23 year old Production Artist with Tendonitis in the wrist and forearm

by April

I have been dealing with tendonitis for 8-9 months now. I am a production artist and have to redraw logos/set art, etc. I am 23 years old.

When it started, I was working 60 hrs a week at work due to understaffing and the start of our busy season. I was working extremely fast, not stretching or giving myself a break, and very stressed out.

I didn't think anything of it because I figured being young, my body could take it. Very wrong.

My hand started hurting around my knuckles and spreading to my wrist . At the time I had no idea what it was, and continued working on it, no ice or anything.

Within a week I was in so much pain that I went to my dr. who gave me a mild anti-inflammatory, and told me to use heat (no ice) and to take a few days off.

I went to work 5 days later on mon, using a splint advised by him. By tuesday my entire hand and arm felt like they were on fire.

My work sent me to another dr., same thing, except he told me to ice.

After a few weeks of working 4 hrs/day on my computer instead of 8, my wrist started feeling better, but my forearm was bothering me.

I was sent to an Ortho specialist who gave me two injections (each a month apart), which did not help at all. Since then, I had surgery a couple weeks ago. My dr. called it Intersection Syndrome and decompressed the 2nd compartment of my forearm. I haven't worked on it yet, and was told to massage and ice.

However, I already feel the pressure/irritation that was there before, and know the surgery must not have worked. I just started your Super icing technique today.

Do you have any advice for me? I am worried that the surgery was a complete waste.


Joshua Answers:

Yes I do April.

1. Ice Dip. Ice Dip. Ice Dip. 30+ times per day. More if you want the pain to go away faster.

This will take some work. It may take several days before you notice benefit. But there is A LOT going on under the surface of your skin. Ice Dipping is, in my opinion, the only tool that is going to start shifting you out of the pain dynamic (other than never using your hands again).

Take your tolerance level of Magnesium.
Find out what that means by following the link on the bottom of this Magnesium for Tendonitis page. Make sure to read that page before following the link to the Magnesium Dosage page.

3. Cover your bases with Vitamin B6 and B12 (methylcobalamin, not cyanocobalamin). Inflammation Causes Vitamin B6 Deficiency. In short, B6 deficiency results in pain.

4. Might as well get your Vitamin D level checked too. I bet you a dollar it's way too low.

I also fear that your surgery was a complete waste.

It clearly did not address the cause, the source, of your problem. And it added injury, pain, insult to your nervous system, and will add issues with those plus scar tissue formation and the constriction that that causes.

And I'm guessing that surgeon doesn't have a money back guarantee....or even an admission that surgery may not have been the best option. I wonder if s/he'll recommend a second one since the first one didn't 'work'.

The Tendonitis dynamic can look a lot of different ways. Intersection Syndrome is one of them. Tightness and pain cause more tightness and pain, whatever one wants to call it.

First things first. Start Ice Dipping like your career depends on it. (It very well might.)

Magnesium is a close second.

Vit D, B6 and B12 are a distant but still should do them third. Any one of them could actually be a big player.

Do that for a few days solid. (You can take a 5 gallon bucket to work, put frozen water bottles in it with water, and dip throughout the day.)

Ice Dip (and the nutrients) isn't a fix, but it's what you need to start with. Do that, then check in, and we'll go from there.

Please reply using the comment link below. Do not submit a new submission to answer/reply, it's too hard for me to find where it's supposed to go.

And, comments have a 3,000 character limit so you may have to comment twice.

Joshua Tucker, B.A., C.M.T.
The Tendonitis Expert

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Jan 08, 2010
PART 2 - 6 days later - 23 year old Production Artist with Tendonitis in the wrist and forearm
by: April

Thanks for the advice. I have been doing the ice dip an hr before work and 4 hrs at night. I am also taking 250 mg of Magnesium, 100 mg of B6, 1000mg B12, and 1000 iu Vitamin D. I have been working 8 hrs each day at work this week and it's my 1st week back since surgery. Some days I feel ok, other days, just a ton of irritation and pressure.
--How long will it take before the vitamins make a difference?
--Do you have any tips/suggestions for me while I am working on my computer?

By the way..you were on the spot about the Vitamin D. A year or so ago it was low on my blood test. I never knew what an impact that could have. My doctor acted as though it wasn't enough to worry about.


Joshua Comments:

Yeah, in general, doctor's don't really belive in vitamins and minerals as actually relevant to health.

