PaddleWise by thread

From: John Blackburn <digipixs_at_erols.com>
subject: [Paddlewise] Thumb pain
Date: Thu, 14 Nov 2002 12:42:22 -0800
This past year I have been experiencing pain in my thumb joints, the
ones that are at the base of the thumb that you can't see, located
inside the hand.  I've also found that in switching back and forth
between my greenland and euro paddles, the discomfort occurs with the
euro paddle 100% of the time and very much less so with the greenland.
My Euro paddle is an AT crank that I just love and would hate to give it
up.

I had a chance to talk to my Brother in Law this past week who just
happens to be a damn good hand surgeon and he confirmed my initial self
diagnosis that the greater loom diameter of the GP helps.  What doesn't
help is that I've screwed up these same joints sking and it's not going
to get better, but he said the thicker loom will help with the pressure
on the joint and postpone the more radical solution of replacing the
joint.

His recommendation was to build up the diameter of the loom of my Euro
paddle with duct tape.  Granted that this approach  might work, it is,
however, a rather inelegant solution and I am thinking of something less
"red neck" like modifying foam bike hand grips, or using foam pipe
insulation, as a more permanent and lighter solution.

Any thoughts out there on alternatives to duct tape?

Thanks
John Blackburn


***************************************************************************
PaddleWise Paddling Mailing List - Any opinions or suggestions expressed
here are solely those of the writer(s). You must assume the entire
responsibility for reliance upon them. All postings copyright the author.
Submissions:     PaddleWise_at_PaddleWise.net
Subscriptions:   PaddleWise-request_at_PaddleWise.net
Website:         http://www.paddlewise.net/
***************************************************************************
From: John March <jsmarch_at_acpub.duke.edu>
subject: RE: [Paddlewise] Thumb pain
Date: Thu, 14 Nov 2002 14:07:53 -0500
[Moderator's Note: Content unaltered. Excessive quoting (i.e.  headers/footers/sig lines/comments from previous posts, etc.) have been removed. Please edit quoted material in addition to removing header/trailers when replying to posts.]

You might try Cinelli cork bike tape, which is designed to be water 
resistant and is very comfortable.  Also, I wonder if the loom shape of a 
different crankshaft paddle, like the Lendal or Werner Kalliste, would be 
more comfortable that the AT.  Lastly, drugs may be the best bet <grin>: 
the new Cox-2 NSAID, Bextra, is pretty good for pain control.


At 12:41 PM 11/14/2002 -0600, Joyce, Thomas F. wrote:
>I'd experiment a little with minicell.
>
>  - - - - - - -
>
>Any thoughts out there on alternatives to duct tape?

*********************************************************
John S. March, MD, MPH
Professor of Psychiatry and Behavioral Sciences
Department of Psychiatry and Behavioral Sciences
Duke Child and Family Study Center
718 Rutherford Street
Durham, NC 27705
919/416-2404 (P); 919/416-2420 (F)
Email: jsmarch_at_acpub.duke.edu
Website: http://www2.mc.duke.edu/pcaad

*********************************************************

***************************************************************************
PaddleWise Paddling Mailing List - Any opinions or suggestions expressed
here are solely those of the writer(s). You must assume the entire
responsibility for reliance upon them. All postings copyright the author.
Submissions:     PaddleWise_at_PaddleWise.net
Subscriptions:   PaddleWise-request_at_PaddleWise.net
Website:         http://www.paddlewise.net/
***************************************************************************
From: Melissa Reese <melissa_at_bonnyweeboaty.net>
subject: Re: [Paddlewise] Thumb pain
Date: Thu, 14 Nov 2002 12:32:03 -0800
On Thursday, November 14, 2002, at 11:07:53 AM PST, John March wrote:

> Lastly, drugs may be the best bet <grin>: the new Cox-2 NSAID,
> Bextra, is pretty good for pain control.

The problem with using medication to control pain is that the
underlying cause of the injury/condition can continue to worsen
without notice. It really is better to try and eliminate the cause
rather than simply cover up the symptoms.

John B. says that he uses both a Greenland paddle and a *crank shaft*
Euro style paddle...and that the problem is much worse with the Euro
paddle. While increasing the width of the Euro paddle's shaft can
probably make a positive difference, there are more differences
between the two than just the width of the shaft.

