Overuse Injuries In Drummers

Posted by Dr. Podesta on March 17, 2011 with 800 Comments

Drumming is a very demanding and dynamic activity requiring a tremendous amount of muscle conditioning, endurance, strength and coordination. To become a great drummer we must practice long hours, performing the same repetitive activity over and over again to develop the necessary muscle memory to perform night after night.  While the rate of traumatic injuries sustained by drummers are low, greater numbers of drummers and percussionists are developing significant othropaedic and musculoskeletal injuries. As a physician practicing orthopaedic sports medicine as well as being a drummer myself, I have noticed a serious and concerning trend. Each year an increasing number of drummers young and old are sustaining injuries to their wrists, arms, elbows, shoulders, knees and spine. Many of these injuries can be prevented simply through education.

Over the next year, I will be discussing a variety of topics related to medical issues in drummers. Articles covering issues specific to young drummers, in addition to those unique to older more mature musicians who may not yet be done rockin will be covered. Some future topics will include injury prevention, recognition and treatment; hearing and ear protection, nutrition, conditioning at home and on the road, nerve injuries such and carpal tunnel syndrome, proper mechanics of safe drumming and ergonomics for drummers. The first of the series of topics will be on Overuse Injuries.

Overuse Injures in Drummers

Drummers routinely participate in training programs demanding increasing levels of commitment resulting in many hours of high volume and intensity practice. We tend to practice the same activity for greater sustained periods of time. We have observed increased participation of younger musicians and with the increase of younger drummers participating in organized and competitive musical activity for longer periods of time, an increase number of injuries as well as a change in the injury patters sustained by these musicians have been observed.

Injuries can occur either from an acute event such as falling off a riser or drum thrown or more commonly as a result of repetitive trauma. Acute injuries are usually the result of macrotrauma, a single traumatic event such as a fall or a blow to the body. Common examples of acute injuries include ankle sprains, ankle and wrist fractures, dislocations and torn hamstring or quadriceps muscles.

Overuse injuries on the other hand, are the result of repetitive microtrauma to bones, muscles, ligaments, and joints. Overuse injuries develop over time and are much more subtle in their presentation. Common examples of overuse injures include tennis elbow (lateral epicondylitis), carpal tunnel syndrome, cubital tunnel syndrome, patella tendonitis of the knee, shin splints, Achilles tendonitis, rotator cuff impingement and shoulder instability syndromes, lumbar and cervical spine strain.

Overuse injuries are defined as those injuries that occur from the repetitive application of submaximal stress to normal tissue. The volume of practicing and repetition undertaken by these musicians eventually overwhelms the normal reparative process, eventually leading to tissue inflammation.

Overuse injuries can occur throughout the body affecting a variety of tissue including: tendons (producing tendonitis), bone (producing stress fractures), bone-tendon and bone-ligament junctions (producing instability) and at the growth cartilage found in the epiphyseal plates, articular cartilage of the joint surfaces, nerves passing through muscles or across joints and apophysis at the attachments of muscles to bone.

Why Do Overuse Injuries Occur?

Overuse injuries develop when the fine balance between tissue breakdown due to practice and tissue recovery is disrupted. Simply put, the tissue break down occurs more rapidly than the tissue build up or recovery leading to injury. The human body has a tremendous capacity to adapt to applied physical stress (exercise) resulting in an increase in muscle, tendon; ligament and bone function referred to as remodeling. A balanced tissue break down and build up occurs during the remodeling process.

Overuse injuries potentially will occur when we first begin a repetitive or strenuous activity performing too much too soon. This ultimately leads to inadequate recovery time.

Causative Factors

Overuse injuries result from either intrinsic or extrinsic factors. Intrinsic factors are those related to the musician themselves such as: anatomic alignment (leg length differences, hip rotation, foot deformities); growth; muscle-tendon imbalance; underlying diseases (chronic disease, previous fractures or injuries inadequately treated or rehabilitated, previously unrecognized conditions) and cultural reconditioning (too much TV or computer games-too little physical exercise).

Extrinsic factors include training errors, environmental and equipment factors.

Training errors are the most common factors predisposing to overuse injuries. These injuries develop when the drummer performs too much too soon, increasing the volume, duration and/or intensity of the activity too quickly. These training errors result in inadequate recovery time, preventing the proper tissue adaptations from taking place. Overuse injury can also develop in people returning to a sport such as drumming or activity after injury. Typically, they try to make up for lost time.

