Injury Management

Tendonitis- If in Pain, Stop and See A Specialist and Modify Your Playing Style

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Tendonitis

It is not uncommon for professional, or serious, regular pianists to experience various hand injuries over the course of their piano playing days. This is particularly problematic for people who may have small hands, and who play complex works, such as the Rachmaninov Concerto Number 3, and so on. However, this problem is certainly not confined to only classical pianists, or even professionals. These various injuries can affect just about any pianist, casual or professional, from time to time.

The most typical injuries include tendonitis, and wrist strain, mostly as a result of either not having sufficient strength built up in their fingers and hands, as well as other playing issues such as correct position at the piano. This is by no means an exhaustive list, but a common list of problems, as I have mentioned earlier.

For some piano players, the thought may even have crossed their mind to give up playing, due to the repetitive injuries. Whilst this is an extreme option, there are other ways to reduce the injuries, and actually end up by playing better. One method that has been proven by many students after being adopted is the Bowman method.

Professor Lionel Bowman was a distinguished piano player, at the peak of his career around his late thirties, who had developed very great problems with tendonitis. After having to actually stop playing for a number of months, while his hand healed, he took the time to actually study the anatomy of the hand and arm, and created his own method of playing the piano. His style has enabled him to become a better teacher, and his crowning achievement through this process was that he not only was able to resume his playing, but succeeded in helping others play better, with less incidence of injury as well.

The Bowman method encompasses the strengthening of the fingers, as well as an overall approach to muscle coordination. Far too many people start to play the piano a certain way, and find that, over the years, their discomfort increases, due to the method of playing that creates tension and stress in the joints as well as fingers.

One aspect of the method is about sitting in the right place, with reference to the notes being played. As an example, the hips need to be loose, in that for certain parts of the score, the pianist will need to sit right, or site left, and even sit back, to allow the wrists to become lower then the keys. By moving the hips, so the pianist’s body is in front of, and at right angles to the keyboard, will minimise the stress on the wrists as well as muscles of the wrist, and tendons.

It can often aid the pianist to make specific notes on the music score, like sitting right, or sitting left, as this will aid the pianist to achieve an optimum posture and comfort. This comfort will translate into relaxation, and thus, a better overall sound as well as reduced injuries.

This technique needs to be practiced, and actually, it can be beneficial to start learning a new piece, rather than trying to relearn an already known piece of music. The best proof is in the action, and seeing for yourself.

 

Tendonitis and Piano Playing – How Can Tendonitis For Pianists Be Resolved or Dealt With Appropriately?

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It is no secret to just about any long term pianist that occasional pain and muscular discomfort may occur from time to time, during their playing careers. Effectively, this is the result of repetitive strain injury. Many serious or professional pianists will typically practice for around seven hours a day, and over a period of a number of years, will add up to a long term pressure on the joints and muscles of the arm, hand and wrist.

 

 

As with any sporting activity, it is encouraged to ensure that a thorough warm up session be undertaken first, and then too, a cool down session, to slowly relax the body prior to the cessation of exercise. The same can be applied for pianists, as this will contribute to less chance of injury. Now, I am not going to suggest that playing scales and arpeggios before you launch into the Beethoven Pathétique Sonata is going to cover you against all and sundry injuries. However, it certainly is an important part of your playing regimen.

However, let's consider the actual forces and strain that are going on with the arm, and hands, let alone the wrist and fingers. As far as the arm is concerned, many pianists extend the arm in such a way as to apply considerable force to the wrists ad tendons, as they play, and this can certainly be sustained for a period of time,. However, given the nature of the work in question, some pianists will start to notice pain if they are stretching their fingers considerably (when the hands are small, and the notes spread widely over the keyboard). The preceding example is by no means the only possible scenario, but certainly a common one, amongst others.

There are a number of possibilities to undertake to resolve the problem, and for some, that includes attending physiotherapy clinics. They certainly have their place, and some are undoubtedly very good. In fact, some have an excellent reputation. A question that I would ask however, is to perhaps see if we can find a way to eliminate the problem form developing in the first place. Is such an option available to pianists? The short answer is yes, although it is dependent on the teacher, and student adopting a different method of playing, which like any new endeavour, will take time to master, but ultimately, bring forth greater rewards to the pianist, as well as the pleasure of an improved sound. You might well ask, "How can dealing with tendonitis improve the sound?"

The sound itself, is the result of the quality of the playing. When a pianist is able to play with less fear due to a greater relaxation at the keyboard, and a technique that allows a greater freedom of movement in the hand and fingers, as well as positioning relative to the keyboard, the strain can be greatly minimised on the tendons. Whilst some people may try to convince you that you can cure the problem in a few days, I personally believe that to be irresponsible, and dangerous. If you play on through a damaged tendon, you will likely do more damage. You are better off resting the injury till it heals, and then applying a technique that has been proven, like the Bowman method.

Next, are you experiencing or dealing with overcoming piano injury, for the long term?

You will also gain an enhanced comfort and improvement in your playing, with less stress and injury. To learn more, see the therapeutic techniques that are possible for classical pianists.

Can I Overcome Difficult Injuries, and Still Play the Piano at Concert level?

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The short answer, in many cases is, Yes. I say this, as many pianists have suffered numerous injuries in the past, typically in the areas of tendonitis or muscular injuries.

