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Article #132: Piano and the Risk of Tendonitis

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As someone who has lived through 3 re-learn how to play the piano the
incredibly painful bouts of tendonitis, correct way. I realized, after visiting
both in my left arm and right arm, I the musician's clinic, that I had the
thought it important to pass on some completely wrong approach to playing
information that has helped me deal with piano. Specifically, I was too close to
this in the past. the keyboard, I had the wrong wrist
It is important to understand that position, the wrong finger position and I
playing the piano can cause serious didn't understand the concept of
injuries such as tendonitis and carpel leverage.
tunnel syndrome. Both these ailments are Leverage means to use the entire body to
known as repetitive strain injuries. The create volume on the piano. I was trying
constant up and down, side to side to create volume by forcing the keys down
movement of the arms and fingers when with forearm strength instead of using
playing piano for long periods of time is the entire body. Therefore, my arm
what causes these injuries. muscles and joints suffered from the
This is common among piano players. In strain of trying to play too loud. What
fact, it is so common that there is a I eventually realized, with the help of
special clinic in Hamilton, Ontario the musician's clinic doctor was that, I
called the Musician's Clinics of Canada needed to create velocity as opposed to
that deals with the prevention and force. Once the key reached the bottom of
rehabilitation of musician injuries. its natural movement it can go no
Naturally their patients include other further. Yet, I was trying to force the
instrumentalists like violin and guitar note passed its end without even
but, pianist injuries are certainly among realizing it.
the most common. The correct way is to drive the note down
What can be done when a pianist gets with extra velocity using the back,
tendonitis or carpel tunnel syndrome? shoulders, biceps, arms, wrists and
Well, certainly there are conventional fingers and then release at the exact
methods of dealing with the inflammation moment the key reaches its lowest point.
and pain. Unfortunately these types of Therefore, it's the velocity of the
treatments such as; anti-inflammatories, hammer hitting the string that creates
pain medications and physio therapy are volume. Knowing when to let up is very
designed to treat the symptoms. important in the fight to prevent injury.
Therefore, once the pianist goes back to In terms of moving the piano bench back,
playing the piano without being I had to learn also to sit with better
completely healed the injuries can upright posture and to generate leverage
re-occur and in the end be quite using my entire body. It's easier to do
difficult to get rid of. this with the right foot (pedal foot)
It is not uncommon for tendonitis to forward and the left foot back under the
stick around for very long periods of bench. Then as you pivot forward and
time. In my case, I once had a problem backward on the bench you have more
with my right arm that took almost 3 balance and leverage.
years to get better. The problem is of Once last point I should mention;
course that, as a professional I can't exercise is very important. I started
possibly just stop playing the piano. I weight training several years ago
can take breaks in between concerts but because, I find that the extra muscle
usually I can only take up to a month's helps a great deal in preventing injury.
rest at a time. Be careful however, to consult a
So, how can these injuries be cured while professional when starting weight
still continuing to play? It's important training. You must do it the correct way
to understand that not every case is the in order for it to be beneficial.
same but, for me, I actually had to






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