Speculation follows (I'm no hand surgeon!)...

I'm wondering if by using the crank shaft paddle, and somehow feeling
that it promotes a more "natural" grip just by virtue of the
"crankiness" of the shaft, John isn't gripping it too tightly
throughout the stroke?

Part of a good relaxed technique with a straight shaft paddle is to
open up the "pushing" hand a bit, which, in addition to relaxing the
hand and promoting greater circulation, puts more of the pressure
across the palm rather than into the smaller joint areas. I wonder if
by using a crank shaft, a paddler might become somewhat complacent
about the little techniques that minimize pressure on the specific
joints?

-- 
Melissa

***************************************************************************
PaddleWise Paddling Mailing List - Any opinions or suggestions expressed
here are solely those of the writer(s). You must assume the entire
responsibility for reliance upon them. All postings copyright the author.
Submissions:     PaddleWise_at_PaddleWise.net
Subscriptions:   PaddleWise-request_at_PaddleWise.net
Website:         http://www.paddlewise.net/
***************************************************************************
From: John March <jsmarch_at_acpub.duke.edu>
subject: Re: [Paddlewise] Thumb pain
Date: Thu, 14 Nov 2002 16:25:19 -0500
Yes, I agree. Under the surgeon's principle of no organ, no itis, no thumbs 
should do the trick just fine <grin>.  Seriously, this is much more true 
for acute pain (e.g. appendicitis covered up by narcotics) than for chronic 
osteoarthritis, which will bother no matter what remedies are applied. No 
reason to be miserable unnecessarily.

At 12:32 PM 11/14/2002 -0800, Melissa Reese wrote:
 >>>The problem with using medication to control pain is that the
>underlying cause of the injury/condition can continue to worsen
>without notice. It really is better to try and eliminate the cause
>rather than simply cover up the symptoms.<<<


*********************************************************
John S. March, MD, MPH
Professor of Psychiatry and Behavioral Sciences
Department of Psychiatry and Behavioral Sciences
Duke Child and Family Study Center
718 Rutherford Street
Durham, NC 27705
919/416-2404 (P); 919/416-2420 (F)
Email: jsmarch_at_acpub.duke.edu
Website: http://www2.mc.duke.edu/pcaad

*********************************************************

***************************************************************************
PaddleWise Paddling Mailing List - Any opinions or suggestions expressed
here are solely those of the writer(s). You must assume the entire
responsibility for reliance upon them. All postings copyright the author.
Submissions:     PaddleWise_at_PaddleWise.net
Subscriptions:   PaddleWise-request_at_PaddleWise.net
Website:         http://www.paddlewise.net/
***************************************************************************
From: Jennifer Pivovar <kayak_at_headwinds.org>
subject: Re: [Paddlewise] Thumb pain
Date: Thu, 14 Nov 2002 11:29:25 -0800 (PST)
--- John Blackburn <digipixs_at_erols.com> wrote:
> This past year I have been experiencing pain in my
> thumb joints, the ones that are at the base of the 
> thumb that you can't see, located inside the hand
...
> Any thoughts out there on alternatives to duct tape?

Hi John,  

You might try a thin layer of minicell foam, double
thick over the oval to "extend" the ovality - this is
very comfortable.  If you have a 2-piece paddle, I
would then cover the mod with heat-shrink tubing.  You
can also shrink-tube over a duct tape build-up fine. 
If you don't have a 2-piece, try using a wide
electrical tape to wrap over the foam mod (similar to
the wrap on a raquette).  I would stay away from
regular foam that could absorb water.

J

***************************************************************************
PaddleWise Paddling Mailing List - Any opinions or suggestions expressed
here are solely those of the writer(s). You must assume the entire
responsibility for reliance upon them. All postings copyright the author.
Submissions:     PaddleWise_at_PaddleWise.net
Subscriptions:   PaddleWise-request_at_PaddleWise.net
Website:         http://www.paddlewise.net/
***************************************************************************

This archive was generated by hypermail 2.4.0 : Thu Aug 21 2025 - 16:33:31 PDT