Tag Archives: Repetitive Strain Injuries for Musicians

This Change In Attitude Can Help You Play With Much Less Strain

The main thing I look for whenever I’m giving an Alexander Technique lesson to a musician for the first time is preparation.

I want to see what my student does those brief seconds before she or he starts to play.

Playing music involves movement, and movement requires preparation, whether it is done consciously or unconsciously. In short, this preparation could be described as habit.

But before I observe my student play for the first time, I spend lots of time asking questions. I want to get an idea not only of the challenges that have led this student to seek my help, but also, the thinking involved in playing music. It is this thinking that is often the foundation of the habits.

These musicians will have a large array of preparation habits, and I’ve never yet encountered two musicians who share identical habits.

Having said that, I can say that all of the musicians who come my way for help have one habit in common: They begin preparing to play by tensing themselves up.

In other words, the movement organized to play that first note involves lots of muscular contraction. A good deal of this muscular contraction is not only unnecessary to sustain  the act of playing the instrument, but it is also unnecessary to begin  the act of playing.

Much of this muscular organization can be attributed to attitude and belief. If you believe you need to tense yourself up to play, then you certainly will, for better or for worse.

But here’s the thing about virtually all human movement: It can begin with release instead of tension.

That’s right, the movement can start by letting something go, but un-latching something in yourself.

For example, if you’re standing and you wish to begin to walk, you can tense your neck and shoulders as you pull yourself down into your pelvis onto one side of your body to de-weight the leg necessary to start the first step, then pull your leg up into your pelvis in order to bend your knee. (This is a fairly apt description of what many people do as they begin to walk.)

On the other hand, you can move from standing into a walk by having these three things coming into play:

1. The intention to walk.

2. A light, upward organization in your body from your feet to the crown of your head (which involves letting your spine lengthen by releasing up and away from the ground).

3. A release in your ankles to allow your upwardly directed weight to fall forward to begin the walk as you release your knee to bend a leg.

(Try this sometime, and notice the difference. You’ll most likely feel lighter, taller and freer as you walk.)

Now to be clear, this isn’t a matter of relaxing every muscle in your body before you move. Even if you were able to do so (you actually can’t), you would fall into a heap on the ground.

No, what I’m talking about is a very simple principle: By starting the movement from muscular release, the rest of your body is free to make the muscular contractions necessary to carry out the movement in a more efficient way.

You can take this model into other common activities. For example, to speak or sing, you can start by the movement by releasing your jaw to let your mouth open.

Even picking something up off of the floor, you can begin the movement by releasing the joints necessary to let you bend down to take hold of the object on the floor. And then as you take the weight of the object you, rise by letting your weight release forward and up over your feet as you also let your shoulders release and widen to accept the load. (Now the tension necessary to carry the load is in play.)

And so it can be with playing your instrument. All you need to do is observer and redirect. Here are few things to pay attention to:

  • You can start by noticing all the gestures you make as you go from a state of “not playing” to “playing” as you hold your instrument.
  • Notice in particular what you do with your head, neck and shoulders that brief moment before you begin to play. Do you brace yourself by tightening your neck and pulling your head downwards onto your spine? Do you begin to pull your shoulders down into your ribs? Or pull them up toward your ears?
  • Do you begin to lock your knees? Stiffen your ankles? Grab the floor with your feet? (instead of letting your feet release into the floor)
  • What do you do with your eyes? Does your gaze become intense and focused? Does your brow furl up?
  • Does your jaw begin to tense? How about your tongue? Your facial mask?
  • And how about your breathing? If you’re singing or playing a wind instrument, are you making noisy, gasping inhalations as you suck in the air by overly tensing your neck and back muscles? (And if you’re not playing a wind instrument, are you beginning each phrase by sucking in air?)

If you find yourself starting to play with any (or all) of these gestures of tension, start by changing your attitude. See where you can substitute muscular contraction  with muscular release.

For example, rather than tensing your neck and tightening your chest and shoulders to noisily suck in air before blowing that first note, think instead that the breath can come in as a quick and light reflexive movement made possible as a result of letting go of the muscles in your neck, shoulders, ribs and back. You might be surprised at how easily and how quickly and fully your inhalation becomes when this actually happens.

So pay attention to yourself as you play. Find ways to initiate those first movements of playing your instrument with as much release  as possible. Then let the muscles in your body respond naturally and effectively to the task at hand.

