How my right hand stopped responding (my focal dystonia story)

I’d like to share the story about my right (picking) hand’s condition which I’ve been suffering from. I’m sure that there are musicians who are completely unaware of this condition, just like I was.

I picked up a guitar when I was ten (it was 1988), studied mostly classic rock riffs and solos (Blackmore, Page, Vai, Satriani, Van Halen, etc.), also some jazz stuff and classical repertoire (like Carcassi). At the same time I was studying clarinet at a music school.

Back then (90s) it was very difficult to obtain ANY material about rock guitar technique, but I was lucky to get several instructional videos, namely Vinnie Moore, Gilbert and Al Di Meola, and shortly after I was able to repeat more or less all the stuff from those videos. McLaughlin-like 2nps/4nps stuff was also no problem. It all felt natural and effortless.

As far as I understand, after a few years I developed, in CtC terms, a decent UWPS technique. I think I was 15-16 at the time. The default technique was alternate picking, and when I tried to play something “really fast”, it felt that the picking hand switched by itself in some “economy mode” – a mixture of legato and sweeps between neighbour strings. My hand was completely relaxed at all times. Descending sweeps were natural, ascending sweeps were awkward and never happened “by itself”. I tried to learn ascending sweeping after seeing Gambale instructional video, but it wouldn’t work for me at all.

At the same time I learned that there’s stuff which is difficult to play with “alternate picking” – like 3nps scales – I couldn’t figure out why – this was explained to me years later with Troy’s stuff.

Then for some years I lost interest for guitar playing in general… I think I haven’t touched a guitar in 2-3 years (I didn’t even own an instrument). Instead I played piano and keyboards. When I regained interest for guitar playing and got several new guitars, I discovered that my guitar skills are the same and hadn’t degraded in any way.

So I enjoyed playing/learning/studying/transcribing/exploring different guitar stuff and generally took those playing skills for granted. Although there was that annoyance when some things just felt awkward to play no matter how I practiced them (aforementioned 3nps scales). I talked to several guitar instructors and none of their answers satisfied me. Basically the answers were “well, just don’t play those inconvenient licks”, “play only stuff which is playable for YOU”. Another funny answer was “hmm, I’ve never thought about that; you’re really geeky man; why don’t you forget about technique and just play the music?!”

It worth mentioning that at the same time I played and studied other musical instruments – electric bass, piano and woodwinds (recorders, clarinet, EWI).

And then there was Cracking the Code. It was very exciting and satisfying, it seemed like I eventually could play anything while being fully aware of what is going on. I wanted to master DWPS, in order to be able to play fast economy ascending licks similar to Malmsteen and Joe Stump. I was also interested in TWPS to be able to play 3nps stuff seamlessly. Rotary movement was a discovery for me, my hand never performed that kind of movement! It was a completely new territory.

I practiced those different new techniques for some time, and at first it felt absolutely great! 3nps runs, for instance, sounded and felt significantly better when I was doing that rotary movement.

And… here the sad part starts. In June 2018, right after I turned 40, I started to notice some very little things about my right hand, while I was using computer mouse. Like, I press left mouse button with my index finger and there’s no effect, and I discover that there’s no effect because my pinky is already keeping right button pressed, and I just can’t feel it! That was the very first symptom. At first I thought it was due to fatigue/tiredness/not enough sleep/too much stress and haven’t paid too much attention… I didn’t feel any pain in the hand, it was just responding a little slower, like it went numb in some way.

As time went by, this symptom was becoming more and more pronounced, I started experiencing problems while typing on a computer keyboard (I type with all 10 fingers), while writing with pen, and then I found out that my classical guitar technique diminished greatly! Suddenly I wasn’t able to play many pieces I knew (Bach preludes etc., let alone Giuliani etudes)! Every time I started to play, fingers were becoming very strained and couldn’t move at any useful speed. Tremolo technique (p-i-m-a) has just disappeared.

And it was becoming more and more obvious that my picking technique suffered big time as well. Again, I didn’t and don’t feel any pain. It feels like the hand isn’t responding in time, or responding too slow, or does some wrong movements – they can be either too strong or too weak. I basically lost the ability to play any stuff which involves medium or fast picking movements. Tremolo picking speed had dropped.

Of course I started searching for any information, and learned that there’s condition called “focal dystonia”, and musicians (among other people, like surgeons) are particularly vulnerable to it.

I visited several neurologists, undergone MRI and EMG tests (as well as some others) – neurologists kinda shrugged their shoulders and said “everything seems to be in a good shape, and nerves in your arm are in excellent shape for your age, actually”. One of the doctors said “oh, you’re a musician? you probably have focal dystonia, that happens to musicians sometimes, I don’t know how to help you”.

