: Diagnosing piano hand injury: pain when stretching while holding some notes I am learning to play the arrangement of Skyfall in the RSL Grade 3 book. I have a small-ish right hand. As a consequence of trying to reach the

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Diagnosing piano hand injury: pain when stretching while holding some notes
I am learning to play the arrangement of Skyfall in the RSL Grade 3 book. I have a small-ish right hand. As a consequence of trying to reach the chords in the bridge section I have strained my fingers. The bar (measure) requires me to play E? on 1, G on 2, A? on 3 for the whole bar and melody of C D and E? with my 5 finger. I could not find pedalling to help as that spoilt the LH F notes two octaves below (too far away).

The tenderness lies between the 3 and 4 finger knuckles on the side of the 3 finger knuckle. I searched NHS Direct for treatment and studied Gray's Anatomy for clues.

The injury does not feel severe but I am worried that it will get worse if I do not get treatment. I have not lost any mobility and the hand is not swollen. I do feel a little heat.

I stopped playing RH parts for a few weeks and tried a Bedford split (strapping 3 and 4 finger together) that I constructed. It hasn't significantly improved so I returned to practising the other pieces that are not so demanding of my RH.

I cannot decide whether it is a thumb dorsal muscle or tendon / tendon sheath injury. I think I need diagnosis and treatment from a specialist that understands piano playing injuries, based somewhere in the South East of England.

Any ideas whom I might consider approaching? I guess I am looking for an osteopath specialising in hand anatomy with a piano I suppose. I will take your suggestions to my NHS GP and agree the best way forward for a quick recovery.

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