By changing your attitude about movement in this way, you’ll gradually begin to redifine how little effort is actually needed to play your instrument. In doing so you can expect a lifetime of growth, improvement and increased satisfaction.

Strength, Coordination And Endurance: Avoiding Confusion

“Each faculty acquires fitness for its function by performing its function.”

-Herbert Spencer

A good number of musicians who seek my help as an Alexander Technique teacher do so because of a problem with endurance. In the simplest sense, they can’t seem to play for prolonged periods without fatigue and/or pain.

In many of these cases, these musicians have tried to improve their endurance by working directly  on increasing strength (with or without their instrument). This often proves to be ineffective. Here’s why:

For musicians who practice and play on a regular basis (regardless of instrument), most endurance problems are actually problems of coordination.

Playing cello and chopping wood

Yes, it does  take strong shoulder girdle muscles and back muscles to play an instrument like the cello. But it doesn’t take nearly the strength to play the cello as it does to chop a pile of wood.

Yet you might find a cellist who can chop wood all afternoon and not get nearly as exhausted in his neck, back and shoulders as he would practicing cello for an hour. (I actually had one such Alexander Technique student as this.)

If you take into consideration the quote above by Herbert Spencer, the best thing a cellist can do to develop the necessary endurance to play the cello would be to, well… play the cello.

According to Spencer’s principle, it is the activity of playing the cello  that builds the kind of muscular endurance specific for the task. (In exercise science, this is the training principle of specificity.)

So why does this cellist, who can chop wood all day, get fatigued so easily playing his instrument?

The answer is simple: He is coordinating himself in a way that is counterproductive to playing cello.

It is a matter of what he is doing with his entire body  as he carries out his skill.

In the case of this particular musician, he was over-straightening his spine, while at the same time stiffening his neck, as he held on rigidly to his elevated shoulders.

Because of all this holding on, his arms were not free to move out of his back. His shoulders were doing way too much work, and his upper back muscles (which are very well-designed for such a task) were doing far too little. His shoulders would get painfully exhausted after just 20 or 30 minutes of playing.

You could hear it in his sound, which tended to be small and sometimes brittle.

To make a long story short, as he began to improve his coordination (through his work with the Alexander Technique), he began to improve his endurance. Just that simple.

If you find yourself constantly struggling with endurance as you play or sing, it is likely a problem of coordination. You can take any very fit and strong person, have them carry out a task in a mechanically disadvantageous  enough way (poorly coordinated), and they’ll get exhausted in no time at all.

Strength and endurance

Now to be clear, strength most certainly has an impact upon endurance. But let’s also be clear about what strength and endurance are.

From a functional point of view, strength can be defined as the ability to exert force against an external resistance. Whereas, endurance is the ability to maintain low levels of force for extended periods of time.

In a well-coordinated organism, increasing muscular strength can have a marked improvement upon endurance. But for others, if these stronger muscles are not coordinated in an optimum way, there might be little to no improvement in endurance.

I’ve not yet had a musician come to me for help who has needed to “strengthen” anything, directly. They just need to rethink and re-experience kinesthetically, a more efficient coordination. This coordination comes about primarily by subtracting  unnecessary, habitual tension, and the lasting changes typically develop gradually, but surely.

What you can do

So again, if you struggle with endurance, or have students who do, here are a few things to keep in mind that might help:

  • The test of time-If you’ve been working for more than a couple of months on a particular exercise in an attempt to address an endurance issue, and you are noticing little or no improvement, you need to change course. Adaptations in strength and endurance come relatively quickly. If you’re going on for prolonged periods without improvement, either change the exercise, or (more important!) consider that your problem is one of coordination. (This is where a good Alexander teacher can help.)
  • Think of the whole instead of the parts-As I mentioned above, you are using your entire self,  your whole body, to play. Begin to notice where you might be unnecessarily tensing yourself or taking yourself out of balance as you play. See if you can begin to lessen the effort.
  • Specifity is best-If you think that you actually do need more strength to deal with certain demands of playing your instrument, aim at doing things that are as specific  as possible to the task at hand. For example, daily long tone exercises on a wind instrument to strengthen the facial/embouchure muscles are much more effective than a series of “tension” exercises without the instrument (like vigorously pressing and releasing your lips and corners in multiple repetitions). Specific activity leads to optimum functional strength.
  • Equipment-Sometimes what is making you exhausted is simply poor equipment choices. I recently gave a Skype consultation to a very good tenor saxophonist who was struggling mightily with fatigue. It turned out that one of the biggest factors was his mouthpiece. The lay and tip opening were just not right for his anatomy and his conception of sound. When he changed to a better mouthpiece, his problem was effectively solved. Stay open-minded about your equipment. As  your coordination improves, sometimes your equipment needs change (this is always a good thing!)
  • Health considerations-It is also possible that your issue with muscular fatigue might be of a medical nature. If you’ve tried just about everything (including my suggestions here), believe it’s not an issue of coordination, yet you still have problems and/or, your condition seems to worsen, by all means seek medical consultation. It could be a variety of issues, from neurological, to autoimmune, to orthopedic, or more. Get yourself the help you need.

