Specialist Help for Violinists and Violists Experiencing Physical Problems
Playing the violin or viola can involve highly precise and repetitive movements, sustained muscular activity, and continuous physical interaction with the instrument. For some musicians, this can be accompanied by tension, pain, discomfort, stiffness, fatigue, restricted movement, altered sensation, or difficulties maintaining physical freedom while playing.
These problems can occur at any level of playing — from beginners and amateur players to advanced musicians, professionals and soloists. They may appear only in particular passages or playing situations, or may develop gradually during longer periods of playing.
My work focuses specifically on understanding physical problems that affect violin and viola playing. The purpose is not to impose a particular technique or tell you that there is one correct way to hold or play the instrument. Instead, I look at your individual situation and the relationship between your physical experience, your movements, and the way the instrument is held and supported.
What Are You Experiencing When You Play?
The sections below describe a wide range of physical problems that violinists and violists may experience. You may recognise one problem, several problems, or a combination that does not fit neatly into a single category.
These descriptions are not diagnoses. They are intended to help you identify and describe what you experience when playing. A consultation looks at your individual circumstances rather than assuming that a particular symptom has a particular cause.
If the problem you are experiencing is not listed here, that does not mean it is outside the scope of the consultation. Physical difficulties do not always fit neatly into a predefined category, and you may be experiencing a combination of problems or something that is difficult to describe in one term. You can simply describe what happens when you play when you make your enquiry.
What the Consultation Focuses On
The consultation is dedicated to your individual physical problem when playing the violin or viola. Rather than starting from a prescribed technique or a general explanation, we examine the difficulty in the context of your own playing.
- What you experience and where you experience it.
- When the difficulty occurs, including particular movements, passages or longer playing sessions.
- How the problem affects your playing and the movements you need to make.
- The relationship between your movements, the instrument and the way it is held and supported.
- What changes as the demands of playing change.
- What you have already tried and how it relates to the difficulty you experience.
The aim is to understand the problem in the context of your playing and explore practical ways of addressing it in your playing. The focus is individual: similar symptoms do not necessarily mean that two players have the same problem or require the same approach.
Click or tap any numbered problem to open it and read more about what you may experience and how it can affect your playing. Click or tap the problem again to collapse it. You can explore only the topics that are relevant to you.
Pain & Discomfort
1. Neck pain or discomfort
What you may experience
You may notice aching, pressure, discomfort, tightness or pain in the neck while playing. It may occur from the beginning of a session or develop only after you have been playing for some time.
How it can affect your playing
Neck discomfort can make it harder to turn or move the head freely, maintain comfortable attention to the instrument, or continue playing without becoming increasingly aware of the area.
If the neck is where you notice the problem, the important question is not simply where it hurts. It is what is happening when the difficulty develops and how the head, neck, shoulder and instrument are interacting at that moment.
Consultation focus
The consultation begins with the neck difficulty as you experience it, including the movements, passages or playing situations in which it becomes troublesome. I work with you while you play so that the problem can be considered in the context of the actual musical task, rather than relying only on a verbal description or general advice. We can try several possible approaches in the relevant playing situations and consider what happens with each. This gives us a practical basis for examining which possibilities are relevant to your particular experience, without assuming that every player with neck discomfort needs the same answer.
2. Shoulder pain or discomfort
What you may experience
Shoulder discomfort may be felt around the top, front, back or deeper part of the shoulder. It may occur on the left, right or both sides, and may become more noticeable in particular positions or passages.
How it can affect your playing
You may find that shoulder discomfort interferes with bowing, left-arm activity, instrument support or your ability to continue playing comfortably.
A shoulder problem can be connected with what is happening elsewhere. A consultation can consider the broader interaction between the shoulder, the rest of the body, your movements and the instrument.
Consultation focus
I work with you on the shoulder difficulty as it appears in your own playing, including the specific passages, movements and demands that make it difficult to play comfortably. Rather than treating the shoulder as an isolated complaint or giving you a standard set of instructions, I consider the problem in relation to the playing you actually need to do. Several possible approaches can be tried during the relevant tasks, and we can consider the differences you experience with each. The purpose is to develop an individual understanding of the practical possibilities available to you, rather than assume that one approach will suit every player or every playing situation.
3. Back pain or discomfort
What you may experience
Back discomfort may occur in the upper, middle or lower back. Some players notice it only after sustained playing, while others become aware of it during particular positions or movements.
How it can affect your playing
Back discomfort can make longer rehearsals or practice sessions increasingly difficult and may affect how freely you move while playing.
The way the instrument is supported, the movements required and what happens as playing continues can all be relevant to understanding the individual problem.
Consultation focus
The consultation looks at how back discomfort affects your playing across the situations you find difficult, whether that means a particular movement, a demanding passage or a longer practice session. I work with you in the context of your playing instead of treating the discomfort as a general back problem unrelated to the instrument. We can try several possible approaches during relevant playing tasks and consider how each feels and functions in practice. This makes the consultation specific to your own playing demands and gives us an opportunity to compare different possibilities directly, rather than relying on general recommendations that may not fit your situation.
4. Arm or forearm pain
What you may experience
Pain or discomfort may occur in the upper arm, forearm or along a larger part of the arm. It may be associated with bowing, fingering, shifting or particular playing positions.
How it can affect your playing
The problem may make certain movements feel effortful, uncomfortable or increasingly restricted, particularly during demanding passages or longer sessions.
The location of the discomfort is only part of the picture. The timing of the symptom, the movement that precedes it and the demands of the passage can provide important information about the individual problem.
Consultation focus
I focus on the specific playing tasks in which arm or forearm pain affects what you can do comfortably. We work with the movements and musical passages that matter to you, so the discussion stays connected to your actual playing rather than becoming a general discussion of arm discomfort. I explore several possible approaches with you and we try them in the relevant playing context. We can then consider what you experience with each approach, including whether it changes the practical demands of the task. The work is individual and responsive to the difficulty you bring, not based on a single instruction intended to cover every kind of arm problem.
5. Elbow discomfort
What you may experience
You may notice discomfort around the inside, outside, front or back of the elbow. It may be associated with bowing, left-arm movements or sustained playing positions.
How it can affect your playing
Elbow discomfort can make particular movements feel less comfortable or make you increasingly conscious of the arm during playing.
The elbow sits between several parts of the playing movement. Looking at the movement as a whole can therefore be more informative than concentrating on the elbow alone.