Training errors most commonly occur early on in the training program when a relatively unused tissue is subjected to stress that they may not be accustomed to. The potential for the development of overuse injuries occur when new skills are introduced into the program stressing different tissues, or when the practicing intensity is increased too rapidly. Overuse injuries also are noted to occur during the later phases of the rehearsal programs when the musician is pushing towards peak performance. It is during this time that the tissues are close to their ultimate breakdown point and vulnerable to injury.

Inadequate or poor technique in the performance of a particular activity (improper drumming mechanics) can place abnormal stress on musculoskeletal tissue leading to overuse injury.

Improperly fitting equipment or inadequate equipment for a particular activity has also been shown to predispose drummers to overuse injures. A common example is seen in drummers’ shoulders that have to reach to hit their crash cymbals or to the ankles, knees and spine when to drum thrown is to low or to high.

Environmental factors such as playing surfaces, indoor or outdoor practice or performance, and acoustics have also been shown to have an impact on the incidence of overuse injury.

How Are Overuse Injuries Diagnosed?

The diagnosis of overuse injuries can only be made after a knowledgeable physician conducts a thorough history and physical examination. Some cases will require additional diagnostic testing such as X-rays, bone scans, MRI studies, or nerve testing

How Are Overuse Injuries Treated?

The treatment of overuse injuries will depend on the specific injury diagnosed. Treatment might include oral medications and physical therapy. Decreasing the intensity, duration, or frequency of the offending activity may also be recommended. Careful attention to technique, working with a teacher, paying attention to proper warm up prior to activity, proper cool down after activity, in addition to the application of ice after practice or performances are also benicial.

Prevention of Overuse Injuries.

The majority of overuse injuries can be prevented with proper training and using common sense during practice. There is no truth in the saying “no pain, no gain”. The drummer must learn to listen to his own body and recognize the early signs of over-practicing.

Generally, if increases in volume and intensity of practice are kept below 10% per week, allowing the body adequate time for recovery and response, the majority of overuse injuries can be prevented.

Filed Under: Articles, Drum Magazine

Comments

  1. contract electronic PCBA supplier…

    [...]please visit the sites we follow, which includes this a single, because it represents our picks in the web[...]…

  2. hp officejet pro 276dw treiber…

    [...]please go to the websites we adhere to, which includes this one particular, because it represents our picks in the web[...]…

  3. airport transportation…

    [...]usually posts some very exciting stuff like this. If you are new to this site[...]…

  4. today’s best lingerie fashions…

    [...]The details talked about in the report are a number of the very best readily available [...]…

  5. sex pillow says:

    sex pillow…

    [...]that may be the end of this post. Here you’ll obtain some web pages that we assume you’ll value, just click the links over[...]…

  6. download your chosen ebook directly from the publisher…

    [...]check beneath, are some totally unrelated web-sites to ours, having said that, they are most trustworthy sources that we use[...]…

  7. best penis pump…

    [...]very handful of internet websites that take place to become detailed below, from our point of view are undoubtedly properly worth checking out[...]…

  8. vpn ایفون…

    Sohan is also being accused of leaving the jurisdiction in December very last yr with out authorization….

  9. how to bake like a professional…

    [...]always a significant fan of linking to bloggers that I adore but do not get a whole lot of link enjoy from[...]…

  10. best squirting dildo…

    [...]check below, are some absolutely unrelated internet websites to ours, having said that, they are most trustworthy sources that we use[...]…

  11. best rabbit vibrator review…

    [...]Here is a superb Blog You may Obtain Exciting that we Encourage You[...]…

  12. thrusting rabbit…

    [...]The info talked about in the write-up are a number of the most effective obtainable [...]…

  13. your Christian resource for family friendly shopping…

    [...]Here is a great Blog You might Find Fascinating that we Encourage You[...]…

  14. glass plugs says:

    glass plugs…

    [...]Here is an excellent Blog You may Discover Fascinating that we Encourage You[...]…

  15. preparing your portfolio for retirement…

    [...]The information and facts talked about inside the article are a number of the very best accessible [...]…

  16. top vibrators…

    [...]below you will discover the link to some sites that we assume you should visit[...]…

  17. pay day loans in the UK…

    [...]one of our visitors lately proposed the following website[...]…

  18. strap ons says:

    strap ons…

    [...]although internet websites we backlink to below are considerably not associated to ours, we really feel they’re truly worth a go through, so have a look[...]…

  19. suction cup dildo…

    [...]very couple of internet websites that occur to be comprehensive beneath, from our point of view are undoubtedly very well worth checking out[...]…

  20. אתרי סקס…

    [...]although web sites we backlink to below are considerably not associated to ours, we feel they’re truly worth a go through, so have a look[...]…

