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  • Writer's pictureMarina Petrov

Injuries in Pianists: Understanding and Prevention

Updated: Jun 22, 2023

As a pianist, your body is your most important instrument. However, long hours of practice, performance, or incorrect piano technique can sometimes lead to physical strain and injuries. These injuries can affect arms, shoulders, wrists and hands. They could also induce performance anxiety and stress and affect your music memory.

As a Piano Occupational Injury Specialist with over 35 years of experience in piano education, I have developed a deep understanding of these injuries and how they can be prevented and treated.

Common Repetitive Strain Injuries (RSI) in Pianists

Pianists can experience a range of injuries due to the physical demands of their practice. Some of the most common ones include:

Tendinitis: This is an inflammation or irritation of a tendon, often caused by repetitive stress.

Carpal Tunnel Syndrome: This is a condition that causes pain, numbness, and tingling in the hand and arm due to a pinched nerve in the wrist.

Muscle Strain: This results from overuse, improper use, or trauma.

Fibrositis: It is a pain or inflammation of the muscle sheaths, muscles and connective-tissue layers of the joints, bones, tendons and muscles. The shoulders and back are often affected due to muscle overuse and wrong body posture for an extended period in instrumental players.

Causes of Injuries in Pianists

Understanding the causes of these injuries is crucial in preventing them. Here are some common reasons:

Poor Technique: Incorrect hand, arm or body posture while playing can lead to stress and injury.

Overuse: Prolonged periods of practice without sufficient breaks can lead to repetitive strain injuries.

Lack of Warm-up: Jumping into rigorous piano practice without a proper warm-up can shock the system and lead to injuries.

Preventing Injuries

As a pianist, taking preventative measures to avoid these injuries is crucial. Here are some tips:

Proper Technique: Ensure you are using the correct hand and body posture at the instrument while playing. Consult with a professional tutor if necessary.

Repertoire Choice: It is vital to choose a well-balanced piano repertoire depending on your ability, including your piano technique, pianistic fitness and physique.

Regular Breaks: Take frequent breaks during practice to prevent overuse injuries.

Warm-up: Always start your practice with piano exercises, scales, arpeggios, or similar studies at a slower tempo in mp or mf dynamic to prepare your body for the demands of playing more challenging piano pieces.

Stretching: Light stretching exercises for your back, neck, shoulders, and arms could be of the essence for avoiding injuries, especially after a long period of practice.


Professional injuries can be a significant setback for any pianist, but understanding and prevention are the key. As a Piano Occupational Injury Specialist, I am dedicated to helping pianists play better and healthier, free of tension, and to the fullest extent of their musicality.

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