Consultation focus
The consultation centres on the elbow difficulty as it affects your particular playing tasks. I work with you to identify the passages or movements that are difficult to carry out comfortably and consider them in the context of your actual playing. Rather than assuming that all elbow discomfort should be approached in the same way, I explore several possible approaches with you and try them during the relevant tasks. We can consider the practical differences between these possibilities and how they relate to the difficulty you have described. This allows the session to remain focused on your own playing and the movements you need to perform, rather than on generic advice about the elbow.
6. Wrist pain or discomfort
What you may experience
Wrist pain or discomfort may appear during fingering, shifting, vibrato, bowing or while maintaining a particular hand position.
How it can affect your playing
You may find that particular movements become uncomfortable, that the wrist feels restricted, or that discomfort increases during longer sessions.
The wrist’s role differs between playing tasks. A consultation can examine when the difficulty appears and how it relates to the movement being performed.
Consultation focus
I work with the specific playing movements in which wrist discomfort interferes with your playing, whether the difficulty appears during fingering, shifting, vibrato, bowing or maintaining a particular position. We consider the actual task rather than relying on a general instruction about how the wrist should move. Several possible approaches can be explored and tried during the relevant passages or movements, allowing you to experience each in the context of your own playing. We then consider how the different possibilities relate to the discomfort and the demands of the task. This individual process is intended to give proper attention to the particular wrist difficulty you are experiencing, rather than treating all wrist problems as interchangeable.
7. Hand, finger or thumb pain
What you may experience
Pain or discomfort may occur in one or more fingers, the thumb, the palm or the back of the hand. It may appear during fingering, shifting, vibrato or bowing.
How it can affect your playing
Discomfort can make finger movements feel more demanding, interfere with particular passages or make it harder to continue playing for extended periods.
The specific movement and playing circumstances in which the pain occurs can be important when considering the problem.
Consultation focus
The consultation is tailored to the particular hand, finger or thumb difficulty you experience and the playing activities affected by it. I work with you on the passages and movements that have become uncomfortable or difficult, keeping the focus on what you need to do as a player. Several possible approaches can be explored and tried within those activities, rather than offering a single general recommendation for hand or finger pain. We can consider how each possibility feels in practice and how it relates to the demands of the passage. The aim is to give your specific difficulty sustained attention and examine practical possibilities in the context of your individual playing.
8. Headache or head-related discomfort
What you may experience
You may experience a headache, pressure or discomfort in the head during or after playing. It may appear alongside neck discomfort or in particular playing situations.
How it can affect your playing
Head-related discomfort may make it difficult to concentrate, sustain playing or feel comfortable while holding the instrument.
A consultation can consider the circumstances in which the discomfort appears in relation to playing.
Consultation focus
I focus on how the head-related discomfort affects your playing, including the situations in which it interrupts your concentration, makes it difficult to continue or changes your experience of holding the instrument. We consider the particular playing demands involved rather than assuming that a headache or pressure sensation necessarily has a playing-related explanation. Several possible approaches relevant to the playing situation can be explored and tried, and we can consider what you experience during each. This provides time to work specifically on the difficulty as it relates to your playing.
9. Heaviness in the arm
What you may experience
An arm may feel heavy, weighed down or unusually difficult to move while playing. The feeling may develop during a session or occur in specific playing positions.
How it can affect your playing
Heaviness can make bowing, fingering or maintaining a playing position feel more demanding than expected.
The timing and circumstances of the sensation are important to describe.
Consultation focus
The consultation focuses on how the feeling of heaviness affects the movements and musical tasks you need to perform. I work with you on the specific playing situations in which the arm begins to feel heavy or becomes difficult to use as you intend. Several possible approaches can be tried in the relevant movements or passages, with time to consider how each affects your experience of the task.
10. Collarbone or upper-chest discomfort
What you may experience
You may notice discomfort, pressure or tenderness around the collarbone or upper chest while holding and playing the instrument.
How it can affect your playing
The sensation may make instrument support uncomfortable or affect how you position yourself during playing.
The location and timing of the discomfort can be considered in relation to the instrument and the playing situation.
Consultation focus
I focus on the practical difficulty you experience when supporting the instrument and playing with discomfort around the collarbone or upper chest. We work with the playing situations that matter to you, considering the effect the discomfort has on your comfort, movements and ability to continue with the task. Several possible approaches can be tried in context rather than assuming that one general recommendation will be appropriate for everyone. We can compare your experience of these possibilities during playing and consider their relevance to your individual situation.
11. Tendon-area pain or tenderness
What you may experience
You may notice pain or tenderness around an area that feels particularly sensitive during or after playing, including around the wrist, fingers, elbow or forearm.
How it can affect your playing
The discomfort may make repeated movements or particular playing tasks more difficult to sustain.
The description of a painful area does not establish which tissue is involved.
Consultation focus
The consultation concentrates on the playing activities that have become difficult or uncomfortable and how the discomfort affects your ability to carry them out. I work with you in the context of your actual playing and explore several possible approaches to the playing-related difficulty. These possibilities can be tried during relevant tasks, allowing us to consider how they relate to your individual experience rather than assuming that the location of tenderness tells us what the problem is. The focus remains on your playing and the practical difficulties you encounter.
12. Skin irritation or pressure-related changes from instrument contact
What you may experience
Contact with the instrument or its supporting surfaces may be associated with local irritation, tenderness, pressure marks or changes in the skin.
How it can affect your playing
Skin irritation or pressure can make maintaining contact with the instrument uncomfortable, particularly during longer playing sessions.
The area affected and the circumstances in which the problem develops can be described as part of the overall playing situation.
Consultation focus
I consider how the irritation or pressure-related difficulty affects your contact with the instrument and your ability to play comfortably. We work with the actual playing situation, including the activities and duration of playing that are relevant to your experience. Several possible approaches to the playing-related difficulty can be considered and tried in context, rather than relying on a general recommendation that may not suit your individual circumstances. We can then consider how each possibility relates to your comfort during playing.
13. Skin reactions related to instrument materials or accessories
What you may experience
You may notice skin irritation or a reaction in an area that comes into contact with the instrument, a chin rest, a shoulder rest or another accessory.
How it can affect your playing
Discomfort may make normal instrument contact difficult or affect how long you can play comfortably.
A skin reaction does not by itself identify its cause.