Do you know what your level actually was?

1,000i.u.'s/day is an infant's dose, and is unlikely to bring your levels up. Researchers say that 4,000i.u.'s/day is a maintenance dose for an adult.

How long will it take for nutients to 'take effect'? It depends on your body, and if you're taking enough, and how much a role they were playing in the first place.

I have to take approx 800 mg/day of Magnesium, or my right leg will start twitching and spasming. If I take less than that, it's like not taking it at all. 250mg/day may or may not be enough for you to notice. It's not bad, but it may not be enough.

Same with Vit D. I doubt you're getting your levels up, at all.

Those are slightly low but acceptable B6 and B12 doses. Researchers say anywhere between 100-200mg B6 and 1,000-2,000mcg (mcg, not mg, methylcobalamin, not cyanocobalamin) of B12 is enough to bring levels up/notice results.

So depending on what you have going on and what you are doing, you can notice results immediately, or a day or a week or more later.

For tips at the computer, read this New Ergonomics page. Essentially, keep making your body adapt to different positions.

How has the ice dipping been going, about how many actual dips have you been doing, and what (benefit) have you noticed from it?

Jan 22, 2010
PART 3 = Jan. 22-- 1 month, 1 week post surgery - 23 year old Production Artist with Tendonitis in the wrist and forearm
by: April

First off, to answer your questions:
1) I have no idea what my Vit. D level was. I took your advice and went higher on all dosages. I am now taking(each day):
4,000 i.u.'s Vit. D
750mg Magnesium
200mg B6
2000 mg B12 (and the wrong kind so I will be getting the mcg methycobalamin like you said)

After a couple days of the change I noticed results, but I also had the weekend to rest and ice, so it was probably the combination.

I was doing 20-40 ice dips/day, depending on the day. Along with the vitamins it helped a lot. However, at the moment I have a bandage on my arm, so I cannot do them (I will explain further down). The ice dipping probably made the most difference in my fingers and hand, because I haven't noticed anything bothering me except my wrist/forearm at work.

I really wish I had found your site prior to surgery; I went to the doctor this week to find out my tendon is sticking to the scar and scar tissue. My dr. told me a month ago, after the stitches came out to, "Rub as much as you can." He was never clear how much that was, even when I asked. He said the same thing again. Frustrating! He released me (I was going through workers' compensation), and told me to continue to rub it. At that point I was so worried about it that I went back to work and rubbed with even more pressure than before.

My skin peeled a little and continued to get worse. Now I have two circular spots where the skin is raw over the incision area, and at the same time I have to worry about rubbing it to release the tendon.

It is VERY painful to rub now because of the skin. Needless to say, I felt like there was a light at the end of the tunnel, and now it's dark again. Your site has helped me a ton, but as you said, there's so much damage surgery can cause, and in my case it's happening now.

If I can't get the tendon to remove itself from the scar tissue I know I will have tons of problems. It is very stiff at the moment, and when I rotate my wrist to stretch it, it's painful.

Any advice? I appreciate all of your help; you have given me SO MUCH MORE helpful advice than ANY doctor I have seen so far.


Joshua Comments:

I'm good with the nutrient amounts, definitely switch to methylcobalamin. It's pricier, but for good reason.

The surgeon cut through layers of flesh and cut on the tendon too. Scar tissue is going to pull all those injuries back together.

Relax on the rubbing. Don't hurt yourself. You'll be ok, I promise. We'll get you there.

You know how it feels when you stretch your legs? Let's fine tune your rubbing to feel like that. No friction on the skin surface.

Put a finger/knuckle/whatever on the skin on the area. Push in, engage deeper tissue, then push in any direction. You're stretching and massaging tissue. YOu can target that way.

Pay attention, explore, pin and stretch more than frantically rub across the surface.

Make sense?

Jan 24, 2010
PART 4 - 23 year old Production Artist with Tendonitis in the wrist and forearm
by: April

That makes sense; I will work on doing that. Thanks!

Joshua Comments:


Keep at it, and keep me updated.

Mar 18, 2010
PART 5 - 3/18/2010 - 23 year old Production Artist with Tendonitis in the wrist and forearm
by: April

I did as you said with a ton of focus. At times I felt like I was making a lot of progess, but it never came completely off. I guess it was already too attached. I gave up on it a couple weeks ago. Now if I try to push my skin around the scar off to the side, there's this one pit looking area that stays... very lovely. Anyways, the vitamins were helping a ton, but I am taking higher doses than I was.