So as of present, I can’t play most of stuff I used to play and loved to play, be it a guitar, a piano, or a clarinet/recorder. I struggle to keep rhythm when playing even most basic things. The worst thing that the PLEASURE and FUN of playing a musical instrument are gone, replaced with some kind of frustration. The condition also significantly affects a lot of usual movements which I do everyday (using the door key, taking or holding something, etc.), and I often find myself doing something with the left hand instead of the right. When I have to write something with a pen, it’s more like I draw every letter, paying attention to its shape.

Somewhere I read a list of factors which increase the risk of developing focal dystonia. Among them:

  1. symptoms usually appear after 40
  2. being a musician
  3. playing different musical instruments
  4. a change in playing technique, development of new techniques
  5. being anxious and exposed to stage fright

All of the above applies to me.

I think that I probably overdid it with guitar exercises trying to master some new techniques. Playing other instruments a lot (especially piano) probably made it even worse. And, at the end of the day, maybe those guitar teachers who told me to just stick with the technique which I developed before 20, were right, who knows.

I hope this story will be of use for fellow musicians. Handle your hands and technique with care, and be aware that excessive/obsessive/24-7 playing may cause some very serious conditions which are difficult or impossible to treat.

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You have my sympathies. You mentioned that it came on basically out of nowhere, but later mention the warning about compulsive playing (to me, that’s anything more than 2 hours a day). What was your playing regime, daily, in terms of time spent playing when the symptoms presented?

How long has it been this way now, and do you see any kind of improvement?

I hear you about the music teacher ‘advice’, and usually, it’s simply because they themselves don’t know how to do it. I can tell you, once you see a ‘normal’ person playing these licks to speed, it’s like when Barrister ran a 4 minute mile…all the sudden, you become empowered to do the same thing! I do think, though, there is some underlying message: lots of these guitarists don’t play just ‘anything and everything’. Malmsteen, for example, he plays the way he plays. His technique doesn’t allow him to play like Satch or Vai, and he doesn’t need to, really. To us mere mortals, we (ok, “I”) felt growing up that the goal was to play ‘anything and everything’…but that’s just not a smart goal, really.

I take Satch’s advice, which was given to him by a previous teacher: “Only play the notes you WANT to play”…and you mentioned it earlier too. That way, you don’t learn a technique ‘before’ you find an application (ie, the music, the song, the solo). You hear something in your head, or find something you like the sound of, and THEN you construct a way to play it. Not the other way around…but that only applies to people who write their own music, really. I’ve spent a lot of time doing drills that have little to do with the actual music, the songs I write. Kind of just for the fun, or to be able to play other people’s stuff, but really, why bother learning how to play like Malmsteen when you don’t write songs like him? I learned that slowly, more as I got older.

Again, sorry to hear about your illness. It’s the first I’ve ever heard of it, and it sounds pretty monstrous. Hopefully, like Bell’s Palsy, it will just go away after some time. I hope so!

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As a hypochondriac, I am now scared of practicing.

Thankyou.

EDIT: There is a classical guitarist named Apostolos Paraskevas who seems to have overcome the condition through exercise, somehow.

He might be worth researching.

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That kind of answer always drives me insane. One thing I really like about this forum is people don’t post empty advice like that and actually strive to help one another.

Regarding the symptoms you’ve experienced, I’ve definitely been scared of this myself as well. I’m a lot younger, but I really should take more care of my hands. I try to remind myself to stretch and warm up before practicing, but I’m not good at keeping that habit.

Thanks for sharing, and sorry to hear about what you’re going through.

Scott Devine suffers from the same thing, which is why he wears a thin glove while playing.

Thanks for sharing. Have you heard about David Leisner? Maybe it will help:

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I know the brain cuts connections to make things more fluid and efficient. I feel this condition is coming about from the brain trying to become more efficient with not gaps inbetween contractions.

But idk what I’m talking about so… Seems logical tho.

@Alexander, sorry to hear about your situation.

A few years back I was struggling with numbness in my right hand. It took me a long time to find out it was thoracic outlet syndrome, a condition which in my case was brought on by poor posture and rounding of my shoulders which eventually chokes off a bundle of nerves called the brachial plexus.

During my search for answers I went to see a guitarist named Jerald Harscher who had suffered from focal dystonia and teaches musicians about body awareness etc…

He was in the process of writing a book, but I don’t believe he’s finished yet. Here’s his website: https://thepoisedguitarist.com/about-2/about-body-mapping/

Good luck!

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I’m experiencing the same thing right now. O fet sone relief from the stretches and muscle tightness work at home, bit because of covid I’m not accessing the physio that used to. Other than the above link, did you access any other materials or do anything else to help?

I was the most successful working on the problem at home without a physio, but I’m no doctor.

For quite a while I thought my problem was because of a spasm in my upper back, specifically the rhomboid. The spasm is actually result of weakened back muscles because of poor posture.