Consultation focus
The consultation focuses on how the skin-related difficulty affects your comfort and your ability to maintain the contact with the instrument required for playing. I work with you to understand the practical problem in your own playing situation and explore several possible approaches to the playing-related aspects of that difficulty. Where relevant, these possibilities can be tried in the context of playing and considered in relation to your experience.
Tension, Stiffness & Fatigue
14. Muscular tension
What you may experience
You may feel that particular muscles remain tense, that playing requires sustained effort, or that tension increases during certain passages or as a session continues.
How it can affect your playing
Tension may make movement feel less free and may contribute to discomfort or fatigue. It can be difficult to identify exactly where the tension begins or why it increases.
The relevant question is how the physical demands change with the playing task and whether the muscular activity suits what you are trying to do.
Consultation focus
I work with the tension as it affects your own playing, including the situations in which you begin to feel held, effortful or less free. We consider the musical tasks you are trying to perform and how the experience changes as you play, rather than relying on a general instruction to relax. Several possible approaches can be explored and tried within the relevant playing activities. We can consider how each affects your experience of the task and whether it is relevant to the difficulty you described. This provides a more individual process than treating tension as one uniform problem or assuming that the same approach will suit every player, passage or playing demand.
15. Shoulder and neck tension
What you may experience
You may notice a feeling of holding, tightness or sustained muscular effort around the neck and shoulders, especially while supporting the instrument or playing demanding passages.
How it can affect your playing
The tension may interfere with comfortable head movement, arm movement or your ability to continue playing without increasing effort.
Neck and shoulder tension can be related to several aspects of the playing situation. The individual pattern matters more than assuming that the same explanation applies to everyone.
Consultation focus
The focus is on how the combination of neck and shoulder tension affects your actual playing, including the moments when it interferes with comfort or movement. I work with you on the playing tasks that bring the difficulty to your attention, rather than offering a general instruction to relax the shoulders or neck. Several possible approaches can be explored and tried in the relevant playing situations. We can consider what changes in your experience with each approach and how it relates to the demands of the music. The aim is to work specifically with your individual difficulty and compare practical possibilities, not to impose one standard way of using the neck and shoulders on every violinist or violist.
16. Muscular fatigue
What you may experience
You may feel that particular muscles tire during playing, that maintaining a movement becomes progressively harder, or that fatigue appears sooner than you expect.
How it can affect your playing
Fatigue may make it more difficult to maintain comfortable movement, coordination or control through a long rehearsal, practice session or performance.
The timing of fatigue and the tasks that bring it on can help describe the problem more precisely than fatigue alone.
Consultation focus
I focus on when fatigue develops during your playing and how it changes the tasks you can comfortably sustain. We consider the particular passages, movements or longer playing demands that matter to you, rather than treating fatigue as a general lack of endurance. Several possible approaches can be tried within the relevant playing activities, with time to consider how each affects your experience of the task. The work can take account of differences between the beginning of a playing session and the point at which fatigue becomes more noticeable. This allows us to examine the difficulty in the context of your own playing demands and consider practical possibilities without assuming that every player experiences or manages fatigue in the same way.
17. Stiffness
What you may experience
You may feel stiff in the neck, shoulder, back, arms, wrists or hands, either at the start of playing or after a period of sustained activity.
How it can affect your playing
Stiffness may make movements feel less fluid or make particular playing positions more difficult to maintain comfortably.
It is useful to consider when the stiffness appears, which movements are affected and whether the experience changes during playing.
Consultation focus
The consultation focuses on the particular movements and musical tasks in which stiffness limits your comfort or freedom. I work with you while you play, so that we can consider the difficulty in the activity where it matters rather than relying on general advice about flexibility or movement. Several possible approaches can be explored and tried in the relevant playing situations. We can compare your experience of each and consider how it relates to the task you are trying to perform. This makes the work specific to the stiffness you experience and the practical demands of your playing, rather than assuming that one approach to stiffness will be suitable for every area of the body or every player.
18. Excessive physical effort
What you may experience
You may feel that playing requires more physical effort than it should, even when the musical task itself is familiar.
How it can affect your playing
Extra effort can accumulate over a practice session and may leave you feeling tense, fatigued or less free in demanding passages.
When playing feels unnecessarily effortful, the useful question is where that effort is appearing and under which playing conditions. Examining those details can make the problem more specific than simply describing it as too much tension.
Consultation focus
I work with the feeling of excessive effort in the passages and playing demands that are important to you. The focus is on what you are trying to do musically and how demanding the task feels in your actual playing, rather than on general advice to use less effort. We can explore and try several possible approaches within the relevant tasks, considering the differences you experience as you play. This gives us a way to examine practical possibilities directly and consider how each relates to the effort you are experiencing. The consultation is not built around a single rule about how much effort playing should require; it is shaped around your own playing and the particular difficulty you want to address.
Movement & Control
19. Restricted movement or loss of movement freedom
What you may experience
A movement may feel limited, blocked, uncomfortable or difficult to perform freely while playing. You may also feel that movements which normally feel natural become increasingly held, constrained or difficult to release.
How it can affect your playing
Restricted movement can affect particular passages, positions or techniques and may lead you to compensate elsewhere. The change may become noticeable during demanding passages, longer sessions or when moving between different technical requirements.
The important information is not simply which movement feels restricted, but when the restriction appears, what movement is being attempted and what else is happening at the same time. Movement freedom is not simply the absence of muscular activity: playing requires appropriate muscular activity and stabilisation for different tasks.
Consultation focus
I work with the specific movements in which you feel restricted and the playing tasks that have become difficult. We look at the actual musical activity rather than treating movement freedom as an abstract ideal or assuming that every movement should feel the same. Several possible approaches can be explored and tried within the relevant passages and movements. We can consider how each feels during playing, what happens as the task changes and how the different possibilities relate to the restriction you experience. The consultation is intended to give this difficulty individual attention and allow practical alternatives to be considered in context, without imposing a universal model of movement on your playing.
20. Reduced motor control
What you may experience
You may feel that a movement is less controlled or predictable than you expect, despite knowing the musical passage well.
How it can affect your playing
This may affect the consistency of particular movements, especially when the musical task becomes more demanding or requires precise coordination.
A consultation can consider the playing circumstances in which the change occurs.
