Pain Free Guitar Playing

Avoiding and Healing the Mechanical Problems of Guitar Players

Playing guitar can be painful, particularly if you stay at it for hours at a time. To begin with, we must use our bodies in an asymmetrical way to hold the guitar, resulting in muscle imbalances. In addition, we cave in the front of our bodies as we wrap around the instrument and we usually distort our necks and compress our vertebra as well. We risk injury from repetitive motion and we tend to build tension in our necks, arms and hands with extended practice. Even the most body-conscious players can fall victim to pain and injury at times. With some information and a few exercises, many of these problems can be avoided or solved.

The following stretches, exercises and therapies are very powerful and may be all you need to quickly recover from your pain. Please keep in mind, however, that regardless of the amount of therapy you receive or the number of stretches you perform, you will continue to experience pain if you continue to injure yourself while playing guitar or in your daily life. If you are experiencing pain related to guitar playing, It is imperative that you learn to hold the guitar correctly and use your body in a balanced manner.

By seeing you in person or on webcam, I am able to instruct you in these areas, to respond to questions about your symptoms and to discuss an approach to healing your pain. Please consider scheduling a telephone consultation or a lesson using Skype (webcam). A pain-free consultation may take as little as 15 minutes  or could last as long as an hour – you choose the time frame. Contact me to discuss the options. (If a webcam consultation is not an option for you, I can still help you, if you are able to send me pictures of yourself playing your guitar. )


Because of my personal experience in this area, I have some understanding of the many levels of life that can be affected by pain that is related to guitar practice and performance. In order to help guitar players through those difficulties, I offer substantial discounts for consultations related to pain relief. Get back to playing and feel good doing it with help in person or with a live video lesson using Skype! Purchase a 30-minute consultation and receive 20 extra minutes free. (In order to receive your discount, either write a note “pain relief” on the payment page or email me.)


Warm-ups and Breaks

It is critical to warm up each time you play. Warming up will not only help you avoid pain and injury, it will also prepare your mind for a productive practice session. Start each session with the stretches that follow. Then, begin your guitar playing with slow and simple finger exercises, progressing gradually to those that require more speed and stretching. (See “Practice”)

After every 20 minutes of guitar playing, take a 2-minute break. Stand up, breathe deeply, shake out your hands and arms and move your eyes around the room before you go back to practice.

Every 40 – 45 minutes, take a slightly longer break. Walk around the room, take a drink of water, stretch your arms and hands, breathe deeply and do some slow, gentle neck rolls. (These and the following exercises and postures, plus more, are demonstrated in the Pain-Free download.)


Constructive Rest Position

The constructive rest position will allow your body to relax in a natural position and come into alignment. Because you are not having to support your body, you can tune in to any place you might feel tension or pain and release it.  Practice it twice a day for maximum benefits. You may want to use the time you lie in this position to practice breathwork, visualization or meditation.

Lie on your back on the floor with your knees up and feet flat and allow your lower back to sink into the floor. Place a small book under your head to allow your neck a natural, healthy curve. Relax in this position for 15 minutes or more.


Arm and hand stretches

As guitar players, we are usually more aware of our arms and hands when we play than we are any other part of our bodies. Use these stretches daily, not only as a warm-up, but also during and after playing. Don’t stop here, though. Most pain occurring in the arms and hands actually has its source higher in the body and need to be addressed with exercises to stretch and strengthen the neck and torso.

Stretch the fingers out to avoid tendonitis and the resulting painBefore playing and every fifteen or twenty minutes, relax the flexors by pulling the fingers of the left hand out to the count ten.

Stretch the forearm by extending the arm out straight in front of you with fingers pointing upward. With the other hand, gently pull the fingers toward your body and feel the stretch. Next, turn the fingers downward and use the opposite hand to pull them toward you.

Feeling for any tight or painful spots, massage your left forearm with your right thumb, starting at the elbow and working all the way to the wrist. Massage your right arm in the same manner.


Neck and upper body stretches

It is important to be slow and gentle with stretching. Never force through pain or make sharp or rapid movements.

To stretch the neck, bring your left ear to your shoulder, as you do in the beginning of a neck roll. Instead of continuing through the roll, stay with the stretch for a full thirty seconds. Try to create as much space between the right shoulder and the ear as possible. Really breathe into the stretch.

While keeping the stretch, turn your head toward the floor. Breathe and hold for thirty seconds. Finally, look toward the sky (or ceiling). Hold and stretch.

Repeat the stretches on the other side.

To open the front of your body and stretch the shoulders, stand in a doorway, with your left side close to the door frame and your left foot forward, as if you were stepping through the opening. Bend your left arm 90 degrees at the elbow so that your fingertips are pointing up (think of the classic “traffic cop” position), and rest your forearm on the door frame. Gently lean in to a slow count of thirty. Relax and breathe. Be certain to keep your head up and your back straight. Move your forearm up along the door frame until you feel a place that is tight in your body and repeat the 30-second stretch. While you are stretching with your arm high, you can practice your neck stretches, including the upward and downward rotation of the head.


Repeat the entire process on the on the other side.


Tennis Balls 

Of all the exercises and stretches that I have used to open my body and overcome pain, working with the tennis balls has offered the most profound relief. I have long used the balls to massage my own back and break up tension, and I include them in the props I make for my workshop/retreat students. Much as I enjoyed the temporary relief they provided in the past, I only recently discovered the deeper value of reclining on them for more extended periods of time. I feel that they are ultimately the solution for the chronically problematic area in my back. (This area is such a common source of pain in guitar players that I refer to it as “the guitar spot”.)

