Piano and the Risk of Tendonitis

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