Medical Problems of Musicians

Surveys of performing musicians indicate that almost half of them experience playing-related medical problems, some of which threaten or end their careers.  Overuse injuries involving the muscle-tendon unit are the most common problem, with symptoms ranging from mild pain while the musician is playing to pain severe enough to preclude any use of the affected hand.  String players are the most commonly affected, and percussionists the least.  The most important predisposing characteristic is the use of repetitive motions during long hours of practice, but awkward body positions caused by the shape and weight of the instrument, the technical difficulties of the repertoire, and unfamiliar instruments may also play a role.  Women are more commonly affected than men.  Rest is the cornerstone of therapy.  Neural impingement syndromes affecting the median or ulnar nerves or the thoracic outlet affect many musicians.  Focal dystonias may involve part or all of a hand or the muscles forming the embouchure (the position of the lips in wind players).  These are very resistant to therapy and may terminate or drastically alter a career.  Stress, especially performance anxiety, may impede performance.  Beta-adrenergic blocking agents prevent the symptoms of performance anxiety and are frequently used by musicians without medical supervision.  A recognition of the unique problems of musician-patients has led to the formation of successful specialty clinics in a number of cities.

CSA has three data sheets on hazards encountered by musicians: Hearing Loss in Musicians" (4 pp), "Musculoskeletal Problems in Musicians" (5 pp), and "Occupational Hazards in Music" (4 pp).  CSA's 7-page data sheet, "Health and Safety Resources for the Arts" (found in last month's Special Resource issue of Art Hazards News) includes a list of 20 performing arts medical services in the country.  These data sheets are available at $0.25/page.

The preceding abstract was reprinted with permission from Section 35, Occupational Health and Industrial Medicine, of Excerpta Medica.     

Medical problems of musicians - Lockwood A.H. - Department of Neurology, Performing Arts Clinic, University of Texas Medical School, Houston, TX 77030 USA - NEW ENGL. J. MED. 1989 320/4 (221-227).

 

Art Hazard News, Volume 12, No. 5, 1989

This article was originally printed for Art Hazard News, © copyright Center for Safety in the Arts 1989. It appears on CAR courtesy of the Health in the Arts Program, University of Illinois at Chicago, who have curated a collection of these articles from their archive which are still relevant to artists today.