Neck and Shoulder Pain in Musicians: Causes and Treatment


Playing a musical instrument is an emotive and artistic activity but is also physically demanding. Professional and amateur musicians often experience pain and injuries that limit their ability to play. Research 1 indicates that over 80% of professional musicians in orchestras experience pain and injuries that inhibit their ability to play. In contrast, younger musicians do not usually experience playing-related pain as they do not spend as much time on their instruments as tertiary students or professionals do. However, learning the principles of body care when younger can hopefully reduce pain and injuries as the musician progresses to higher levels of playing.

Download your FREE 2-page resource

Fit to Play: Reducing Injuries in Musicians

This blog will cover:

  • Common causes of neck and shoulder pain in musicians
  • What neck and shoulder pain do musicians experience?
  • Preventing neck and shoulder pain in musicians
  • Treatment options for neck and shoulder pain in musicians
  • Exercise series for musicians

Find our physio clinic in Brisbane Tarragindi

Our Brisbane Physiotherapy Clinic, services areas including: Brisbane, Tarragindi, Mount Gravatt, Holland Park, Rocklea, Yeronga, Annerley, Camp Hill, Carindale, Coorparoo, Salisbury, Sunnybank, Greenslopes, Seven Hills, Acacia Ridge, Indooroopilly, Woolloongabba, etc.

Because of our expertise in hip conditions, dance injuries and performance, and hypermobility, we also have people visiting us from all over Queensland, Australia and even international visitors. We also have a telehealth service for remote patients.

Common Causes of neck and shoulder pain in musicians

  • High repetition of movement without adequate breaks or variety
  • Non-ideal 'ergonomics' – the way the body interacts with the instrument
  • Immature technique - normally with too much playing tension
  • Inadequate recovery between playing sessions
  • Reduced general fitness and postural endurance

Many instruments, especially strings, flute, and guitars are played with unnatural, imbalanced postures which cannot be changed. Therefore, it is crucial to recognise and minimize the effects of these postural challenges by ensuring your body has the capacity to hold postures for extended periods and you have an active recovery plan after playing.


What neck and shoulder pain do musicians experience?

Nearly every musician experiences muscular tension during or after playing. If left unmanaged this can lead to more inhibiting pain and even specific anatomical trauma that can be career-threatening. Musicians also tend to play through increasing tension, hoping it will go away with simple rest. However, if pain is present during play and lingers afterward, seeking help is essential to figure out why. Most musicians’ neck pain does not involve specific pathology but is a result of increasing and lingering muscular tension.

Neck tension can lead to reduced range of neck movement, can change the way you address your instrument and cause further problems in the forearms, wrists, and hands. Headaches an jaw tension are also commonly linked to neck tension. Musicians may be having treatment and doing exercises for pain further down the arms but have not addressed trunk endurance, shoulder strength, and neck tension. Likewise, solving neck or shoulder pain may involve analysing movement throughout the trunk, shoulders, arms and hands.

Preventing neck and shoulder pain in musicians

If musicians think like a sportsperson and respect the physicality of their craft, they can reduce neck and shoulder pain. An easy to remember approach is:

Condition2 – ensure you are generally fit and have good postural and muscular endurance

Prepare3 – warm up your body for playing (not stretching – that’s for after play)

Play – develop sound technique with minimal tension, plan regular breaks in practice, build up to pieces of higher intensity or speed, and listen to your body's messages!

Recover – stretch after playing, hydrate, eat, and especially sleep.


Treatment options for neck and shoulder pain in musicians

Many musicians are told they have tendonitis or bursitis of the shoulder, a facet joint injury in the neck, or some other specific pathology. However, approaching musicians' neck and shoulder pain as an overload problem requires identifying all the reasons the area in pain is overloaded. Expensive diagnostic tests trying to identify the exact structure causing pain rarely change the management strategy for the majority of musicians. Massage, dry needling, stretching, and manual therapy techniques can help relieve symptoms and can allow you to keep playing but will not solve why things are tight and sore.  

