whole ounce-of-prevention thing.

  15. I’m sorry to hear this, Piny. Pain sucks.

    At the risk of sounding like an idiot – or at least, sounding like a less than comprehensive reader – I admit I didn’t know that you painted (or maybe I knew but had forgotten). Are any of your paintings viewable online?

  16. At the risk of sounding like an idiot – or at least, sounding like a less than comprehensive reader – I admit I didn’t know that you painted (or maybe I knew but had forgotten). Are any of your paintings viewable online?

    No. I have no digital camera, but I might try borrowing one. It would perhaps be more accurate to say learning to paint.

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