I was in Hawaii on Vacation a few weeks ago and nothing was bothering me at all... completely no irritation without taking the vitamins, and as soon as I came back it started again (maybe I should just move to Hawaii? I wish.). I have been back for about 2 1/2 weeks. The first week back I was completely fine, but within the last week my wrist and arm have been very irritated and I cannot figure it out. I was sick last week, so I was on a Z-pack for a sinus infection. Could that have interfered with the absorption of the vitamins?

At the time being I can handle how it is when it gets irritated, but I want your advice for the future. Is there anything out there, other than surgery that could fix the problem? Or will I eventually have to have surgery again? What are the complications that I am going to have to deal with currently with the tissue and tendon attached?

I appreciate all your help! I have said it a million times, but I wish I found your site sooner and I would be done with this by now.


Joshua Comments:

Well, that's interesting.

You were in Hawaii, and had NO pain or problem? Is that correct?


There ARE benefits to being in the sunshine, other than Vitamin D absorbtion.

It makes me wonder how much stress is playing a role in your pain....

On a purely physical level, connective tissue tightens up after surgery. That can cause problems. And can be specifically stretched open, and kept open/lengthened. So there's that for the future.

On a nutritional level, deficiency can basically result in ongoing pain.

On a stress level, the nervous system gets amped up and can result in pain/ongoing pain.

Which of those sounds most relevant/applicable?

Mar 21, 2010
PART 3 - 3/21/10 - 23 year old Production Artist with Tendonitis in the wrist and forearm
by: Anonymous

Correct-- NO pain or irritation when I was in Hawaii. As soon as I was back in Kentucky, it was very cold, and it started bothering me again, slightly.

This is the thing I don't understand. In Hawaii, tons of sunshine, no problem, but here, if it's really sunny and warm, it feels like the sun makes it feel worse. I don't understand it at all.

Is there something I should be doing, as far as stretching?

I am continuing to take all 4 vitamins, and this weekend it is feeling better, so hopefully being sick had something to do with it.

I really think that it is a combo of the vitamins and stress, but I have been working on the stress part (maybe that's what it has never been as painful as it once was).

Could hormones have anything to do with any of it? My doctor diagnosed me with PCOS about over a year ago, and that was when I found out my Vitamin D level was low. She didn't put me on anything but the pill though(Mononessa).

Thanks for all your help!

Mar 21, 2010
PART 4 - 23 year old Production Artist with Tendonitis in the wrist and forearm
by: The Tendonitis Expert

Joshua Comments:

Ahhh, the plot thickens.

1. There's plenty of Vitamin D in hawaii's sunshine. IN the us, there is no Vit D in the sunshine between October-March above San Francisco-Boston, a bit more south of that.

So you're just starting to get Vitamin D in the sun there in Kentucky.

having said that, it's weird that being in the sun in Kentucky makes you feel worse.....if the factor here is 'being in the sun'.

I wonder if the 4k/day your taking is enough to increase your levels. You're taking enough Magnesium it's converting into it's active form, but it may just not be enough for you. Get a level so you know.

Vitamin D Council has blood spot test you do at home and send in for $65. Don't know what it would cost at your doctor's.

2. Hormones could have something to do with it. Thyroid issues can also play a role in wrist pain.
And, if you have PCOS, you definitely have some estrogen-dominant issue going on.

Your doctor has already proven that he's not going to help solve your PCOS problem, as he did the standard of care and put you on the pill. Doctors love to deal with symptoms but seem uninterested in dealing with the cause of the problem.

If you want to effectively deal with yoru PCOS, talk with Kerri at www.Easy-Immune-Health.com. I suggest you pay the $150 and get a consultation with her. My cousin had superbad PCOS, couldn't work suddenly because of it, and Kerri got her on her feet again.

You're not that far along, but there's no reason to let it get that bad.

3. You mentioned vitamins and such. Potentially you have Gluten Intolerance, which, long story short, can cause you to be a poor nutrient absorber, and cause wrist pain.

The only reliable test for this is to go TOTALLY off gluten for 2 months and see how you feel, and then have a pizza, and THEN see how you feel.

Kerri deals with Gluten Intolerance issues as well.

