Musculoskeletal Pain from Repetitive Strain in Musicians: Insights into an Alternative Approach

Abstract

In dealing with the symptoms of repetitive strain suffered by musicians, the focus has been primarily on assessing prevalence and developing means of prevention. While these are useful endeavors, the etiology of repetitive strain at the cellular level has not been well understood. As a consequence, the well-established forms of therapy--drugs, exercise, stretching, splinting, and rest--have gone largely unquestioned, even though they fail to solve the problems of many musicians. Chronic pain continues to ruin musical careers, in spite of everything the medical community has to offer. It may be worth questioning whether the medical community is overlooking something of value outside the boundaries of accepted practice. There is reason to believe that a significant proportion of the aches, pains, and other symptoms caused by repetitive strain are actually generated by myofascial trigger points, or small contraction knots, in the muscles of the body. This article is an effort to acquaint the readers with the basic tenets of myofascial trigger points.