So it’s fine if you want to do exercises every day to increase/maintain your endurance to play. The reason many accomplished musicians do so is because they get good results from their efforts.

But I can’t help but think about what Eddy Merckx (arguably the best racing bicyclist in the history of the sport) said when asked what the best thing a serious competitive cyclist should do to improve:

“Ride lots.”

And so it should be for us. Play lots. Improve your coordination. Enjoy the results.

Something You Do When You Practice That Is Always A Good Use Of Your Time

If you practice patience in one moment of anger, you will escape one hundred days of sorrow.

-Chinese Proverb

Serious, daily musical practice is something that is loaded with speculation and second-guessing. Lots of “should’ve, would’ve and could’ve”, as my father would say.

Whenever I’m giving a practice coaching session to a musician, the topic of practice efficiency is always punctuated with concerns of “wasted time”:

“Maybe I should’ve spent more time on this, instead of that.”

“If I would’ve done this, instead of that, I could’ve achieved my goal sooner.”

And so on…

And this is a fair concern to have, for obvious reasons. Aimless, misdirected practice neither satisfies nor improves a dedicated musician.

But practice efficiency is, in of itself, a lifetime quest. It’s not something you master. It’s something you just get better and better at (if you’re dedicated to improving your process).

I would say that I practice with a high degree of efficiency these days: clearly defined goals, with an effective prescription and implementation of work to attain these goals. I can accomplish a good deal in a relatively short time during my practice session.

Yet I still occasionally find myself, if not “wasting my time” on certain things, at the very least, not working as efficiently as I could and would like to.

Having said that, there is one thing I do in every  practice session that is always a good use of my time. I do this many, many times during any given practice session, yet I still don’t do it often enough.

What is it I do?

I stop.

Yes, I simply stop. I pause.

I practice (as the Chinese Proverb above states) being patient.

Now, to be clear, I don’t hesitate. I pause. There’s a difference.

Hesitation is not a choice. Pausing is. Hesitation is usually accompanied by doubt, tension and restriction. Pausing is accompanied by clarity, release and freedom.

What do I do when I pause? Mostly, I redirect my thinking. This redirection can take shape in a variety of ways.

Sometimes, I just need to take the saxophone out of my mouth, and to put my entire self back into neutral for a moment.

I do this when either:

I sense myself accumulating more tension than I’d like to have as I practice a particular thing. Or, when I’ve lost the clarity of purpose, the clarity of thinking, that I know is necessary for me to gain something useful from whatever I’m practicing.

Just letting go of the instrument, letting my arms fall lightly to my sides and asking for my shoulders and neck to release back into length. Very simple.

It’s absolutely amazing how easily I can get back on track, and get right back to constructive, mindful effort during my practice segment by taking time to  do this.

So how long to I stop for? However long it takes. Usually it’s a matter of just a few seconds.

But whenever I choose  to stop, I always keep the promise I made to give myself time. To not jump right back in without redirecting myself. To bring myself back to choice, instead of reaction.

I’m not talking about taking breaks here in your practice routine. You know, 20 or 30 minutes of practice, punctuated by 5 or 10 minutes of rest. That’s all good, too. And that is a big part of my practice strategy/process.

What I’m talking about is the ability to pause many, many times during, let’s say, a 20-minute practice segment.

As an Alexander Technique teacher, learning to stop and choose is a fundamental skill that I encourage and teach to all my students. It’s essential for change.

I too often observe musicians making a mistake (or another unwanted response) as they are practicing something, and then jump right into again without any change in thinking. When this happens, they tend to just do the same thing they did before that led to the unwanted result.

Einstein’s definition of insanity comes to mind here:

Doing the same thing over and over again, the same way, but expecting a different result.

As you can discern, that’s not exactly the most efficient use of time and effort.

