Lifting Belt Controversy: Should You Use One?

This is the fourth article in a series examining low back pain in the performing arts. Previous articles examined the causes of low back pain, rules for safe lifting, and proper lifting techniques in the performing arts. This article discusses a commonly-used piece of safety equipment: the lifting belt.

There are many types of lifting belts, also occasionally referred to as “back belts.” The lifting belts most commonly encountered in the performing arts and athletic worlds are specifically designed for athletic use. These belts are designed to support the lower back while minimizing the extent to which they interfere with body movement. Conversely, some back belts are intended for people with specific back injuries or for manual laborers to wear at work. These belts may have suspender-like supports or may be made of inflexible materials, like hard plastic, which make it harder to perform athletic movements while wearing these belts.

Industrial Lifting Belt

How Ergonomic Principles Can Improve Your Playing

Since the 1950s, the word “ergonomics” has been used to describe the study of humans and their interaction with objects in their lives. This field has focused on improving the design, manufacture, and arrangement of objects within a given (work) environment to make these locations and the actions performed in them safe, healthy, and comfortable. Instrumentalists can benefit greatly from modern ergonomics, as musical performance requires a very high amount of repetitive motions that can lead to injury.

Ten Keys to Making it through Thanksgiving without Feeling More Stuffed than the Turkey

Thanksgiving is a great holiday to get together with family and friends and remember all of the great things and people we have in our lives. Unfortunately, it also has a reputation of offering way more food than anyone could possibly eat without exploding. Survive the multitude of heavy sides, savory entrees, and mouth-watering desserts by following the following tips.

Your Guide to Pain Medicine

Pain is the most common reason people seek medical attention, so it’s no surprise that there are so many different medicines designed to reduce or eliminate pain. Pain signals are sent to the brain through the body’s nerves after pain receptors on the nerve endings have been activated by chemical, mechanical, or thermal damage to tissue cells. Medication and therapeutic treatments aimed at reducing pain work through a variety of mechanisms, including removing/limiting the irritants that contribute to pain, raising the threshold of the nerve endings to delay pain signal transmission (you have to be in more pain before your nerves decide that it’s important enough to tell your brain about it), or preventing or removing the swelling that increases mechanical pressure on nerve endings.

Pain medicine covers a wide range of types of medication, including counterirritants, local anesthetics, analgesics (narcotic and non-narcotic), anti-inflammatories (including steroid-based and non-steroid-based), and antipyretics. This article only addresses oral medication (pills) that is available over the counter (OTC) (as opposed to prescription medications), focusing primarily on analgesics and anti-inflammatories.

7 Steps to Ensure Your Voice Survives the Royals' Postseason

After the Chiefs’ domination in Monday Night Football at Arrowhead and the Royals’ first postseason win in 29 years last night, more than a few Kansas Citians are likely to have vocal trauma and maybe a hoarse voice this week.

The vocal cords are bands of connective tissue that run across the trachea (“windpipe”) and vibrate when air is forcefully exhaled past them. Vocal pitch is controlled by contractions of tiny muscles attached to the ends of the vocal cords which tighten and flatten the vocal cords. When you scream or yell as loudly as you can and/or for an extended period of time, the vocal cords are exposed to a large amount of vibration, which can cause friction and irritation, leading to inflammation, swelling, damage, and pain.

Clothes that Burn Calories?

Some companies that sell exercise clothes make a lot of claims about the abilities of these clothes nowadays. According to ads, these clothes soak up sweat, keep you cool, improve your body’s functioning, and now, help you burn more calories.  With all these "specialized" clothes, shopping for exercise clothes can be overwhelming and confusing.

Not only are many of these claims unproven, but not all of the “perks” advertised by these companies are actually desirable for exercise clothes (or even good for you). If you are considering purchasing one or more of these types of special exercise clothes, make sure you research how the clothes go about achieving their claim-to-fame (if they do). Some clothes actually end up interfering with your body’s natural cooling processes, which can put you at risk of overheating while exercising.

2014 National Athletic Trainers' Association Clinical Symposia & AT Expo

Last week, Behind the Scenes Medical Consulting's owner, Laura Mertz, attended the National Athletic Trainers’ Association Clinical Symposia & AT Expo for four days in Indianapolis. Here, she shares some of her experiences and observations at this year’s convention.

As I have done every year of my career, I attended the Performing Arts Medicine pre-conference half-day session at the National Athletic Trainers’ Association (NATA) conference. This year focused on connecting with performing artists and arts organizations who may not know that performing arts medicine exists. Presenters included the athletic trainers at Ohio University, Dean College (MA), the University of North Carolina School of the Arts, and the hospital outreach organization that provides medical services to Cincinnati Ballet. In addition to the invaluable information this session consistently provides, one great benefit of attending this seminar is re-connecting with friends and colleagues from around the country, including the athletic trainers at Ohio University, Cincinnati Ballet, Indiana University, Radio City Rockettes, Louisville Ballet, and La Rêve – The Dream at Wynn Las Vegas.

Performer’s Perspective: The Two-Year Injury Saga that Nearly Ended All of My Activities

Laura Mertz

Violinist

Age at time of injury: 14-16 years old

Site of injury: shoulders and upper back

Laura is a performing arts medicine specialist and the owner of Behind the Scenes Medical Consulting. Her first experience with debilitating playing-related pain came as a 16-year-old violinist. Here, she details her injury and how she eventually overcame it – with the help of the friendly person working at KC Strings on the day she came in to correct her playing ergonomics.

New Year's Resolutions: Some Things to Remember for All Goals

With the New Year, it’s tradition to set some resolutions. And while many people know that “eat better” or “sleep more” aren’t complete goals, it can be difficult to set good, solid goals, especially when you have the entire year to attempt them.

While “quit smoking” is certainly a laudable desire, it isn’t necessarily a good goal to set. The appropriate way to go about quitting smoking (or other similarly ambiguous plans) is to create in-depth goals that focus on the steps necessary to achieve the desired result.

My Dance Injury Needs to be Seen by a Doctor. What Type of Doctor should I See?

So, you’ve decided that you need to see a physician for your dance injury (or your injury that’s affecting your ability to dance). Here are some things to keep in mind.  There are a few options for selecting a type of physician to see for your dance-related injury:

• Your family practice physician/primary care provider
• A sports medicine physician
• An orthopedic surgeon (sports medicine and orthopedics may be in the same clinic or department)