I rolled out the spasm by using the MB2 by trigger point against a wall.

I also used the MB2 to roll out the scalene muscles in my neck and also did scalene stretches.

Because I went through much of my adult life with poor posture, I bought a posture trainer to help my body feel what good posture feels like and wore that and alternated the posture trainer with intelliskin shirts.

I needed to understand what good posture was without a guitar before trying it with a guitar. I’m now much more aware of my posture and tension both while playing and in every day life.

Hope this helps.

Very much so, thank you! Your story sounds very similar to mine - posture and lack of core (therefore my back works overtime to compensate) sounds like the same sort of things I’m doing, but that MB2 looks very interesting.

I tended to spend all available time on playing guitar or piano. I think it was from 2 to 4 hours a day. But, again, it was always effortless and fun, both hands were completely relaxed. I wouldn’t call it compulsive. When I was younger and had lots of free time, I would play 10-12 hours a day.

Well, it’s been approx 3 years now. Maybe it started a bit earlier but I wasn’t noticing at first. I don’t see any improvement. I play much less now (and when I do, I do it, let’s say, carefully, in terms of both body and mind), and hope that it at least won’t get much worse over time.

But what if I want to play a scale through all the strings fast and without any legato, with every note clearly pronounced? And it gets even more complicated when some string skips are employed. But that’s a separate topic (which this whole forum is dedicated to).

Thanks. Yes, I know about him, as well as some other people who somehow manages to overcome the condition.

Warm up is a good habit, but I must say that until my picking hand started to fail, I never had that habit, I just didn’t feel it is necessary. My hands seemed to be always “warmed up”. It appears that the problem isn’t in the hand itself, but rather in the brain, which developed some “wrong” connections.

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Guys, thank you for your replies.

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Thank you so much for the suggestions that you shared! I was very disappointed that you haven’t seen improvement over the last few years, and you’re obviously very musical… have you been composing to fill in the void while your hands hopefully lead toward recovery?

(Interestingly the Dilbert cartoonist had dystonia, both with his hand, and his voice, see this.)

Yes, I compose music and arrange other people’s material, as well as doing other music/sound-related tasks. That’s what I’ve been doing for living for more than 20 years already.

Very interesting video, thanks! Reminded me of this one: https://youtu.be/dVxLtMALLLA

I’m doing similar exercise (from the Jamie Andreas video) because my pinky and ring fingers curl when I hold the pick.

I’ve always been scared of this myself, but “fortunately” I don’t think I play enough. Although thanks to CtC and the lockdown I’ve definitely been learning new techniques.

I know a guitarist that is overcoming focal dystonia. It’s taking him a few years but he’s completely convinced that he’ll heal. He switched to piano (sorry that won’t apply to you) and slide guitar. Plus singing, writing songs and recording.

I encourage you to keep investigating and get the right help.

But what if I want to play a scale through all the strings fast and without any legato, with every note clearly pronounced? And it gets even more complicated when some string skips are employed. But that’s a separate topic (which this whole forum is dedicated to)."

Sorry Alexander, I don’t know how to quote only a part of a post.

I get what you’re saying. It’s another way of saying, “what if I want to pick every note?” And by pick, I mean just that: alternate, sweep, any type of picking where a pick sounds the note (sans legato).

I look at Martin Miller, who has a lot of videos on YT and CtC did a great bunch of videos. To me, he has the ‘best’ alternate picking technique, one that allows him to “pick every note”. And from the videos, I see that he employs what I call crosspicking…I’m not sure what everybody else calls it, and words are important so I don’t want to misrepresent anything.

Basically, he has figured out how to crosspick, string skip, all that stuff, cleanly and at high speed. That is what I would like to do someday.

But even though I ‘could’, then, pick every note…it doesn’t mean I’d want that to be my main, go-to technique. For me, the sound can get very automatic and lifeless. So I don’t shy away from legato when it makes sense. Guys like Malmsteen really only play certain phrases that ‘fit’ within their construct of picking: they can’t, as I erroneously thought for many years, “pick everything” and could play absolutely any phrase you could throw at them. This happened largely when I looked over the research of Troy and his team, and I think he’s 100 percent correct.

But Martin, that guy is unreal. He picks like a machine, but not lifeless. He still retains dynamics. It’s my gold standard, and what I hope to achieve one day.

Best wishes to you, man!

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Let those who have never mixed up Martin Miller and Marcus Miller cast the first Jazz III XL…

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DANG! Martin Miller, lol!!! Thanks!

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Hi Alexander.

A friend of mine had the same problem and he got treated here:

https://www.institutart.com/en/

It’s a clinic in Barcelona that specializes in musician related problems. It took a few tough months of treatment but he got over it. Maybe you want to check it out.

Good luck

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