What Makes Musicians Prone To Repetitive Strain Injury?

Dr. Timothy Jameson is a chiropractor who specialises in musicians health and wellness, and runs the renowned website, www.musicianshealth.com.  His website is devoted to the understanding of why musicians are susceptible to injury, especially painful neck, shoulder, arm and hand problems. Musicians can learn why injuries develop, how to prevent them, and discover health enhancement options available .  Read on to hear what he has to say about repetitive injuries in musicians.

Many musicians have heard horror-stories about comrades who were excellent performing artists until they developed a repetitive strain injury to the arm or hand. Then their career either temporarily stopped or was finished due to this debilitating injury. Why are musicians prone to these injuries? What can be done about them? In this article you will learn why your hands and arms are at risk for injury, and what you can do to help prevent problems from developing in the first place.

In my experience working with hundreds of people who have suffered RSIs, there's a common trait among them. It is the "I thought the pain would go away" concept. Many musicians are out their (maybe yourself) who are currently attempting to play their instrument, even though their arms, elbows, shoulders, or neck are killing them. You have to realize that pain is your body's warning signal. It is like the oil light in your car. If the oil light goes on, do you simply say "let's see if that will turn off by itself. It can't be that important." That would be ludicrous, wouldn't it? Eventually, the engine would dry out, heat up, and for all intensive purposes seize up and be destroyed.

1. Your nervous system (the brain, spinal cord, and all the nerves that branch off the spinal cord) controls EVERYTHING in your body. This includes muscles, organs, glands, tissues, cells, immunity, hormones, etc. Let's put it another way - there's nothing that occurs in your body without the brain
   controlling it.
2. The nerve system is the "life force" of the body. It literally supplies life to the muscles, tissues, glands, and organs. Without this life-supplying nerve input, your tissues disease and eventually die. Ever see what a spinal cord injury does to a person? That's a pure example of a deadened nerve system.
3. Insults to your body, in the form of physical stresses, chemical stresses, or emotional stresses can "blow fuses" and irritate the nervous system. This causes abnormal signals to reach the tissues, organs, and glands. Let's break down these types of stresses and how they relate to musicians:
   • Physical stresses: (things that physically stress your body) Bad posture while playing your instrument, prolonged playing times without breaks,
     playing in one position (sitting for example) for a long time, previous car or motorcycle accidents, birth injuries (as a baby), quickly ramping up practicing times due to an upcoming gig or recital, being out of shape & overweight, sitting at computers for a long time, playing computer games hour after hour.
   • Chemical Stressors: (things to knowingly, or unknowlingly put into your body), drugs and alcohol, prescription drugs, fast food, vaccines, toxic
     chemicals in your environment (like chemicals you're exposed to by work or at home), a bad water supply.
   • Emotional stressors: (stuff you're thinking about) getting that recording contract, composing and finishing songs by a deadline, record company execs being a pain is the ***, family stresses, relationship stressors, job stresses other than your music career, death of loved ones, relocating, being on tour without family or loved ones nearby, and finally your negative thinking AKA "stinkin' thinkin'" I bet you never thought that all these things mentioned have a direct impact on your body!
4. Continued physical, chemical, and emotional stressors will short-circuit your nervous system and lead to things called "spinal subluxations". "A spinal what?" you ask? A subluxation is a misalignment of a spinal bone(s) that exerts stress on your nerve system. This leads to malfunction of the
   tissues that affected nerves supply, in some cases muscles, in some cases organs, and in some cases, both!
5. These continued stressors will eventually lead to symptoms due to repeated stress on the nerve system. Prolonged, uncared for stresses will lead to disease, disability, and eventually a shortened life-span.

You're spending 8 to 10 hours a day composing music, (physical stress) sitting at your guitar and piano. That certainly doesn't give you time to fix good meals. What's worse is that your girlfriend (or boyfriend) is hounding you because you don't spend enough time with them. (Emotional stress)

Your dad recently had a heart attack, and your torn because you can't spend enough time with him right now. (emotional stress) You're finding that one or two beers isn't sufficing anymore. Drinking a six-pack is becoming part of your practice sessions. (chemical stress)

To top things off, your back is beginning to hurt after playing guitar for more than a few hours, so you begin taking some ibuprofen every day to make it through the sessions. (chemical stress)

So, let's consider your injury, if you have one, at this point in time. Look back at this list of stressors and see which ones you've experienced lately.

And it doesn't have to be within the past month or two. This list can go back to birth! Complicated you say? You're right. When a person walks in my office with an RSI, we have to investigate that entire person's life to find out what stressors led him/her to this current symptom. In many cases, even though the pain is in the arm, the actual nerve stress that is leading to the symptom can stem from the brain stem, neck, upper back, and lower back. You have to investigate the whole body.

So what can you do now that you understand this better? First, work at relieving stressors in your life. (That's not easy) Second, if you think your life stressors have taken their toll on your body, then visit a chiropractor to determine if your nervous system is shutting down, or is working at half-mast. Third, if you are having active RSI-type symptoms, don't wait - run, to a chiropractic office for a complete evaluation and treatment. For a list of chiropractors who have experience working with musicians, go to my web site, www.musicianshealth.com/CPAN.htm.