We really have harmed a whole generation of trans and gnc children by failing to communicate how serious a decision binding actually is, how there’s no ACTUALLY safe way to bind, how it permeneantly damages the body, how it can make top surgery more difficult in the future. I don’t think we should be keeping trans kids from binding (we let kids do all sorts of things they’re really not old enough to understand the potential consequences of) but we owe them the ability to make informed decisions at LEAST
So this is definitely an important conversation to have, but can you point me at some reading about “permanent damage”? I might just be lucky, but I had zero lasting effects from binding. I’d like to at least read up on it so I can have this conversation and be more specific than “be careful.”
Of course! I can’t easily source right now but I am more than happy to provide further info when I am not at work and on mobile. Unfortunately, like a lot of trans healthcare, a lot of what we know about binding is anecdotal and word of mouth. BUT permeneant damage can include:
-Musculoskeletal damage. Binders are indiscriminate compression tools; they can’t flatten the chest without applying pressure every other anatomical structure underneath including the spine, ribs, lungs and heart. Many people who bind experience chronic back pain, shoulder pain, sharp stabbing chest pains, permeneantly decreased lung capacity, literal spine deformation, etc etc.
-A continuation of the above but the ribs are actually jointed bones. Their ability to flex is absolutely vital to their ability to withstand trauma and protect your vital organs. Imagine the damage that would be done to your elbow if your bent your arm to full flexion and then tightly bound it closed like that, for six, eight, twelve hours per day, every day, for weeks or months or years. And you don’t NEED a functioning arm to live!
-Tissue atrophy. Forcing chest tissue to lay in an unnatural way can and will change the way that tissue looks, even to risk of atrophy. Some people who bind and only moderately dislike the way their chest looks find that they HATE the way it looks after binding for a period of time. Tissue atrophy can also make top surgery more difficult in the future, and increase the risk of complications like nerve damage.
-Worsened dysphoria. Once someone starts binding and becomes accustomed to seeing themselves with a flat chest, it can be much more difficult to see yourself without one, and dysphoria that much more intolerable. You can imagine the psychological feedback loop of binding more in response.
The typical safety measures passed around about binding are harm REDUCTION measures and should not be advertised as making binding “safe.” Binding is not safe. It is a very serious health decision with long term consequences and should be treated as such. That doesn’t mean it’s the wrong decision, but it should not be considered the DEFAULT decision for chest dysphoria which is frankly how it’s currently treated.
I went to the Philadelphia Trans Health Conference and went to a workshop held by a chiropractor who works with trans men (as well as being a trans man himself), so I’m going to pass on his advice to people who bind:
Stretch your chest, shoulders, and back everyday (at least)
This is a passive stretch where you place a foam roller at the bottom of your spine (to support your hips and lower back), and lifts your shoulders off of the ground, with your arms on the ground to balance you.
This stretch is meant to be held for a few minutes, open up your chest, and aid your everyday posture.
You probably don’t own a foam roller, he advised to wrap a towel or blanket very tightly and tied as a substitute. I use a layer of bed foam rolled up with two belts to keep it rolled. Whatever you use, it ought to have a bit of give and it needs to lift your shoulders off the ground.
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This is an active stretch. Stand in front of a doorway with your feet together (if the door way was not there, your toes would be touching the wall, not crossing through it). When you lift your arms up and put them against the wall, your feet, hips, and arms should all be in line with each other (your arms should not be behind you with your feet and hips in the doorway).
Make a “W” shape with your arms against the wall so that your elbows are the closest part of your arm to the ground, and take one small step forward.
You should feel a pull in your lower shoulders, but it should be comfortable to hold. Donot over stretch, you shouldn’t be leaning your weight into your arms to balance, your weight should be balanced by your legs. Do not judge yourself and think you are doing yourself a favor by thinking that you ought to have a bigger step. Sure, you could overstretch today, but you need to be able to do this tomorrow too! Hold this for 10-15 seconds. (Yet again. Do. Not. Overstretch.)
Bring your feet back together, and do it the other foot. There will probably be one foot that is easier than the other, stretch that step more often than the less difficult step.
Bring your feet together and bring your elbows up so that your upper arms are parallel to the ground and your elbow forms a 90° angle with your forearms. Take your small step forward and hold for 10-15 seconds and switch feet.
Now reach your arms up as high as you can. It doesn’t have to be much higher than the last stretch, if that is as high as you can go, then that’s it. If you can’t reach higher than the last stretch, put your arms down at your sides and then lift your arms up from your sides and put them against the wall (sorry he didn’t include a picture of this one in the slides, message me if this is unclear.)
Your goal is to be able to reach your arms up like in the picture so that you form a Y shape. Step forward and hold for 10-15 seconds, then switch feet.
His advice was to do this stretch as often as you use the bathroom at home (shoot for 3-5 times a day).
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The next two stretchs don’t have pictures! If you can do these stretches with ease and want a more intense version, try using dumbbells and incorporating it into your workouts.
If you’ve ever done snow angels? Put your heels, butt, shoulders, and arms up against a wall (as much of your body as you possibly can should be touching the wall) and lift your arms up as high as you can go like you are making a snow angel.
Alternatively, lay down on the ground instead of up against a wall if you need to work your way up to lifting your arms above your head.
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Again, with your body up against the wall, but this time with your arms in front of you, bring your arms up like Frankenstein’s monster, so that they are as high as your shoulders. Hold this for a few seconds.
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After trying these stretchs, it’ll probably be clear where your range of motion is most limited. For me, the most useful stretches are the W and 90° angle doorway stretch and foam roller stretch, bc I have the most trouble with my lower shoulders and chest. Try to maintain your range of motion where you have it, and use these stretches to improve your range of motion where you are limited.