Whenever you pause to release unnecessary tension, to refresh your thinking, to reaffirm your intention, you are cultivating the conditions in yourself that are most ideal to learn and to play music. You are moving back into the heart of practice efficiency.

I’ve never gotten to the end of a practice session and said to myself, “I shouldn’t have stopped so much.”

But I do sometimes get to the end of a practice session and say to myself, “I probably should’ve stopped more.”

Often when I stop, I realize, too, that I’ve done enough work for the day on the particular thing I’m practicing, and that it’s time to move on. It’s safe to say that as I get better at stopping, I make fewer and fewer repetitions of any particular exercise. I wouldn’t be able to realize this without giving myself the choice to pause and check in with myself.

And it’s not unusual for me to observe a new client practice for the first time and see all the unnecessary, mindless repetitions that are being made.

Rather than 20 or 30 unclear tries at an exercise in order to develop the elusive (and often misleading) idea of  “muscle memory”, replace 30 inefficient, mindless tries with 5 clear and well-directed tries.  Not only will you save time, but also, you’ll optimize your efforts.

But a big bonus for me is that all the work I’ve done in getting better at stopping has significantly impacted how I improvise.

Just knowing somewhere in the background of my consciousness that I can  stop at any moment if I wish, fundamentally changes my phrasing, as well as my note choices. I discover  the music as it flows through me, instead of trying to force it to go somewhere. This always allows me to find surprise and delight as I improvise. A beautiful thing, indeed.

So give yourself a chance to pause more. Work on it consciously. Make it a skill that you dedicate yourself to developing. It’s always time well spent. Let me know what you think!

A Technique To Help You Improve Your Odds

Without a doubt, the greatest tool I possess as a musician is the Alexander Technique.

By applying the Alexander principles, I’ve been able to not only solve a very serious problem that threatened my musical career, but also, continue to find growth, improvement and insights into the challenges that I, and many other musicians encounter.

After years of studying and teaching the Technique, I continue to be amazed at how potent it is.

But the Alexander Technique isn’t a fail-proof guarantee that you’ll play better, or that you’ll solve all your musical performance problems. Instead, it’s simply a skill you can learn that significantly increases the likelihood that you’ll play better. It improves your odds, so to speak.

In essence, the Alexander Technique teaches you how to become aware of, and address, harmful and inefficient movement and postural habits. You learn to uncover many of the subconscious habits of tension that interfere with your natural coordination. You learn to replace strain with ease and efficiency.

These unconscious habits are a manifestation of how you react. The way you react, even as you start thinking about playing your instrument (or doing anything, for that matter), begins to condition the coordination involved in the playing itself.

If you react by compressing yourself in tense anticipation of playing your instrument, you’re simultaneously decreasing your odds of a successful outcome.

And yes, you still might be successful in your attempt, despite doing this (many musicians are!) But to increase your chance of a satisfactory outcome, you need to improve how you respond. This is the key to conistency for many musicians.

There are two distinct disadvantages that an overly tense habitual response brings to your music making. Both are inextricably related:

1. Mechanical disavantages-By unnecessarily stiffening muscles, compressing joints, and holding yourself perpetually out of balance as you play has a very real impact on your coordination. Often, you’re creating effort in your body that you need to overcome to do the work that is actually necessary to play your instrument.

2. Cognitive disatvantages-When you respond in a overly tense manner, you’re also bringing a kind  of  “fear/urgency” response into your efforts that interferes with your ability to think as clearly as you could. I call this the “deer in the headlights” response. Your thinking becomes muddled, hurried, rigid, and ultimately disconnected to your intentions.

These two disadvantages are so closely linked that you can often see how they go hand in hand. Watch somebody truly struggle with the fast tempo of a particular piece, and you see not only a tight neck, compressed shoulders, stiff arms and hands, but also, a knitted brow and narrowly fixed eyes that seem to broadcast desperation and strain. (Not to mention the breath holding that comes along with all this!)

None of this helps you play any better. (Am I being too obvious here?)

With the Alexander Technique you learn how to play your instrument with less effort (and with fewer counterproductive movement habits) because you learn to better control how you react as you play your instrument.

You learn to replace compression and urgency with expansion and calm alertness. You gain a clearer understanding of how you function naturally (in accordance to the design of your body), so you can say “no” to stressful, counterproductive reactions, and say “yes” to the possibility of ease, control and confidence.

You learn to better stay in the present moment with your thinking, responding effectively to whatever comes your way, instead of tensely anticipating the unknown. You increase your ability to choose your responses, and in doing so, improve your odds.

