Playing music with recent neck or shoulder pain and how to keep practising
Dr Nicola Tik

Whether you play the violin, guitar, piano, flute or drums, your neck and shoulders do a lot of work holding your instrument and keeping your arms in position. When one of them has started aching, practising can feel more difficult. A few changes to your set-up and practice routine can help you keep playing while things settle.

Why playing can affect your neck and shoulders

Many instruments involve holding your arms up or out to the side for long periods, sometimes with your head turned or tilted. Violinists and violists hold their instrument between chin and shoulder. Guitarists often lean over the neck of the guitar. Pianists and keyboard players may lean forward or hold their shoulders up. Flute players hold their arms to one side.

When you are focused on a piece, you may not notice tension creeping in. Over a long practice or rehearsal, this steady effort can leave your neck and shoulders tired and sore.

Your set-up

Some changes to how you set up can ease the load:

Letting go of extra tension

Playing often involves some tension, but extra tension can creep in without you noticing. A quick check during practice can help:

If you notice tension, let your shoulders drop, soften your jaw and take a slow breath. Practising with a little less grip can feel strange at first but often helps.

Practising in shorter sessions

Long practice sessions without breaks are often what bothers a sore neck or shoulder most. Some ideas:

VIDA’s Pomodoro stretches, in the top right corner, can remind you to pause during focused practice.

Gentle movement during breaks

Something to try between practice sessions:

If you would like to follow along, VIDA has short videos of shoulder squeezes and guided neck stretches you can use at your own pace.

Warming up

A short warm-up before you play can help your neck and shoulders feel more ready. Gentle shoulder rolls, arm circles and neck turns, followed by easy pieces or scales, can ease you in.

Carrying your instrument

Carrying a heavy instrument case on one shoulder can add to the load. A case with backpack straps, or one with wheels, can help. Swapping sides regularly helps too.

Building strength

Strengthening the muscles around your neck and upper back helps them support your arms during long sessions. Something to try two or three times a week:

If you would like to follow along, VIDA has short videos of shoulder squeezes and back lifts you can use at your own pace.

Building back up

As your neck or shoulder settles, you can gradually build your practice time back up. Your VIDA pain check-in is a good way to keep track of how things respond.

What to take away

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