Whatever the diagnosis of your pain, the treatment approach should include a graduated strength and conditioning program to improve your physical capacity for playing. This should address trunk strength, scapula (shoulder blade) stability, shoulder muscle endurance and neck muscle positional awareness and endurance.


Exercise series for musicians

One exercise series you can use to gradually improve your physical condition for playing music is the push-up. When you can comfortable do and control 15 move to the next stage. You can also gradual increase the depth of the movement within each stage before you are doing a full pushup in that position.

The Musicians push-ups series: 

  1. Wall push-ups
  2. Incline pushups - (kitchen bench)
  3. Incline pushups - (end of the couch)
  4. Kneeling pushups
  5. Full bodyweight pushups


Neck and shoulder pain can be debilitating and career-threatening for musicians. Rather than trying to find out exactly what is 'wrong' with the structures in the body, musicians should address their general fitness, postural strength and endurance, analyze technique to reduce playing tension, and ensure they are adequately recovering from the physical demands of playing a musical instrument.

Visit us at PhysioTec and let one of our experienced physios assess you and provide you with a personalised program for performing your best!




This blog has been written by one of our experienced PhysioTec physiotherapists. If you would like to book with one of our physio's, call 3342 4284 or click here to book online.

Other great Blogs


Proximal Hamstring Tendinopathy: Symptoms, Causes, Treatments

By Molly Connolly | 1 May 2024

You may have recently found yourself experiencing pain in your lower buttock and wondered “Is this my back, my hip…


Neurogenic Thoracic Outlet Syndrome: Symptoms, Causes, Treatments

By Tyler Cultum | 2 April 2024

Do you experience neck, arm and hand pain if you’ve been sleeping or doing a task with your arm raised…


Osgood Schlatter Disease: Symptoms, Causes, Treatment

By Rhianna Tunks | 27 February 2024

This blog will cover the following points on Osgood Schlatter Disease: What is Osgood Schlatter Disease? Symptoms of Osgood Schlatter…


How pain changes the way we move (and how to fix it!)

By PhysioTec | 23 January 2024

Movement is a fundamental aspect of human life, shaping our interactions with the world and people around us. When we…


2023 Wrap Up

By PhysioTec | 8 November 2023

As another year at PhysioTec comes to an end, we have put together this blog to look back at all…


Returning to the Gym after Hip Replacement

By Eric Huang | 17 October 2023

Wondering whether it’s safe to be returning to the gym after hip replacement? We asked one of our most experienced…



By Julie Allen | 26 September 2023

Many individuals, including some patients undergoing cancer treatment, may be affected by a disruption in the lymphatic system, resulting in…


Hip Osteoarthritis

By Molly Connolly | 1 September 2023

Have you experienced a deep pain in and around your hip? There can be many different causes of hip pain,…


Shin splints: symptoms, causes and treatments

By PhysioTec | 1 August 2023

This blog will cover the following points on Shin Splints: What are Shin Splints Symptoms of medial tibial stress syndrome…


Importance of a well-balanced strength program for throwing athletes

By Tyler Cultum | 5 July 2023

The shoulder is a complex and beautiful joint in the human body. For the same reasons of being a beautifully…

If you're wanting to improve your performances, needing advice on preventing injuries, or help perfecting you playing technique, our experienced physios are able to help you on your journey.

If you would like to book with one of our physios, please call, email or book online below:

Phone: (07) 3342 4284



  1. Musculoskeletal pain and injury in professional orchestral musicians in Australia, Bronwen Ackermann 1Tim DriscollDianna T Kenny
  2. Are music students fit to play? A case study of health awareness and injury attitudes amongst tertiary student cellists, Dale L. L. Rickert dalerickert@gmail.comMargaret S. Barrett, and Bronwen J. Ackermann
  3. A systematic review of the effects of upper body warm-up on performance and injury, J Matt McCrary 1Bronwen J Ackermann 1Mark Halaki 2
  4. Effects of Physical Symptoms on Muscle Activity Levels in Skilled Violinists, J M McCrary 1Mark HalakiBronwen J Ackermann