Although you may want to focus more on an anti-estrogenic diet as my guess is the PCOS is more an issue than Gluten Intolerance.

Check out the Anti-Estrogenic Diet by Ori Hofmekler.

Again, Kerri's the expert on this, I'll just point you at her.

I'm now suspecting that you don't have an injury type of tendonitis, but that you have a non-injury tendonitis caused by some systemic factor, which could be from (some combination of) PCOS, nutritional deficiency, gluten intolerance, etc.

And I'm a fan of dealing with the SOURCE of the problem. I don't think yours is actually at your wrist, though physical factors are certainly at play.

Mar 23, 2010
by: April

All of what you said makes sense. My doctor's explanation for putting me on the pill was that I was in good shape since I'm thin and healthy. She said that "I passed all the tests" but diagnosed me with it anyways because of my symptoms.

I will definitely look more into all of this information. My other question is related to your comment
"I'm now suspecting that you don't have an injury type of tendonitis, but that you have a non-injury tendonitis caused by some systemic factor, which could be from (some combination of) PCOS, nutritional deficiency, gluten intolerance, etc."

Why did this all start when I worked 60 hrs a week and very quickly? Why not before, when I was just working a regular week? Does it have something to do with using more of those vitamins?


Joshua Comments:

Don't get me wrong, I'm not saying it NO physical factors of tightness, etc. (I answer a lot of questions, I sometimes lose track of what's been said before....:)

You worked a 40 hour weeks for X years. Then you upped to 60. It could be that your body compensated relatively effectively for the slowly increasing muscle tightness/connective tissue shrinkwrapping. Then you took it over the edge with with a lot more activity.

This doesn't necessarily meant that you had any injury, but it does mean your structure was SO TIGHT it couldn't work well anymore.

The surgery you had was theoretically supposed to 'release' that tension. I have a low opinion of that theory.

So you had a too much tightness and pain, then the surgery which can certainly make things worse as it's an injury that causes inflammation and scar tissue.

Back to the systemic stuff. Do you have ovarian cysts, or not? I'm not clear what your doctor is up to here. And, is this the same doctor that didn't think your Vitamin D deficiency was a big deal?

So. What if, due to gluten intolerance and/or PCOS, either your hormones were causing pain, or nutrient deficiency and irritation from the gluten intolerance was causing the pain. No way surgery can help that.

The clue that you pain was GONE in hawaii, and then returned, is a clue to me that there's something systemic at play that just happens to cause pain in your forearm/wrist.

And, really, all the factors work together: tightness, connective tissue constriction, body chemistry, nutrient deficiency/sufficiency, etc.

The trick is, finding what it takes to make your pain go away.

Make sense?

Mar 24, 2010
3/24/10 - 23 year old Production Artist with Tendonitis in the wrist and forearm
by: Anonymous

That makes sense. I do agree that's it a combination of things.

After everything the past few years I am not a huge fan of most dr's. I was just going for a yearly check-up and I wasn't having a normal cycle (sometimes only every few months).

My dr. sent me to a specialist because she thought I had PCOS. They ran blood work and I had slightly elevated testosterone levels. I did some type of test that people do for diabetes (had to drink an orange drink and come back after an hour). Everything came back normal, so my dr. told me that I passed all the tests but she believed that I still had it. Didn't make a lot of sense to me. She told me to just go out in the sun more, for the vitamin D thing (makes me laugh now).

I really think they kind of passed me along because I wasn't trying to have kids, so they felt it wasn't an issue until I wanted to have kids. The specialist told me that since I was in great shape and healthy (since she said most women with it have weight problems) she didn't want to put me on medication.

I was looking up gluten intolerance, but I don't seem to have any of the symptoms except fatigue (which I attributed to my hormones). Would I be sensitive to certain foods if I did?

I am trying to figure out what works and what doesn't, but some days it's really confusing.

Yesterday it bothered me a lot, but last night and today it didn't, yet it's bothering me now. Not painful, just constant irritation. I will definitely go somewhere soon to check on my levels.

I also get feet and toe cramps, which I looked up and found was linked to low Magnesium... yet I am taking 1,000 mg a day now. I'm wondering if I am not absorbing vitamins as well, like you said.

Mar 27, 2010
23 year old Production Artist with Tendonitis in the wrist and forearm
by: The Tendonitis Expert

Joshua Comments:

Well, if you don't have ovarian cysts, then it's safe to say that you don't have PCOS....