Consultation focus
The consultation focuses on the movements that no longer feel as reliable as you expect and the specific playing situations in which this affects your performance. I work with you on those tasks, rather than treating your entire technique as one problem or assuming that the difficulty has one obvious explanation. Several possible approaches can be explored and tried during the relevant playing activities, and we can consider what you experience with each. This keeps the work centred on the practical problem and its effect on your playing.
21. Weakness or loss of strength
What you may experience
You may feel that a hand, finger, arm or another area seems weaker than usual or cannot sustain a movement as expected.
How it can affect your playing
Perceived weakness may affect instrument support, bow control, fingering or the ability to continue a movement consistently.
Consultation focus
I focus on how the perceived weakness affects the playing activities you need to perform, such as maintaining a movement, carrying out a passage or supporting the instrument comfortably. We can consider the particular tasks that have become difficult and explore several possible approaches in the context of your playing. The purpose is to address the playing-related difficulty in a focused, individual way, rather than offer generic advice about strength or technique.
22. Loss of coordination
What you may experience
You may find it more difficult to coordinate movements that previously felt reliable, including the relationship between the two hands or between different parts of the same arm.
How it can affect your playing
The difficulty may be more apparent in demanding passages, at particular speeds or when several movements must be coordinated at once.
It is useful to identify the specific playing situations in which coordination changes rather than treating the whole of your technique as one problem.
Consultation focus
I work with the specific coordination difficulty you experience and the musical passages in which it becomes apparent. We focus on the task you are trying to perform, whether it involves the two hands working together or the coordination of movements within one arm. Several possible approaches can be explored and tried during the relevant passages, allowing us to consider how each relates to the coordination demands of your playing. The process remains connected to your own musical requirements rather than relying on general instructions that may not address the particular difficulty. This gives us an opportunity to examine different practical possibilities in the context where coordination matters to you.
23. Reduced independence of finger movements
What you may experience
You may find that moving one finger seems to involve other fingers, or that individual fingers do not move as independently as you expect.
How it can affect your playing
This may make certain finger patterns, passages or technical combinations feel more difficult or physically demanding.
The particular fingers and movements involved, and the circumstances in which the difficulty appears, are important parts of understanding the problem.
Consultation focus
The consultation concentrates on the finger movements and musical patterns in which independence feels reduced. I work with you on the actual fingering tasks that have become difficult, so that the discussion remains specific to your playing rather than becoming a general explanation of finger technique. Several possible approaches can be explored and tried in the relevant passages. We can consider how each affects the movements you need to perform and how it relates to the difficulty you experience. The work is tailored to the particular finger patterns and playing demands that matter to you, rather than applying one general rule to every player or assuming that every finger-independence problem should be approached in the same way.
24. Involuntary finger movements or unusual finger positioning
What you may experience
A finger may move or assume a position that you did not intend, particularly during a specific movement or playing task.
How it can affect your playing
These movements may interfere with fingering, coordination or the consistency of a passage and may be difficult to predict.
The circumstances and pattern of the movement can be described in relation to playing.
Consultation focus
I focus on the particular playing tasks in which the unintended finger movement appears and how it affects the passage you are trying to perform. We can work with the musical context in which the movement occurs and consider several possible approaches to the playing difficulty. These can be tried in the relevant task, allowing us to consider your experience directly rather than assuming that the movement has one particular explanation. The consultation remains focused on the effect the difficulty has on your playing and the practical possibilities relevant to that task.
25. Difficulty releasing a finger or a finger that seems to stick
What you may experience
A finger may seem slow to release, temporarily stuck, or difficult to move smoothly from one position to another.
How it can affect your playing
The difficulty may interfere with changes of fingering, rapid passages or the timing and flow of a movement.
The exact movement and playing conditions are worth identifying.
Consultation focus
The consultation focuses on the exact fingering changes or movements in which the finger seems to stick, release late or interrupt the flow of a passage. I work with you on those tasks in your actual playing and explore several possible approaches that can be tried in context. We can consider how each possibility relates to the timing, continuity and physical demands of the movement you need to perform. This is more specific than general advice about finger technique, because the work centres on the particular difficulty you have described.
26. Involuntary bending of the bowing thumb
What you may experience
The thumb of the bowing hand may bend involuntarily or change position in a way that feels difficult to control during particular bowing movements.
How it can affect your playing
The change may affect the feel of the bow hold, the continuity of movement or the way you coordinate the hand and arm.
The movement is best considered in the context of the bowing task in which it occurs, rather than assuming that one thumb position is appropriate for every player and situation.
Consultation focus
I focus on the bowing movements in which your thumb bends or changes position involuntarily and on how this affects the way you use the bow. We work with the actual bowing task rather than judging your hand against one fixed thumb position. Several possible approaches can be explored and tried during relevant bow strokes and passages, with time to consider how each affects your experience of bow control and movement. The consultation takes account of the individual demands of your playing and the difficulty you describe. It is not about imposing one standard bow hold; it is about considering different practical possibilities in the context of your own bowing.
27. Tremor or unwanted shaking
What you may experience
You may notice shaking or involuntary movement in a hand, arm or another part of the body during particular playing situations.
How it can affect your playing
Unwanted shaking can interfere with the steadiness or control required for particular movements and may be more noticeable during certain tasks.
The situations in which the shaking occurs are important to describe.
Consultation focus
The consultation focuses on the playing situations in which the shaking interferes with a movement or musical task. I work with you on the practical demands of that task and explore several possible approaches that can be tried in the playing context. We can consider how each relates to your experience of performing the movement and to the difficulty you have described.
Numbness & Altered Sensation
28. Tingling or pins and needles
What you may experience
You may feel tingling, prickling or pins and needles in a finger, hand, arm or another area while playing or afterwards.
How it can affect your playing
The sensation may be distracting or make it more difficult to feel comfortable during fingering, bowing or instrument support.
It is useful to note where the sensation occurs, when it begins and whether it changes with the playing task.
Consultation focus
I focus on how the tingling affects your playing and the particular tasks in which it becomes distracting or interferes with your usual movements. We can consider the playing situations you describe and explore several possible approaches to the playing-related difficulty, trying them where relevant during your actual playing. This allows us to consider how each possibility relates to your individual experience without assuming that tingling identifies a particular cause. The work is concerned with the practical difficulty you encounter as a violinist or violist.
29. Numbness
What you may experience
You may notice reduced or absent sensation in a finger, hand, arm or another area during or after playing.
