Reddit reviews Teaching Healthy Musicianship: The Music Educator's Guide to Injury Prevention and Wellness

I’ve had RA for more than 25 years (basically my whole life), and coincidentally began playing piano the same year my symptoms appeared. I became a string player about 6 years later. I have recently quit teaching music in public schools. I’m a string player and no matter how independent my kids were I’d always end up tuning a few instruments every day, many of which were crummy “violin shaped objects” that were extremely difficult to tune. I had hand surgery last year and had to learn to do it differently, and it sucked. I adapted in lots of ways, and my singing got a lot more accurate pitch-wise because I would often sing instead of play in class. Between that and having kids demonstrate things when they were doing really well I managed to avoid a lot of playing.

I still gig and teach privately, but I don’t play on days I really hurt. Sometimes there isn’t any amount of technique modification or perfection that can help. Also, if my fingers are swollen enough I find it difficult to play in tune and accurately, not to mention the pain.I’ve read all of the recommended books for avoiding performance injuries in musicians (Janet Horvath and Nancy Taylor are authors you should check out if you haven’t already), and I’ve spent a lot of time working the tension out of my playing. I had a bunch of little nodules pop up on my fingers in the last year and quite frankly they scared the bejeezus out of me. My rheumatologist suggested that one of them might be due to the way I was holding my baton but due to elbow pain I spent a lot of time teaching my kids to play like chamber musicians and I didn’t wave the stick if I didn’t have to. I think it’s more likely from my bow hold, which I spent years working on and is otherwise comfortable at this point so it’s not going to change. My mom’s hands were in terrible shape the last 15 years of her life, and I’d like to preserve the use of mine for as long as I can. I spent a lot of time in therapy for my left hand post-surgery last year, too.

Leaving public schools has helped with the fatigue aspect of the RA, tremendously. It’s important to remember that autoimmune arthritis isn’t solely a disease of the joints. Fatigue, brain fog, etc are all common symptoms that can be difficult to manage. Unfortunately it wasn’t uncommon for me to pull 12-14 hour days multiple days in a row, and sometimes work 6 or 7 days a week. It was exhausting. Teaching is exhausting, period, but being a music teacher is extra exhausting. I’m planning to go back to school in January for something else because I don’t see myself returning to the classroom.

Anyway I’m glad you found so many ways to adapt and continue to pursue your passion. Good luck to you, and check out those authors if you haven’t already. Nancy Taylor is an incredible musician and also a licensed occupational therapist, so she knows what she’s talking about! Janet Horvath’s book is excellent as well.

Nancy Taylor

Janet Horvath