Could be Low level gluten intolerance, which can slowly, insidiously start causing problems, fatigue, and a downward spiral from there.

(Food allergies may or may not be a symptoms depending on the person)

But Kerri read this and is leaning towards a Pregnenolone Steal and Adrenal Fatigue. This explains your missed periods and fatigue.

YOu had a lot of stress which affects adrenals and cortisol, and pregnenolone steal means cortisol (stress hormone) is created instead of the sex hormones.

Likely some nutritient deficiency at play too. I've mentioned B6 and B12 before, I think.

And magnesium. You're taking 1,000mg's now. Hopefully you're taking something other than magnexium oxide. And, it may not be enough for your needs right now.

Some people have to take their oral tolerance level and then use Transdermal Magnesium Gel topically too.

Take an Epsom Salt bath and see what happens (Lots of magnesium in Epsom Salt).

Follow the link to the Pregnenolone Steal, and then the link to Adrenal Fatigue on that page.

The clue that you hurt one day and not the next very much has me think that this is a chemistry, as opposed to tissue/damage issue.

Mar 27, 2010
3/27/10 - 23 year old Production Artist with Tendonitis in the wrist and forearm
by: April

That makes so much more sense than PCOS. I kind of blindly believed my doctor because I didn't know what else to think. I just didn't understand why other people that had PCOS were overweight, but I can pretty much eat whatever and still be thin. So frustrating that doctors are probably misdiagnosing people left and right.

I went to the link to receive a test... I really hope this is it. I am not constantly sick (I get a sinus infection every year or two years, but nothing more). But the fatigue is definitely a huge problem because even on the weekends I wear down VERY easily.

I am only taking Magnesium Oxide. Is that bad? I will look for the gel, and I have taken an Epsom salt bath before, but it didn't help. Hot water bothers my arm for some reason. Maybe I will just try warm instead of hot, and that might make a difference.

I really thought that Vitamin D was a major part, but then my mind changed today. On Friday I had a very stressful day because of a meeting in my department and some issues with a co-worker. I don't feel like I deal with stress well at all... my heart was beating very, very fast because I was pretty angry about something and afterwards I felt so exhausted because of the stress.

I was still annoyed by the end of the day... and today. My wrist and arm (especially around the incision area from surgery), have been EXTREMELY irritated. That leads me to believe it may really be this other adrenal thing.

Again, thanks for all the help, and for having Kerri read everything. I feel that we're a step closer to figuring it all out!

Mar 28, 2010
Hooking you up with Kerri - 23 year old Production Artist with Tendonitis in the wrist and forearm
by: The Tendonitis Expert

Joshua Comments:

Yep. I think we're a step closer too.

1. Magnesium Oxide is the cheapest form, that's why it's in the most products. Unfortunately, it's also the least absorbable. So -maybe- you're getting 500mg when you take 1,000mg. Likely less.

2. If you're a Stress Monster, you may just have REALLY high magnesium requirements. (which also may mean you're not getting all your Vit D, as Vit D needs Magnesium to convert into it's active form in your blood).

Epsom Salt baths don't do anything for me. I'm experimenting right now with 'ionic' or 'angstrom' magnesium, which is in liquid form. It is said to be, effectively, more effective than pills, but I haven't noticed a difference (not taking -that- much so far).

Having said that, I'm about to increase my intake by double and then triple, then I'll have a final conclusion.

Point being, sometimes you really have to play with your intake. And it's an art, not a science, since there can be so many factors at play.

3. RE: Vit D. It's still vital. (If only for the 83% reduction in the incidence in breast cancer.) It's worth getting your level tested just so you know right now where you're at. Then you can factor it in with whatever is causing the Adrenal Fatigue.

4. It is weird that hot water bothers your arm....I don't have an answer or really even a guess as to what that is.

But it makes total sense that stress makes your wrist area hurt. Definitely chemistry as opposed to injury.

5. I started a conversation like this for you on Kerri's site (with your name and talking like I'm you). She'll respond to it shortly and you'll get an auto-email.

When you respond back, check on the NOTIFICATIONS options, the box where is says 'when others comment on...'. I didn't actually check that box for you.

I'll be watching over Kerri's shoulder, and she's the gal to talk to about chemistry!