How it can affect your playing
Numbness may affect your awareness of contact with the instrument or make particular movements feel less reliable.
The location, timing and duration of the numbness matter.
Consultation focus
The consultation focuses on how numbness affects the playing tasks that matter to you, including situations in which contact with the instrument or the movements you need feel less reliable. I work with you on the practical difficulty as it appears in your playing and explore several possible approaches relevant to that situation. We can try these in context and consider what you experience with each approach.
30. Altered sensation
What you may experience
A part of your hand, fingers, arm or another area may feel different from usual. Sensation may seem reduced, heightened, unusual or difficult to describe.
How it can affect your playing
An altered sensation may distract you or affect the way you perceive contact with the instrument during a playing task.
Describing exactly what the sensation feels like, where it occurs and when it appears can help clarify the playing circumstances.
Consultation focus
I focus on how the altered sensation affects your experience of playing and the specific activities in which you notice it. We consider the playing tasks that have become uncomfortable, distracting or less predictable, and explore several possible approaches relevant to those tasks. These can be tried in the context of your own playing, allowing us to consider your experience of each rather than relying on general suggestions. The consultation remains focused on the practical playing difficulty and does not assume that a particular sensation identifies its cause.
31. Nerve-related symptoms
What you may experience
You may experience symptoms such as tingling, numbness, unusual sensations or weakness that you suspect may involve a nerve.
How it can affect your playing
These symptoms may interfere with comfortable movement, reliable sensation or the ability to continue playing as expected.
A symptom alone cannot establish that a nerve is involved or identify its cause. The consultation can consider the circumstances in which it appears in relation to playing.
Consultation focus
The consultation focuses on the effect the symptoms have on your playing and the particular movements or musical tasks that have become difficult. I work with you on the playing-related problem without assuming that the symptoms prove a nerve is involved or reveal the reason for the difficulty. Several possible approaches can be explored and tried in the relevant playing context, with attention to how each relates to your individual experience. This allows us to address the practical impact on your playing while keeping the purpose of the consultation clear.
Violin Hold, Support & Posture
32. Difficulty with instrument support or hold
What you may experience
You may feel that the violin or viola is difficult to support comfortably, secure during movement, or maintain in the position you need for playing. You may also feel uncertain about how you hold the instrument, or find that the hold becomes uncomfortable or demanding during particular movements.
How it can affect your playing
Uncertainty about support can influence freedom of movement, comfort and the way you use the left hand, right arm, neck or shoulder. The problem may also affect shifting, vibrato, bowing or your ability to sustain playing for longer periods.
Instrument support is highly individual. There is no requirement to fit your playing into one prescribed model of violin or viola hold. Your proportions, movements, instrument and playing demands all form part of the situation that needs to be understood.
Consultation focus
I work with the way you hold and support your instrument during your actual playing, focusing on the difficulties you experience rather than measuring your playing against one prescribed model. We consider how the current hold affects the musical tasks you need to perform, including the movements and passages that become uncomfortable or demanding. Several possible approaches can be explored and tried while you play, allowing us to consider the practical differences between them. My experience includes different approaches to violin playing, both with and without a shoulder rest, so the consultation does not begin with a predetermined answer about how the instrument must be supported. The focus is on your individual needs and the playing situation you want to address.
33. Shoulder-rest-related difficulties
What you may experience
You may feel uncomfortable with your shoulder rest, uncertain about its position or height, or notice that your playing changes depending on the way the instrument is supported.
How it can affect your playing
The issue may influence comfort, instrument stability, freedom of movement or the physical demands placed on other parts of the body.
A shoulder rest is not automatically right or wrong. What matters is how your particular arrangement interacts with your body and playing. My experience includes playing both with and without a shoulder rest, so this can be considered as part of the individual problem rather than as a predetermined recommendation.
Consultation focus
The consultation focuses on the difficulties you experience while playing with your current shoulder-rest arrangement and how these affect your ability to play comfortably and freely. I work with you on the actual playing situation rather than assuming that the shoulder rest itself is necessarily the problem or that a particular arrangement is automatically suitable. Several possible approaches can be explored and tried in context, allowing us to consider how each relates to your experience. My experience of playing both with and without a shoulder rest means that the question can be approached without promoting one option as the correct choice for everyone. The aim is to consider the possibilities relevant to your individual playing and the difficulty you want to address.
34. Playing without a shoulder rest
What you may experience
You may play without a shoulder rest and find that instrument support, comfort or freedom of movement presents particular difficulties.
How it can affect your playing
You may experience strain in the neck, shoulder, arm or other areas, or feel that certain movements become difficult to organise comfortably.
Playing without a shoulder rest is a legitimate approach, but it does not make every individual arrangement suitable for every player. My own experience with and without a shoulder rest allows the question to be considered from the perspective of the individual player rather than a fixed rule.
Consultation focus
I focus on your experience of playing without a shoulder rest and the specific difficulties you encounter when supporting and playing the instrument. We work with the musical tasks that matter to you and consider the practical demands of your current arrangement. Several possible approaches can be explored and tried in your playing, allowing us to compare how each relates to your comfort, movements and playing requirements. My experience includes playing with and without a shoulder rest, so the consultation does not start from the assumption that you should change to one particular arrangement. Instead, the work is individual and directed towards the difficulty you describe and the possibilities that are relevant to your own playing.
35. Chin-rest-related difficulties
What you may experience
You may find the chin rest uncomfortable, feel pressure in a particular area, or notice that its position affects the way you support or move with the instrument.
How it can affect your playing
The problem may become particularly apparent during longer playing, changes of position or when maintaining the instrument in a particular orientation.
Small differences in the relationship between the chin rest, instrument and player can have practical consequences. The consultation can consider what is happening in your individual playing situation rather than assuming that one arrangement is appropriate for everyone.
Consultation focus
The consultation centres on the discomfort or practical difficulty you experience in relation to the chin rest while playing. I work with you on the playing situations in which the problem becomes important, including the movements and musical tasks you need to carry out comfortably. Several possible approaches can be explored and tried in context, so that we can consider how each relates to your individual experience. The aim is not to prescribe one chin-rest arrangement for every player, but to give focused attention to the problem you describe and consider the practical possibilities relevant to your playing. Your own experience of comfort, instrument support and movement remains central to the process.
36. Posture while playing
What you may experience
You may feel that your posture becomes uncomfortable, asymmetrical, rigid or increasingly difficult to maintain during playing.