However, with the right information, and methodical approach, you can overcome your limitations.4

I know this is a big statement to make, but let me explain it this way…


I was fortunate to have met Professor Lionel Bowman, before he passed away, and also have come in contact with Mr Wallace Tate, a man who studied the methods of Professor Bowman in great detail.

Mr Tate, over a period of several years. monitored the methods that Professor Bowman had created, and utilised his talent for translating complex moves into easy to follow steps, in a manual with fantastic illustration, and example material, to help both the student and teacher, maximise their comprehension, understanding and application of the Bowman playing method.

 

Mr Bowman experienced great difficulty in his late thirties as a concert pianist, in terms of repetitive bouts of tendonitis and other muscular problems. However, after being unable to play for some months, he took the time to learn the anatomy of the arm, hand, wrist and fingers, and really study, by process, trial and error, the methods that would not only allow him to play again, but to do so pain free. The results were nothing less than astonishing, to say the least.


Whilst the initial point was to be able to play the piano again, it turned out to be a blessing in disguise for all Professor Bowman's students as well, as they have reported massive improvement in their playing as well. Now, more people started to take note.


It was well into the process, that Professor Bowman then gave a master class at the University of Pretoria in South Africa, and had a DVD recording made of the class, which has become an essential element of The Magic Touch Course, presented here.  It is through these methods, and subsequent teaching that Professor Bowman further refined his technique, and most people who have actively utilised his method have had substantial success, not to mention an improved tonal quality to their playing as well as less discomfort.


The method is based on the increase of strength and tone in the fingers. This is explained in this classical piano article.


The Importance of Scales and Arpeggios

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It is no secret that for any pianist, amateur or professional, it is imperative that they commence with a solid warm up prior to launching into a playing session.  In fact, I prefer to think of the scales and arpeggios as part of the playing session. Why and how so?

 

The benefits of playing scales are all about an adequate warm up, and flexibility of the fingers, and hand. Whist I realise that for a beginner, the idea of incurring an injury at the piano may seem a far fetched idea, it is a definite reality for many people, who may not be adopting the right techniques to play the piano. However, far from wanting to put you off, I'd rather that it be an encouragement to simply follow the right techniques, and processes, to adequately tone your hand, arm, and finger muscles.

 

Playing the piano is not about just pushing the right keys in the right order. It is very much more than that, and certainly, a possibility to master as a skill, when approached the right way. 

To illustrate this example, you can start by playing scales, and then, moving up to arpeggios.

 

However, you can also start improvising, and turning the scales in to musical composition, as you progress. 

 

It is not an automatic thing, no, but certainly a way to move forward, when you need to.

 

As the Late Professor Lionel Bowman said, it is always a good idea to start to learn something new, with a new technique, rather than trying to play something you already know,as your mind has already programmed a certain method into your playing for a particular piece. However, what about if you decide to learn something completely new, following a new technique, like the Bowman method?

 

You will find that you develop greater strength in your fingers, as well as the ability to relax more in the hand and arm, thus allowing a greater degree of stress to remain out of the equation.

Tension and stress, mixed with the incorrect sitting posture can dramatically affect your likelyhood of having problems with tendonitis and also muscular aches in general.

However, getting back to my title earlier, the fact that you are playing scales and arpeggios is an important aspect of the warm up process.

 

I realise that it may take a combination of discipline, and sheer  creativity in time, but you will certainly see the result with less injury over the curse of your piano playing career. For that alone, the issue is a fait accompli.

The Classical Piano method- known as the Magic Touch, is available here.

Dedication to Overcoming Trouble and Difficulty in a Pianist’s Career

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The Magic Touch…





It gives me great pleasure that Wallace Tate has produced this record of my teaching, a task that has never been attempted before. I heartily endorse The Magic Touch, and hope that pianists will find it both an inspiration and a practical help on their musical journey.



Emeritus Professor Lionel Bowman

Stellenbosch University.

May, 2000



The above are the words of Lionel Bowman, a man whom I hold a great respect for, not least due to his dedication to resolving a deeply troubling issue that he experienced in his late thirties and early forties.


Many pianists have experienced similar problems, over their playing careers, to varying degrees, and I should note, this can apply equally to laymen pianists as well. It is not only an issue for the professional player.

In Lionel's case, he found the pain so debilitating, and the discomfort so great, that he temporarily gave up the piano. However, unlike many who may have given up for good, he took the time and opportunity to study the anatomy of the hand and arm, as well as the fingers, and experimented with various techniques, till he established the 'Bowman Method' that he had been using and teaching ever since.

 

Whilst it was initially intended only as a way for him to play gain, he found that the sound of the result of his playing was better, and he was able to play pain free as well. Once he then taught the method to his students, their playing had improved as well, and many were able to avoid the problems he had experienced himself.

 

This was a great inspiration to himself, as well as his students. The work, written by Mr Wallace Tate, a retired Director General of the West Australian Music Board, as a result of countless visits by Professor Bowman to Western Australia, was created as a means to convey the Bowman method to as many pianists and teachers as possible.


The presentation is presented as a manual, substantially illustrated, as well as accompanied by a DVD or online video series. The material is very well presented and aimed at all levels for all piano players. Naturally, the absolute beginner may find it difficult, but there is where the assistance of a good teacher will pay handsome dividends. 


To learn more, see the Manual below.

 

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