01/20/2026
Your instrument is an extension of your body, but the price of mastery might be chronic pain. Whether your instrument is the guitar, a keyboard, strings, brass, woodwinds, or drums, a systematic review by Kok and colleagues in the International Archives of Occupational and Environmental Health (March 2016) found that 12-month prevalence of playing-related musculoskeletal disorders ranges from 41-93%, with lifetime prevalence between 62-93%. A South African study in Medical Problems of Performing Artists (December 2021) found that 76% of professional orchestral musicians experienced these disorders at some point in their careers.
The specific patterns depend on your instrument. String players develop neck and shoulder tension from unbalanced positioning, along with left hand problems from sustained finger pressure and positions. Pianists face overuse injuries in the forearms, wrists, and hands. Wind players experience neck and jaw tension from embouchure (mouth positioning) along with postural strain from supporting the instrument. Drummers develop rotator cuff problems from repetitive overhead movements and lower back strain from seated positioning. All musicians face the risk of focal dystonia (involuntary muscle contractions causing loss of control), a devastating condition linked to overuse and poor biomechanics.
The pressure to perform often leads musicians to push through pain with whatever provides relief. But masking symptoms with NSAIDs while continuing to play allows progressive tissue damage doesn't address the technique issues, muscle imbalances, or movement dysfunction causing the problem.
Orthopedic massage offers specialized intervention for musicians. Treatment addresses the precise joints and muscle groups stressed by your instrument and helps prevent the chronic conditions that end musical careers. Many conservatories and professional orchestras now include massage therapy in their wellness programs. Regular sessions provide the maintenance that protects your artistry and livelihood.