How it can affect your playing
You may notice increasing discomfort or effort, particularly during longer sessions or demanding repertoire.
Posture is relevant, but it is not useful to assume that one visual position explains every physical problem. What matters is how your posture relates to the instrument, the movements you make and the point at which the difficulty appears.
Consultation focus
I consider how your physical position relates to the discomfort or difficulty you experience during playing, focusing on the movements and musical demands that matter to you. The consultation is not about correcting you towards a single ideal posture or judging your playing against a fixed visual standard. We can explore several possible approaches and try them during relevant playing tasks, considering how each affects your experience of comfort, movement and playing freedom. This allows the work to respond to your individual circumstances and the demands of your repertoire. The focus is on practical possibilities in your own playing, rather than assuming that the same posture or instruction is appropriate for every violinist or violist.
37. Calluses or thickened skin
What you may experience
You may develop areas of thickened skin or calluses on parts of the fingers, hand or other areas that come into repeated contact with the instrument.
How it can affect your playing
Depending on the location, the skin changes may affect comfort, sensitivity or the way you make contact with the instrument.
Calluses can occur with repeated friction or pressure, but a skin change does not by itself establish that the playing arrangement is unsuitable.
Consultation focus
I focus on how the affected area influences your comfort and contact with the instrument during playing, and how this affects the tasks you need to perform. We consider the practical playing difficulty in your individual situation and explore several possible approaches relevant to it. Where appropriate, these possibilities can be tried in the context of playing so that you can experience how each relates to your usual contact with the instrument.
Playing-Related Difficulties
38. Difficulty with shifting
What you may experience
Shifting may feel restricted, uncomfortable, effortful or less reliable than you expect, particularly in certain positions or passages.
How it can affect your playing
You may find that particular shifts require increasing physical effort or that the problem appears only at specific speeds or in certain parts of the instrument.
Shifting problems are often highly specific. The useful starting point is the particular movement and passage where the difficulty occurs and what your body and instrument are doing at that moment.
Consultation focus
I work with the particular shifts and musical passages that cause difficulty for you, focusing on the movement as it happens in your actual playing. We consider the demands of the shift and the way the difficulty affects the continuity and comfort of the passage. Several possible approaches can be explored and tried during the relevant shifts, allowing us to compare your experience of each in context. Rather than giving a general instruction about shifting technique, I work with the specific difficulty you bring and consider the practical possibilities that may be relevant to your playing. The consultation remains individual to your experience, your repertoire and the movements that you want to perform more comfortably and reliably.
39. Vibrato difficulties
What you may experience
Vibrato may feel restricted, effortful, uncomfortable or difficult to sustain in particular passages or positions.
How it can affect your playing
You may notice increasing tension in the hand, wrist, forearm or arm, or find that the movement becomes less free during longer passages.
Vibrato involves coordinated movement between several parts of the upper limb and its relationship with the instrument. The particular way the movement changes during playing is more informative than assuming that there is one correct organisation for everyone.
Consultation focus
The consultation focuses on the vibrato difficulty as it occurs in your own playing, including the passages, positions and musical demands that make it uncomfortable or difficult to sustain. I work with you on the movement in context rather than imposing one prescribed way of producing vibrato. Several possible approaches can be explored and tried during the relevant playing tasks, allowing us to consider how each affects your experience of the movement and the musical passage. This gives us an opportunity to examine different practical possibilities in relation to your own playing rather than treating every vibrato problem as the same. The work remains focused on the particular difficulty you want to address and the demands of the music you play.
40. Fingering difficulties
What you may experience
Fingering may feel physically demanding, uncomfortable, restricted or less reliable in particular passages.
How it can affect your playing
You may experience increasing effort, reduced freedom or difficulty maintaining the movement required for demanding repertoire.
A fingering difficulty can be influenced by much more than the individual finger. Hand position, movement of the wrist and arm, shifting, instrument support and the specific musical passage can all form part of the picture.
Consultation focus
I focus on the fingering passages and movements that have become difficult or physically demanding for you. We work with the actual music and playing tasks involved, rather than treating fingering as a collection of isolated finger movements or applying a general technical rule. Several possible approaches can be explored and tried in the relevant passages, giving us an opportunity to consider how each relates to your individual experience of the task. The consultation is directed towards the specific difficulty you bring and the playing demands that matter to you. This means that the work can take account of your own repertoire and circumstances instead of assuming that one solution or method should apply to every fingering problem.
41. Bowing difficulties
What you may experience
Bowing may feel physically restricted, effortful, uncomfortable or difficult to coordinate, particularly in certain parts of the bow or particular techniques.
How it can affect your playing
You may become increasingly aware of the arm, shoulder, wrist or hand during bowing, especially in demanding passages or longer sessions.
Bowing involves a constantly changing relationship between several parts of the body and the instrument. The precise bow movement and the circumstances in which the difficulty develops are more informative than a generic instruction about bow technique.
Consultation focus
The consultation centres on the bowing tasks in which you experience difficulty, whether these involve a particular bow stroke, a change of bow direction, a technical demand or a longer musical passage. I work with you during the actual playing task and explore several possible approaches rather than relying on general instructions about bow technique. These approaches can be tried in context, allowing us to consider how each relates to the physical demands of your own bowing and the music you are playing. The purpose is to examine practical possibilities relevant to your individual difficulty, not to impose a standard way of moving the bow on every player or every passage.
42. Difficulty maintaining playing freedom
What you may experience
You may feel that your playing becomes increasingly held, effortful or physically constrained even though you know the musical and technical material well.
How it can affect your playing
The change may become most apparent during difficult repertoire, performance situations or longer sessions.
Sometimes the significant feature is not one particular movement but the change that takes place as the playing becomes more demanding. That change is worth examining in its own right.
Consultation focus
I focus on the moments when your playing begins to feel less free and how this affects the music you are trying to perform. We consider the different demands of the passages and situations in which the change occurs, keeping the work connected to your actual playing rather than treating freedom as an abstract concept. Several possible approaches can be explored and tried as the playing demands change. We can then consider how each relates to your experience and whether it is relevant to the particular difficulty you described. The consultation is individual to your playing and does not impose one fixed way of moving or one standard definition of freedom. It is an opportunity to examine different practical possibilities in the context of your own musical demands.
