Illustration of a musician playing string instrument with anatomical elements and musical notes in the background, symbolizing the link between music and physical well-being.

The Symphony of Strain: How Playing Music Can Lead to Pain (And What You Can Do About It)

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Mira Elwood in Health & Wellness May 2025 • 4 min read.

"Unmasking the Hidden Risks: Understanding the Link Between Playing Time and Musculoskeletal Pain in Musicians"


For musicians, the pursuit of perfection is a lifelong journey. Hours spent honing skills, mastering complex pieces, and pushing creative boundaries are often the hallmarks of dedication. But what if the very act of pursuing musical excellence could lead to an unexpected consequence: pain? Recent studies have illuminated a critical connection between playing-related musculoskeletal pain (PRMP) and the amount of time spent practicing and performing.

PRMP, encompassing a range of conditions from tendinitis to tenosynovitis, affects musicians across various instruments. Bowed string instrument (BSI) players, including violinists, cellists, and violists, are particularly vulnerable due to the sustained, asymmetrical postures required by their craft. This often leads to uneven strain on the body, increasing the risk of pain.

This article explores the relationship between changes in playing time and the development of PRMP, drawing from recent research to provide actionable insights. We'll delve into the factors that contribute to playing-related pain and explore strategies to mitigate the risks, helping musicians maintain their passion while safeguarding their physical well-being.

The Price of Practice: Unveiling the Link Between Playing Time and Pain

Illustration of a musician playing string instrument with anatomical elements and musical notes in the background, symbolizing the link between music and physical well-being.

The demands placed on musicians are multifaceted, and among the most significant is the time commitment. Whether preparing for a recital, audition, or simply striving for improvement, musicians frequently adjust their practice schedules. A sudden increase in playing time, particularly during intensive training or performance periods, can significantly elevate the risk of developing PRMP.

Research indicates that an increase in playing time is strongly correlated with an increase in the frequency and intensity of pain. This suggests that the body's soft tissues may not always adapt quickly enough to the increased demands, leading to the onset of painful symptoms. For young musicians, whose bodies are still developing, these risks may be even more pronounced.

  • Overuse: Practicing too much, too soon, can strain muscles, tendons, and ligaments.
  • Poor Technique: Incorrect posture and hand positions can exacerbate the strain.
  • Lack of Rest: Insufficient breaks can prevent the body from recovering.
  • Environmental Factors: Poorly designed instruments or performance spaces can contribute to discomfort.
The study found that changes in playing time were significantly associated with changes in the characteristics of pain. This highlights the importance of carefully managing practice schedules and recognizing the potential impact of sudden increases in playing duration. Early interventions, such as adjusting practice habits or incorporating preventive measures, can play a crucial role in mitigating the risks and safeguarding long-term health.

Harmonizing Health and Harmony: Empowering Musicians

As musicians, the relationship with our instruments is a deeply personal one. It's essential to acknowledge the potential risks associated with the pursuit of musical excellence. By understanding the connection between playing time and PRMP and incorporating preventive measures, musicians can proactively safeguard their health and ensure a long, fulfilling journey in music. Prioritizing well-being allows musicians to not only enhance their performance but also to sustain their passion for music for years to come. Always consult with healthcare professionals specializing in performing arts medicine for personalized guidance and support.

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