If you’d like to find out more about the Alexander Technique, visit the world’s most comprehensive website on the topic. If you live in the U.S. and would like to find a teacher in your area certified by the American Society for the Alexander Technique, take a look here. If you want to contact me personall

And maybe like me, the Alexander Technique just might become your most useful tool as a musician, too.

Body Awareness And Music Making: Learning To Reinterpret Your Senses

One of the aims (and benefits) of studying the Alexander Technique is an improved sense of awareness. Without exception, my students gain measurable improvements, not only in their kinesthetic (body) awareness, but also, in their overall awareness through their other senses, as they play music. They learn to hear more vividly, perceive time more accurately, and notice subtleties in themselves (and the music) more readily.

Yet, most of the musicians I teach already come to me with a more acute awareness of their bodies than the average person. It is not difficult at all to get musicians to notice what they’re doing with themselves as they play. Here’s a typical exchange between me and one of my students in a first lesson:

“What do you notice about your shoulders as you bring your hands to your instrument?”

“I lift them up.”

“What do you notice about your head and neck when you to that?”

“I kind of scrunch my head down into my shoulders.”

“Can you see how that could have a negative impact on your playing? Maybe interfering with the freedom in your arms and hands?”

“Yes, now that you mention it. Sure.”

In contrast, when I give a first Alexander Technique lesson to the average person who doesn’t play music, it is usually not quite like the above exchange. We may be working on a simple activity, like rising from a chair, or beginning to speak. As I ask the same questions about the head, neck and shoulders, it is most typical for my student to draw a blank. (My job starts here by helping them become aware.)

But as I continue to ask my musician students in their first lesson about noticing things as they play, it becomes clear that it is not their inability to do so that’s causing the problem (prompting them to seek me for help in the first place).

So what is causing the problem?

In the simplest sense, it’s not a lack of awareness, but a misinterpretation of bodily sensation. You see, it’s not that most musicians have difficulty noticing these things (once they’re pointed out), it just that they often don’t perceive of these things as misdirected effort  (the very thing that is causing their problems as they play!)

Instead they think of what they do is part and parcel of what it takes to play music. It’s a kind of “over-efforting” that not only feels right, but even seems necessary in order to play their instrument. Becoming aware of these tense gestures is the first step.

The next is to reinterpret them for what they actually are: unnecessary habits of misdirected  tension. That’s not always an easy thing to do, as many musicians are quite attached to the physical sensations of playing their instrument. It’s not unusual for a musician to want to feel that they’re working hard (even though it’s creating difficulties). This sometimes becomes almost an addiction, an affirmation that they’re playing “well”.

And to make matters more complicated, my students will often have an almost religious reverence for certain points of pedagogy taught to them that they believe to be virtually indisputable (usually dispensed to them by another excellent musician/teacher).

My job is to connect the new experiences of playing without the excess effort, to my student’s reasoning, and (ever-increasing) knowledge. This is a matter of re-education: helping them to better understand the actual acoustical demands and principles of playing their instrument as it relates to the way their bodies can best accommodate these demands and principles.

I encourage my students to not believe what I say because I say it, but rather, because it can be tested and found to be true. I want them to know why they choose to do (or not do) something with themselves as they play. They need to own it. They gain this ownership through direct experience.

The next step in this process (once they’ve clarified their misconceptions about their bodies) is to learn how to play without going into their habit. This is where the real work (and real value!) of the Alexander Technique comes into play.

By design and necessity, this happens gradually. But the changes that take place can be absolutely remarkable.

Here’s the good news

Because you’re a musician, you already have the skill set to be able to notice many subtle (and not so subtle) things about yourself as you play. This is a HUGE advantage, and can really speed up your progress if you wish to change your habitual tension patterns. Whether you have problems with chronic pain, and/or coordination, being able to pay attention to yourself as you play gives you a definite leg up.

If you find a good, AmSAT certified Alexander Technique teacher, you can find how quickly you can learn to interpret what’s happening in your body in an accurate and more helpful way. You’ll learn that all that extra effort with your head, neck, back and shoulders, your locked knees, tense feet, noisy breathing and squinting brow don’t help you one bit when it comes to making music.

And of course, always feel free to contact me if y0u need help. I would be my honor and pleasure to do so!

Playing music can be much easier than you perhaps thought. Use your skills of awareness to help you discover how much easier it can actually be.