43. Unusually slow finger response
What you may experience
You may feel that a finger responds more slowly than you expect, or that a movement does not happen as promptly or consistently as it normally would.
How it can affect your playing
This may become noticeable in fast passages, repeated notes, changes of fingering or other situations requiring precise timing.
The particular passage and finger movements involved can help describe the difficulty.
Consultation focus
The consultation focuses on the passages in which finger response feels delayed or inconsistent and how this affects the timing and continuity of your playing. I work with you on the specific musical tasks where the difficulty matters, rather than treating the problem as a general lack of speed or giving broad advice about finger technique. Several possible approaches can be explored and tried within the relevant passages, allowing us to consider how each relates to your experience of the movement and the demands of the music. The work is tailored to the particular difficulty you describe.
44. Irregular or difficult trills
What you may experience
Trills may feel irregular, physically demanding or difficult to maintain evenly, even when you understand the musical and technical requirements.
How it can affect your playing
The difficulty may appear in particular fingers, positions, speeds or passages and may be accompanied by a feeling of effort or restricted movement.
It is useful to consider the specific movement and playing circumstances rather than treating every difficulty with trills as the same problem.
Consultation focus
I work with the specific trills that are difficult for you, including the fingers, speeds and musical passages in which the problem becomes apparent. The consultation focuses on the actual trill movement and its place in the music, rather than offering a standard set of technical instructions for every trill. Several possible approaches can be explored and tried in the relevant passages, allowing us to consider how each relates to your experience of the movement and the demands of the musical task. This gives the difficulty individual attention and allows practical possibilities to be considered in context. The work is shaped around your playing rather than assuming that every irregular or effortful trill has the same answer.
45. Task-specific movement difficulties
What you may experience
A particular movement may become difficult, unreliable or involuntary only when you perform a specific playing task, even if similar movements feel normal in other circumstances.
How it can affect your playing
The difficulty may interfere with a particular technique, passage or musical demand while leaving other aspects of playing relatively unaffected.
The distinction between the movement that feels difficult and the circumstances that bring it on is important.
Consultation focus
The consultation concentrates on the exact playing task in which the movement difficulty occurs, including what you are trying to perform and how the difficulty affects that specific musical demand. I work with you in the context of the task itself rather than assuming that a movement which is difficult in one situation will be difficult in every situation. Several possible approaches can be explored and tried within the relevant playing context, allowing us to consider your experience of each and its relevance to the difficulty. The work is individual and focused on the practical impact on your playing.
Specific Movement Problems
46. Jaw tension and discomfort
What you may experience
You may notice tension, tightness, discomfort or pain around the jaw while playing. It may occur when holding the instrument or during particular passages and may increase over time.
How it can affect your playing
Jaw discomfort may make it difficult to maintain a comfortable relationship with the instrument or may occur alongside tension elsewhere in the head, neck or shoulders.
The circumstances in which the jaw discomfort appears can be considered in relation to how you hold and play the instrument.
Consultation focus
I focus on how jaw tension or discomfort affects your playing and the situations in which it becomes troublesome, including the demands of holding and playing the instrument. We work with the playing-related difficulty you describe rather than assuming that jaw discomfort has one particular explanation or requires one predetermined response. Several possible approaches can be explored and tried in the context of your playing, and we can consider how each relates to your experience. This gives attention to the practical problem you encounter as a violinist or violist while keeping the consultation within its proper scope.
47. Jaw clicking or other jaw-joint sounds
What you may experience
You may notice clicking, popping or other sounds around the jaw joint when opening or closing your mouth, or during movements associated with playing.
How it can affect your playing
The sounds may be accompanied by discomfort, a sense of restriction or concern about how the jaw interacts with the instrument.
Jaw-joint sounds do not by themselves establish a particular condition. The playing circumstances can also be discussed during a consultation.
Consultation focus
The consultation focuses on whether and how the jaw-related difficulty affects your comfort and playing experience. I work with you on the specific playing situations that make the issue relevant, including the practical demands of holding and playing the instrument. Several possible approaches to the playing-related difficulty can be explored and tried in context, allowing us to consider your experience of each rather than assuming that the sound itself identifies a cause or dictates one solution. The work remains focused on your individual playing and the effect the difficulty has on it.
48. Jaw catching or locking
What you may experience
The jaw may seem to catch, hesitate or temporarily lock during opening, closing or other movements.
How it can affect your playing
The experience may be uncomfortable or distracting and can make maintaining a comfortable instrument hold more difficult.
Consultation focus
I focus on how the catching or locking affects your comfort during playing and the practical difficulties it creates when you hold and play the instrument. We consider the particular playing situations in which the problem matters to you and explore several possible approaches to the playing-related difficulty. Where appropriate, these can be tried in context so that we can consider how they relate to your experience and the demands of your playing. The consultation does not attempt to diagnose or treat a jaw-joint condition; its focus is the difficulty you encounter as a player.
49. Jaw pain or tenderness when opening or moving the mouth
What you may experience
You may notice pain or tenderness around the jaw when opening the mouth, moving the jaw from side to side or chewing, as well as in connection with playing.
How it can affect your playing
The discomfort may make it difficult to feel comfortable while holding the instrument or may occur alongside other jaw-related symptoms.
The relationship between the symptoms and playing can be described during a consultation.
Consultation focus
The consultation focuses on the way jaw pain affects your comfort while playing and the particular situations in which it interferes with your relationship with the instrument. I work with you on the playing-related difficulty and explore several possible approaches that can be tried in the relevant context. We can consider how each relates to your experience of the task and the practical demands of playing, without assuming that the pain has a particular cause or that a playing consultation can diagnose it. The focus remains on your individual playing problem.
50. Difficulty opening the mouth fully
What you may experience
You may find that opening your mouth feels restricted or that you cannot open it as fully as usual.
How it can affect your playing
The restriction may be accompanied by jaw discomfort or other symptoms that affect comfort during playing.
Reduced mouth opening can have different causes.
Consultation focus
I focus on how the restriction affects your comfort in the playing situation and the difficulties you encounter while holding and playing the instrument. We can consider the specific playing-related problem and explore several possible approaches relevant to it, without assuming that the restriction is caused by playing or that a particular explanation is correct. The consultation remains focused on your playing and the practical difficulties you describe.
51. Facial pain or pressure
What you may experience
You may feel pain, pressure or discomfort in part of the face, including areas near the jaw or where the instrument comes into contact with the head.
