When I evaluate a runner’s injuries, I always investigate factors that may have contributed: have they changed shoes? Have they increased their distance too fast? A 10% increase per week is more than enough for most people.
I ask a series of questions and more often than not, the answer to one or more of them is a resounding yes.
I look at remarkably similar factors when evaluating a musician’s injuries. Instead of changing shoes, has the musician changed their instrument or any part of their instrument, i.e. mouthpiece? Have they changed their music? A sudden switch from Bach to Wagner can take its toll, and increasing practice time can do the same. Remember that your body is an extension of your instrument. If you’ve been off for an extended period of time you can’t just jump right back into it!
Like runners, musicians need to warm up, cool down, stretch and stay strong and fit for the long haul. Remember, the best runners don’t just train their legs; they also work on core strength (abdominals and lower back) and other muscle groups such as arms and upper back.
Don’t become so focused on your instrument that you forget the rest of your body! Take a yoga or pilates class. Do some weight training. Your body will thank you in the long run.
Finally, it’s also tremendously important to connect with a health professional like yours truly who understands the specific needs of performing artists. I can help you avoid problems before they happen, treat the problems you may already have, and help optimize your overall performance.
Prior to becoming a chiropractor, Dr. Sarah was a professional clarinetist. She is a member of the Performing Arts Medicine Association and speaks regularly on the topic of musician’s injuries: prevention and management.

