Musicians Therapy


Madeleine is an experienced remedial therapist and offers a range of treatments for the common injuries suffered by musicians. Formerly a professional classical musician, she understands the demands of playing and potential for various overuse injuries.

She can help with:

• General aches and pains

• Overuse injuries and muscular imbalances

• Tendonitis and RSI

• Neck, back and shoulder pain

• Nerve entrapment syndromes

• Embouchure problems

• General problems related to posture

• Nervous tension

Other Useful Treatments:

Madeleine is also a qualified Yoga Therapist and can give you Postural Analysis and Advice, and a personalized practise which;

• Maintains flexibility and muscular balance

• Keeps your back strong

Madeleine has a number of easy and practical back exercises that she considers essential to maintain ‘Alexander’s line’. It is hard to sit well without the muscular strength to do so.

Common issues for Musicians


Most Problems incurred through Playing are due to Over Use Injuries and Poor Postural Alignment.


The importance of Posture:

A good posture means holding your body in such a way that bones and joints are as congruent as possible. When joints become compromised – muscular, neural and circulatory problems can occur. We are creatures of habit, and years of holding a certain posture causes our bodies to mould to that frequently held position adding to the potential for injury and pain.


Overuse Injuries:

Repetitive action of a muscle with time causes tears and a build up of scar tissue, until less and less muscle fibers within a muscle system can contract. This causes weakness followed by pain, as connected structures such as the tendons and ligaments get involved (Tendonitis/ Carpal tunnel syndrome). Massage is fundamental at restoring contractile ability or muscular strength. Muscles used extensively in any plane of movement may become over developed at the cost of other muscles that may atrophy, with a build up of metabolites and joints that no longer move in their entire range of motion (frozen shoulder).

Musician’s Therapy Treatments


Madeleine Offers

Remedial treatments

Yoga movement and breath classes

What does Remedial Massage do?

Relieves pain

Restores muscle strength and full range of movement

Maintains muscles in their optimal contractile state, pain and injury free

Re-establishes Postural Alignment

Reduces stress and the effects of brought on by nerves and anxiety.

Leaves you feeling centered, balanced and relaxed.

Yogic Help


Madeleine can show you exercises and stretches that will open up your body, strengthen and re-energize weak areas, keep your spine healthy and strong, enabling you to hold a good posture. She will give you a personalized daily yoga/ exercise routine.


She also offers MOVEMENT & BREATH classes.


  • Cultivating a deep steady breath;
  • Balances the nervous system
  • Controls the effects of anxiety
  • Open up the chest and lungs. Nerves and instrument holding usually have the effect of closing the chest inwards and turning it into a piece of protective armoring. Steadiness of breath and nerves require the ability to breath deeply. Vital capacity in the form of function of your heart and lungs require an open articulating rib cage.

If long hours of playing are demanded of you, be preventative. Have regular treatments and a good stretch/ exercise routine. If you don’t have time to cross train and stretch, then use your treatment session for this purpose.


If you have any questions feel free to call or email Madeleine.

Common Injuries


1.) TMJ (Temporomandibular Joint) Disorder

Cause

Excessive jaw clenching, – violin, viola or due to general tension.

Symptoms

Pain where the jaw joins the skull in front of the ears.

Treatment

TMJ release, massage

2.) Embouchure Problems

Cause

Muscle strain in muscles around the mouth


Symptoms

Focal dystonia, or loss of muscular control – wind/ brass


Treatment

Massage

3.) Neck Pain/Tension

Cause

Whip lash, general muscular tension from nerves, bad posture, holding heavy instruments under chin or by arms.

Symptoms

Constant ache, or on moving/holding.

Treatment

Massage, releasing and stretching techniques

4.) Thoracic Inlet Syndrome

Cause

Impingement of veins, arteries and median and ulnar nerves between the collar bone and first rib. Usually due to bad posture, instrument or heavy bag holding.

Symptoms

Numbness, tingling, cold hands, pain and weakness.

Treatment

Releasing the thoracic inlet

5.) Shoulder Impingement Syndrome

Cause

Damage to rotator cuff muscles by prolonged holding of arm at or above shoulder level.

Symptoms

Pain felt on raising the arm, or a general, internal ache.

Treatment

Gentle manipulation, shoulder energy re-evaluation, remedial exercises

6.) Medial Epicondylitis

Cause

Result of overuse from forearm flexor muscles from gripping objects with the wrist bent in a downward motion.

Symptoms

Pain on the inside of the elbow with the palm facing upwards.

Treatment

  • Icing – if inflammation is present; otherwise massage and stretching.
7.) Lateral Epicondylitis

Cause

Over use of hand extensor muscles by bending hand and wrist backwards.

Symptoms

Pain and inflammation of the tendon at the outside of the elbow. (with the palm facing upwards) Often affects pianists, and tennis players.

Treatment

  • Massage, stretching, cross training.
8.) Tendinitis & Tensynovitis

Cause

An overuse injury , with muscular demands that stretch or bend tendons around joints.


Symptoms

Local pain and irritation of the tendon (tendinitis) or inflammation of the sheath through which the tendon passes (tenosynovitis).


Treatment

Rest, icing until the inflammation has passed, massage to associated muscle, and to reduce scar tissue on the tendon.

9.) Thumb Pain

Or De Quervain’s syndrome


Cause

Positional and over use injury of thumb when fully extended, mainly as a result of holding an instrument for long periods.


Symptoms

Pain may travel up the forearm.


Treatment

Massage, stretching, rest

10.) Carpal Tunnel Syndrome

Cause

Compression of the median nerve in the wrist from inflamed tendons. This nerve supplies the thumb and first three fingers. Maybe an over use injury or due to trauma to the wrist.

Symptoms

Pain, numbness and tingling of the hands, thumb, index and middle fingers.

Treatment

Rest, re- alignment, general massage of forearm, remedial exercises.

11.) Cubital Tunnel Syndrome

Cause

Compression of the ulnar nerve at the inside elbow, from over use of the little finger and sideways motion of the hand.


Symptoms

Pain in the inside elbow (with the palm faced upwards), and numbness or tingling in the little finger, ring finger, back or side of the hand.


Treatment

Treatment – massage, stretching, remedial exercises.

12.) Back Pain

Cause

Prolonged bad posture, with unequal strains and demands on the different sides of the body. Also weak core and abdominal strength.


Symptoms

Pain and dysfunction dependent on how chronic.


Treatment

Postural analysis, Alexander technique, proper back exercises, massage, stretching.

13. Sciatica

Cause

Irritation and compression of the sciatic nerve as it leaves the spine in the low back and travels down the leg. Will occur with bad sitting posture, too much driving, out of alignment in the pelvis and lack of hip mobility/ flexibility.


Symptoms

Pain in the legs and buttocks.


Treatment

Massage, releasing the compression, remedial exercises, stretching.