Nov 21, 2013
Chronic Tendonitis in my right wrist and elbow! 24 years old and had it for 3.5 years
by: Alyssa S

Hi! My name is Alyssa, and I am 24 years old. I've had chronic tendonitis in my right wrist and elbow for 3 1/2 years now. Nothing seems to help me. I've had it before in 2007, but it went away after a few months when I got physical therapy. In 2009, I re injuried my arm at work, and that's when I got it in my elbow.

Nothing seems to help me get better this time, and I'm in a lot of pain on a daily bases. I seen a QME doctor threw my work, and he said my arm is 5% disabled.

Which I don't understand because the slightest thing I do with my hand I'm in extreme pain later on that day. What can help me get rid of this?

I'll try anything. Might I add, I've had physical therapy for this, and a cortizone shot that didn't work. (The shot did leave a big white patch on my wrist too). I'm tired of the pain :(

Thank you for your advice!
Alyssa S


Joshua Comments:

Hi Alyssa.

Sorry it's been a while since you posted, I've been busy and havent been checking.

See my other responses in this thread for most of the response to you.

1. What happened with that white patch from the corticosteroid shot? (Not ideal)

2. An important thing to know about Tendonitis, is that; you said that you got PT and it went away.

It didn't actually go away. The pain went away, and some of the factors reduced, but the factors that cause tendonitis were still there.

Along those lines, you didn't 're-injure' yourself. Those factors just kept going in the direction they had been going. And that's why it feels like you have it in other areas no (spread from wrist/forearms to elbow)...because it did actually spread, meaning, the tightness and inflammation got tight and inflammed farther and farther out.

It just sort of works like that. You have to reduce the factors down to little or nothing so the body can again keep you 'happy' for a long time, and probably you'll have to nip it in the bud in the future (as opposed to waiting till it's really bad and requires a lot fo self care).

3. The slight movement = sever pain later in the day...that's all those same factors, just more of one or more of them. Just inflammation can cause disabling pain..which isn't injury as there's no actual damage, but debilitatin pain from inflammation.

4. You're definitely going to want to look at nutrition.

Also see: 24 Year Old With Wrist Pain That Reappears Every Few Months Or So

More questions, more answers.

Feb 19, 2015
Intersection Syndrome 2 years
by: Kaylee

Hello! My story is similar to April's in that I developed intersection syndrome from STUDYING TOO MUCH. Writing, typing, texting, etc. I've done therapy, went through with the surgery after have 6 cortisone shots, and chronic disabling pain, and 3 orthopedic specialists.

I am afraid the surgery and post op therapy did not work, for I have the same symptoms as before the surgery 6 months ago. Everything hurts from changing the radio station in the car, to eating, to holding a heavy beverage, to using the computer mouse.

The injured post op tissue does seem healthy, I have made a great effort to massage the scar post surgery and it does not pucker up or seem odd-however I understand that it is not fully healed. I also perform the Graston technique with massage cream on my right wrist about 2x a week, take multi-vitamins, and have a healthy diet- no other health concerns.

I have ice dipped and was doing that 4x a day for two months prior to surgery. The effects were only temporary for me and it began to take over my life which is why I chose surgery to remove the inflamed tissue that I could physically see rising on the surface of my wrist.(Which would get worse in the heat)

Like April, I now work 60 hours a week at an accounting firm (on the computer) and am overall a high strung/stressed individual.

I love my job and am glad that it doesn't involve writing which is worse than typing for my wrist. E

veryday at work, I wear a compression guard all day that does help with supporting it and increases the blood flow. But for other mundane activities, this is a chronic issue that I am sick of taking ibuprofen everyday for.. I probably will go back to ice dipping but man I could really use your help to see what else I can do!

Thank you for reading I'm so glad I'm not alone with this.


Joshua Comments:

Hi Kaylee.

Unfortunately, surgery doesn't 'remove inflammed tissue'. And even if one does remove some tissue, the tissue isn't the problem. The factors causing inflammation are the problem.

And surgery doesn't touch those factors.

You still hurt because all the factors causing your pain are still in play.

From what you've said, it sounds like you're a type A personality. Which is only relevant as a clue.

Type A personalities have high magnesium requirements.

Guess what happens when a body doesn't have enough magnesium? Muscle get tight, and stay tight. Which then helps the Pain Causing Dynamic continue it's downward spiral into ongoing, progressive pain and problem.

See: Magnesium For Tendonitis

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