  21. agen sabung ayam…

    [...]just beneath, are a lot of completely not connected web-sites to ours, on the other hand, they’re certainly worth going over[...]…

  22. twitter video downloader…

    [...]we came across a cool web site that you simply might enjoy. Take a search in the event you want[...]…

  23. Machuelo el bibliotecario 32 subscriber…

    [...]here are some links to websites that we link to due to the fact we feel they are worth visiting[...]…

  24. bmw vin decoder…

    [...]usually posts some incredibly intriguing stuff like this. If you’re new to this site[...]…

  25. Adult dating in india…

    [...]always a huge fan of linking to bloggers that I really like but do not get lots of link appreciate from[...]…

  26. Modelos Webcam…

    [...]always a massive fan of linking to bloggers that I really like but really don’t get a whole lot of link enjoy from[...]…

  27. strap on dildo…

    [...]check below, are some absolutely unrelated websites to ours, nevertheless, they are most trustworthy sources that we use[...]…

  28. vibrating panties…

    [...]here are some links to web pages that we link to because we feel they are worth visiting[...]…

  29. toys for him and her…

    [...]we like to honor several other web sites around the net, even if they aren’t linked to us, by linking to them. Under are some webpages really worth checking out[...]…

  30. scr888 says:

    scr888…

    [...]always a massive fan of linking to bloggers that I like but do not get a whole lot of link love from[...]…

  31. словарь по культурологии…

    [...]Every after in a though we pick out blogs that we study. Listed beneath would be the most up-to-date sites that we select [...]…

  32. website says:

    … [Trackback]…

    [...] Read More on|Read More|Find More Informations here|There you can find 113 additional Informations|Infos to that Topic: podestasportsmedicine.com/articles/overuse-injuries-in-drummers/ [...]…

  33. website says:

    … [Trackback]…

    [...] Read More here|Read More|Find More Infos here|There you will find 257 additional Infos|Infos to that Topic: podestasportsmedicine.com/articles/overuse-injuries-in-drummers/ [...]…

  34. … [Trackback]…

    [...] Read More here|Read More|Read More Informations here|There you will find 87487 more Informations|Informations on that Topic: podestasportsmedicine.com/articles/overuse-injuries-in-drummers/ [...]…

  35. women’s wathces…

    [...]The information and facts mentioned within the report are a number of the best available [...]…

  36. remove private information…

    [...]here are some hyperlinks to websites that we link to because we believe they may be worth visiting[...]…

  37. https://twitter.com/adultsexparadis…

    [...]Here are a few of the web sites we advocate for our visitors[...]…

  38. https://facebook.com/pg/sexycamslife/about/…

    [...]usually posts some pretty intriguing stuff like this. If you are new to this site[...]…

  39. seguro saude says:

    seguro saude…

    [...]Sites of interest we’ve a link to[...]…

  40. railway jobs in india…

    [...]very few sites that occur to be comprehensive beneath, from our point of view are undoubtedly very well worth checking out[...]…

  41. Net Worth says:

    Net Worth…

    [...]please go to the internet sites we follow, including this one, as it represents our picks from the web[...]…

  42. http://2sex.club…

    [...]The information and facts mentioned in the report are some of the most beneficial offered [...]…

  43. white jumpsuits for women…

    [...]The info talked about within the report are some of the top out there [...]…

  44. ?????? ????????…

    [...]Every after inside a when we choose blogs that we study. Listed below are the newest web pages that we select [...]…

  45. http://sexycamslife.com/become-a-cam-model/…

    [...]Wonderful story, reckoned we could combine a few unrelated data, nevertheless seriously worth taking a look, whoa did 1 discover about Mid East has got additional problerms too [...]…

  46. ??????????? says:

    ???????????…

    [...]Wonderful story, reckoned we could combine a few unrelated information, nonetheless really worth taking a search, whoa did one find out about Mid East has got more problerms at the same time [...]…

  47. Riviera Maya Properties…

    [...]check below, are some completely unrelated websites to ours, however, they’re most trustworthy sources that we use[...]…

  48. https://twitter.com/adultsexparadis?lang=en…

    [...]we came across a cool web page that you just might love. Take a appear in case you want[...]…

  49. хентай игры…

    [...]Here is a great Blog You may Find Fascinating that we Encourage You[...]…

  50. https://m.facebook.com/sexycamslife/posts/168863397149453…

    [...]The information and facts talked about inside the article are several of the ideal obtainable [...]…

Leave a Reply

You must be logged in to post a comment.