How it can affect your playing
The sensation may make contact with the instrument uncomfortable or become distracting during longer playing sessions.
Facial pain or pressure can have causes unrelated to playing.
Consultation focus
The consultation focuses on how facial pain or pressure affects your comfort while playing and the situations in which it becomes difficult to manage. I work with you on the playing-related problem, including the practical demands of instrument contact and the musical tasks you need to perform. Several possible approaches can be explored and tried in the relevant playing context, giving us an opportunity to consider how each relates to your individual experience. The purpose is to address the difficulty as it affects your playing.
52. Teeth clenching or grinding during playing
What you may experience
You may notice that you clench your teeth or press your jaw together while playing, perhaps without realising it until discomfort develops.
How it can affect your playing
Clenching may coincide with tension or discomfort around the jaw, face or neck and may become more noticeable during demanding passages.
The circumstances in which the clenching occurs are worth examining rather than assuming that it has one universal explanation.
Consultation focus
I focus on the playing situations in which you notice clenching and how it affects your comfort, concentration and experience of playing. We work with the actual musical tasks involved and explore several possible approaches to the playing-related difficulty, rather than assuming that clenching has one universal explanation or one predetermined solution. These possibilities can be tried in context, allowing us to consider how each relates to your experience while playing. The consultation is focused on the practical problem you encounter as a musician, not on diagnosing or treating a jaw or dental condition.
53. Joint instability or hypermobility
What you may experience
You may find that a joint moves through a large range, feels difficult to stabilise or seems less secure during particular playing movements. This may involve the fingers, thumb, wrist, elbow or another joint.
How it can affect your playing
Some movements may feel less predictable or require considerable effort to control, especially when precision or sustained positioning is required.
Joint mobility and instability are not the same thing, and appearance alone does not establish a diagnosis. A consultation can consider how the movement relates to playing.
Consultation focus
The consultation focuses on the particular playing difficulties you experience when a joint feels difficult to control or when a movement feels less secure or predictable. I work with you on the movements and musical tasks that matter to you, rather than assuming that a large range of movement automatically explains the difficulty. Several possible approaches can be explored and tried in the context of your playing, allowing us to consider how each relates to the practical demands of the task. The focus is on your individual playing and the difficulties you want to address.
54. Physical balance while playing
What you may experience
You may feel that maintaining a comfortable, stable physical position while playing requires considerable effort, or that your balance or weight distribution changes during a session.
How it can affect your playing
This may influence comfort, movement freedom or the effort required to maintain your playing position, particularly during longer sessions or when standing.
The relevant question is how your physical position relates to the instrument, the movements you need to make and the demands of the music.
Consultation focus
I focus on how your sense of physical balance affects your playing and the situations in which maintaining a comfortable position becomes difficult or effortful. We consider the actual playing tasks you need to perform, including the demands of longer passages or sustained playing, rather than treating balance as a general physical issue unrelated to the instrument. Several possible approaches can be explored and tried while you play, allowing us to consider how each relates to your individual experience. The consultation is concerned with the practical demands of your playing and the difficulty you describe.
Understanding the Problem
During a specialist consultation, I consider the individual circumstances surrounding the problem rather than assuming that the symptom itself identifies the cause.
- What you experience.
- Where you experience it.
- When the difficulty occurs.
- How it affects your playing.
- Which movements or playing situations are affected.
- How the instrument is held and supported.
- How you move while playing.
- What changes as you play for longer periods.
- What you have already tried and what happened as a result.
The purpose is to understand the physical relationship between you, your instrument and the movements required by your playing. A problem that appears similar on the surface can arise in very different playing situations, so the individual circumstances matter.
I do not work from a fixed model of how every violinist or violist should hold the instrument, use a shoulder rest, position the body or organise movement. The consultation is concerned with your individual playing and the physical difficulties you are experiencing.
Specialist Help — Not Conventional Violin Lessons
A regular violin lesson is primarily concerned with developing your playing. The consultation is dedicated entirely to your individual physical problem when playing the violin or viola. We work directly with your playing situation, examine the difficulty you are experiencing, and explore relevant possibilities in relation to your particular circumstances.
You do not need to arrive with a diagnosis or already know what is causing the difficulty. The consultation is specifically concerned with understanding the physical problem in the context of your playing, rather than teaching a predetermined technique or imposing one correct way of holding or playing the instrument.
45 Years of Experience Playing and Teaching the Violin
I have 45 years of experience playing and teaching the violin.
I studied at the Conservatory of Utrecht and was taught by Pavel Šorm, Concertmaster of the Radio Philharmonic Orchestra, and Prunella Pacey, Soloist and Principal Viola of the Royal Northern Sinfonia Orchestra.
My experience includes both Russian and Belgian-French traditions of violin playing, as well as playing and teaching both with and without a shoulder rest.
This background informs the way I approach individual physical problems: not by assuming that one tradition, one hold or one physical arrangement is correct for everyone, but by considering the individual player and the demands of the playing situation.
Working Alongside Your Teacher
A specialist consultation can complement your existing violin or viola lessons. The consultation focuses on the physical problem you experience when playing, while your regular teacher continues to work with you on your musical and technical development.
Teachers can also refer students to me when they feel that a physical problem would benefit from additional specialist attention. This can give the teacher useful information about the student’s playing and about the physical problem.
A Medical Boundary
This is not a medical consultation and does not provide medical diagnosis or treatment.
The focus is on physical problems in relation to playing, including the individual player, the instrument and the way the instrument is played.
Recognise Your Own Playing?
You do not need to know exactly what is causing your physical problem before contacting me. You may simply know that something does not feel right when you play — perhaps you experience tension, pain, discomfort, stiffness, fatigue, restricted movement, altered sensation or difficulty maintaining physical freedom.
You may also notice physical changes in particular passages, during longer playing sessions, when shifting, during vibrato or bowing, or when holding and supporting the instrument.
If what you are experiencing does not appear in the list above, you can still contact me. The list is intended to help you describe your experience, not to define the limits of the consultation.
A private specialist consultation provides focused time to examine your individual playing situation in detail and consider the physical relationships involved.
The aim is to understand the problem in the context of your playing and explore practical ways of addressing it in your playing.
Private. Individual. 100% Confidential.
Every enquiry and consultation is private and confidential from the moment you make contact.
Consultations are available in person, or online for clients internationally.
