Reeling in relief
What a gorgeous weekend we had for fishing opener. Sunny days and temps in the 70s had people flocking to our great lake, its tributaries and inland waters. Someone had given us a very large fishing pole (huge, really) and right away we were inundated with stories about dislocated shoulders, arms that tightened up and wouldn't straighten out, and hand cramps. It was like being at camp, sitting around the fire and learning the legends.
I wasn't sure I believed the tales about the shoulder getting thrown out of joint from casting, but I know all about hand cramps. I remembered last year when I insisted on using an older, heavier fishing pole that probably would have been great to put a worm and bobber on and let it sit. But I had to cast, and strong and conditioned as my hands may be (think occupational bonus) they cramped.
So what was going on? Let's take a look at a few ideas, including first, the anatomy of the lower arm.
Let's say there are two kinds of muscles in the hand: Long muscles and short.
Long muscles first: The long muscles run from the forearm to the fingers, crossing all the joints in -between. The muscles that cross the joints so we can bend our fingers in order to grip the fishing pole or pull weeds are called flexors. They are located more on the palm side of the hand and forearm. When your arms are at your sides and you turn your arm in such a way that your palms face forward, you are in a position known as "anatomically correct". We always refer to the palm of the hand as the front. The muscles that straighten the fingers, as in letting go of the fishing pole, are the extensors. They are located on the back of the hand and forearm.
The short muscles of the hand attach on the hand, finger or wrist bones. In other words, they do not attach upstream on the radius or ulna, they stay in the fingers, hand, or wrist. These are the ones that help us squeeze our fingers together or spread them apart, they help us use our opposable thumbs, and help us flex and extend our fingers at the joints within the hand. In case you were wondering, they are the lumbricals, interossei and hypothenar eminence. The thumb also has short muscles.
Holding that weight for so many hours may have made the short muscles of my hand contract to the point of fatigue. It was, as they say, a bummer. I didn't want to get skunked.
So what did I do? I massaged my hands, rehydrated and stretched. Electrolytes like sodium and potassium help muscles relax and contract the way they are supposed to so I picked up a sports drink that boasted being electrolyte-laden. I took a break from my repeated casting and reeling to drink up and rub my hands between the bones and around the joints. It felt pretty good. Then I stretched my fingers, especially at the joint where the fingers meet the hand. Then, I waited. Waited to see if rehydrating and massaging my hands would help. It seemed to, or maybe just taking a little break was all I needed.
Fortunately, there wasn't a repeat of the hand cramps this year, nor any shoulder dislocation. It really was all blue skies, and we even caught some fish.
Photo courtesy of ABMP
It was race day, a cool mid-October morning and I was in the Bretting Community Center providing post-event massage. The Whistle Stop Marathon runners were starting to come in at their various paces. At one point a sweaty guy came over and flopped face down on my massage table. “Please…” he pleaded. “Please work on my hamstrings.”
The hamstrings are comprised of three individual muscles. In your mind’s eye, visualize the back of the thigh. Now see three lines running from just below the knee up to the sitting bone of the pelvis. Those are your hammys. The “true” hamstrings cross two joints: the knee and the pelvis at the thigh. When the hamstrings contract, they cause the knee to bend and the hip to straighten (extend). Muscular balance between your hamstrings, glutes, and hip flexors is necessary to prevent rotation of the pelvis that contributes to back pain and degeneration. When you bend at the waist and reach for your toes, you are stretching your hamstrings. Most of us haven’t learned many truly great hip flexor stretches.
When you are running or walking the hamstrings have a lot of responsibility. Not only do they contract to bring your heel toward your backside, but on the way back they have to stay contracted. Where before (in the leg cycle of running) their duty was simply to bring the foot toward the rear, now their purpose is to control hip flexion and leg extension against gravity as the leg returns. The hamstrings act to decelerate knee extension. I could understand why this guy sought some hamstring relief.
I used to attend a weekly “speed play” sprint workout for runners, and I could always feel my hamstrings afterward. I could feel them so much that the next day was always a swim day instead of running or biking, just to get some extra recovery time. The hammys help stabilize the knee then assist the glutes (with about 30% of the torque) in hip extension to propel the runner forward. Then their function changes to control hip flexion and knee extension before setting up the cycle all over again. These muscles have to be strong and well-conditioned to endure this sort of dynamic repetitive motion against gravity. Increases in speed or mileage without adequate conditioning have been known to set the hamstrings up for injury.
I asked the fellow on my table some questions so I could determine the appropriateness of massage for him then had him sign the consent-to-treat form. I noticed he was shivering or shaking so I wrapped his goodie-bag space blanket around his back and shoulders then put another blanket over that. I did a little rocking and compression to relax his nervous system then started to work on his hamstrings. I could see his breathing becoming smooth as I worked. His shivering had stopped.
When his 15 minutes were up, he sat up looking refreshed. He said he felt great and told me he was scheduled for a full-length post-event massage the next day back in his hometown. He said he likes to get massage on his recovery days every other week. I commended him for taking such good care of his body, then pointed him toward the water and electrolytes.
I wiped my table down and called over the next person on the list. Having done this before, I had a good idea what to expect.
“It’s my hamstrings.” she said, walking over to the massage table. “They feel pretty tight right now.”
I told her that she had come to the right place and set to work.