To use the tennis balls, take two tennis balls and drop them into the toe of a long sock. (You will be able to use the top of the sock to adjust the position of the balls during your session.) Place the balls on the floor. Lie on your back on the floor with the balls on either side of your spine and about six or eight inches below your shoulders. With a little experimentation, you will be able to feel the spot that is most beneficial. Let your body fall heavily into the floor and the tennis balls. Breathe deeply and focus on relaxing. You can lie in this position for as long as fifteen minutes for maximum benefit, although you may need to work up gradually to that amount of time. As in any exercise or therapy, it is important to tune in to your body and follow your intuition.

When you are ready, remove the balls and rest quietly on the floor for several minutes before rolling up gently. Remain quiet for the time immediately following your session.


Healthy Body Use While Playing

It is a quite a challenge to hold a guitar in a healthy way while sitting. Ideally, we distribute our weight evenly over both seat bones when we sit. This is difficult to manage, however, while keeping the guitar in a reachable position! Although some people prefer to use a guitar strap, supporting the weight of a guitar with your shoulders can cause more pain and injury than sitting asymmetrically. The ideal solution is to bring the guitar to a comfortable height by using a prop (apoyo).  You can also use a footstool to bring the guitar to the proper level, just be sure that you don’t lock into one position and stay there. Also, if you use a footstool, it’s important to do exercises that stretch your hip-flexor, in order to avoid back pain.

The guitar should be held upright and close to your body. By bringing the guitar neck (and, consequently, your left arm and hand) close to your body, you the lower your risk of pain and injury to your shoulder and back. Go to The Basics for a complete written description, or watch the DVD in Getting Started or Comprehensive Guitar, where I demonstrate this common error and solution.

While you’re playing, remember to lengthen your spine and to move your body frequently to avoid energy blocks and tight muscles. Remind yourself to breathe deeply from your abdomen.

To keep your arms and hands soft and pain-free (and improve your sound!), visualize your neck and shoulders filled with a warm, liquid light. Let the light pour down your arms, through you hands and into your guitar. When you press on the frets, use only the amount of pressure necessary to produce a clear sound – no more!

Be certain that when you’re reading music you use a music stand and set it at a comfortable height and distance. You don’t want to have to strain or contort your body to see the music!

The most common injuries can often be totally avoided simply by playing a guitar that is properly set up and is suited to your body type. Be sure that your guitar isn’t too large for you. (I recently acquired a parlor guitar that I love to play  and find more comfortable than any acoustic guitar that I’ve owned. I wrote about it – and about playing with small hands – on this page.)



Learning to breathe properly is the foundation for all of the other exercises. It is also the foundation of health! Conscious breathing from the diaphragm will nourish, cleanse and alkalize your body, bringing it to a higher level of health and energy.

As you progress with your breathwork, your ability to tune in to your body will become more acute and consistent and your capacity for relaxed concentration will improve. These are all important skills for life-long learning on the guitar!

When possible, practice breathing while lying on the floor in the constructive rest position. After you’ve become familiar with proper breathing techniques, you will be able to practice correctly in a sitting position, as well.


Abdominal Breathing

Use this technique for general health and well-being, as well as for moving through physical or emotional pain. It is invaluable in managing performance anxiety, and is the first step of the visualization exercises for learning or reviewing material.

Begin by placing one hand on your abdomen and the other hand on your chest. Take a deep breath low in your body. Fill up your lower body and feel the expansion. You will be able to tell if you are mistakenly breathing into your chest, as your upper hand will rise. Mentally send the breath deep into your body, feeling your lower hand rise with each inhalation. Take several breaths into your abdomen until you are comfortable with the technique. Then begin three-part breaths, filling first the belly, then the ribs and chest. Bring your awareness to your shoulders, allowing them to sink into the floor, away from your neck. Let your lower back relax deep into the floor.

As your comfort level deepens, begin to slow the breath even more, making your exhalations longer than your inhalations. After a few minutes, allow your breath to return to its normal tempo and relax.

Very slowly come up to a seated position and relax quietly for a moment before picking up your guitar or progressing to alternate-nostril breathing.


Alternate-Nostril Breathing

This technique will create energy for your practice session, while allowing you to stay calm and focused. It is also excellent before guitar practice, as it facilitates right and left-brain integration.

Begin by sitting in a comfortable position. Make a gentle fist with your dominant hand and extend your index and middle fingers, placing them on the bridge of your nose. Place your thumb on one side of your nose and your ring finger on the other, creating a tripod. (If you prefer, you can tuck the index and middle fingers into the palm of your hand.) Close off each nostril a few times, until you feel comfortable and relaxed with the sensation and are ready to begin the breathing practice.

Begin by closing off the right nostril and exhaling through the left nostril. Inhale through the same nostril, and then switch sides by closing off the left nostril and exhaling through the right. Inhale through the right nostril and switch sides. Continue closing off alternate sides, always beginning the new side with the out-breath. Breathe from a relaxed abdomen and allow each breath to be slow, gentle and calm. Focus on the sensation of the breath coming in and out of your body and on the energy moving up your spine. If at any time you feel stress, return to normal breathing and try again when you have regained your sense of calm. Continue to practice alternate-nostril breathing for at least two minutes or until you feel that you have received the benefits you seek.


Other Sources of Help

A few of the therapies that I recommend include: the  Egoscue Method, Alexander Technique, Feldenkrais, Reiki, biofeedback, massage (including deep tissue massage, myofascial release, cranial-sacral work and more); acupuncture and chiropractic.

You can find related websites on my links page. Please email me with suggestions for other resources or information.


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