Posts made by Dr GO

@vulgano-brother said in If you are 13...THIS is your standard!:

That's it. I'm giving up trombone.

Ahhh..... He plays trumpet too!

@sessionaire said in Lip pain solution?:

(orbicularis Oris) injury whilst playing (felt it happen) 12 years ago

While I do not disagree with Rowuk, that many physiological disabilities may impact on embouchure performance, in the case of the OP, it appears as a direct injury to the muscle as the OP says in his initial post that (...injury whilst playing (felt it happen) 12 years ago).

I also agree that contacting Dave Monette is also a good place to go toward recommended experts in the field that may be able to help, but would recommend focusing on a direct injury to the orbicularis Oris muscle. I found the best medical report possible that details an experienced clinician's perspective that has cared from multiple cases of orbicularis Oris damage. I do not subscribe to this journal but perhaps you can find a library that will get the full article for you or contact the clinician directly to get their opinion as well.

https://pubmed.ncbi.nlm.nih.gov/8656963/

Hope all this advice gets you the new hope that I believe you are seeking from opening this thread. I do believe that coming to TrumpetBoards was a good decision as there are a lot of good people here that have the expertise to guide you, musicians as well as physicians... including a couple physician musicians.

Clip 2: Skyfall
https://www.facebook.com/100063121514128/videos/pcb.230624029051646/415361290225061

The Generations Big Band from our Halloween gig last evening. I am the one in the pumpkin suit: Sledgehammer
https://www.facebook.com/GenerationsBigBand/videos/393694365429696

On sale for the Halloween! The Freddy Kruger 5C Mouthpiece:

@richard-iii said in Lip pain solution?:

Thanks for the answers. Most concerning is the numbness/tingling. If that were absent I would suggest a number of physical therapies. However, due to the neurological involvement and the location of the possible entrapment I am concerned greatly. Without getting into cranial nerve distribution, if you had entered my office with these complaints, I would refer you to a facial specialist in neurology. I think the answer is out there. I would not go to a generalist as this area requires its own specialization. You might be facing some surgery. Best of luck.

Richard, I agree, the neurologist is best qualified to determine the etiology, and then and only then, recommend therapy.

Arturo with Leonard and Friends:

Now read on:

Botulinum toxin will treat muscle stiffness and spasm. Botox can reduce inflammation as the mechanism of pain relief. This is an acute process, as I have read into the OP's experience, the injury occurred 12 years ago. It is unlikely that this relief of an inflammatory condition by paralyzing impinging muscle is active this far out from the initial injury. Botox injections work by causing involved muscles to release tension, which then blocks the stimuli for the nerves to induce pain.

I am a physician, Please understand, Botox is for muscle disorders. As you so noted, MRI and US were negative. That means there is no motor unit dysfunction causing the pain. In fact, paralyzing muscle (Botox mechanism of action) runs the risk of irritating the neurological dysfunction that is the cause of the pain.

@administrator said in New Toy (not a trumpet):

C8? I want one.

It is the C8 with the Z51 Performance package which is top of the line! To be expected from an Engineer employed as a consultant for Wright Patterson Airforce Base.

My daughter's boyfriend brought this by the home yesterday. Took me for a spin. But the time I had said, "let me know when we get to 60" we were already at 94 mph. Goes from 0-60 in 2.8 seconds... AND can you feel it!

@georgeb said in Band Re-start for Fall:

@dr-go

I love the sound you are getting on your Getzen Flugel, Doc. But I must admonish you on one thing...
YOUR POSTURE...not good, Doc...

Posturing concepts come from my training as a physician, that is to get to the physical level of the patient to connect better through eye contact, voice clarity. So I "practice" the same standard when I am directly playing duets with an ensemble member. In the clips shown I am harmonizing (improvisational at that) with at soprano player and trying to get to his instrument level, mostly to best hear his notes and then intonation to assure we are complimenting each other rather than being overbearing in a response.

For those not using Facebook, here is a still clip of that same gig on Thursday:

Felt great getting back into playing out again!

Came out of hibernation a second time after the Delta surge. Here I am just Thursday at Wholley Grounds that just reopened after the owner came down with Covid. Very small snippet of me harmonizing with a soprano and flutist.

https://www.facebook.com/1368582191/videos/pcb.10226808046371750/3022829614631183

My toy in the Mid-80's: