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Focal Dystonia of the Hands: Info for Guitarists

Holy Moly!  Focal Dystonia!  Of all the bum cards you could be dealt, this one is the bummer of the bunch.

After all the hard work you put into your playing, all the hours and days spent honing this craft, imagine losing it all.  Imagine your hands not working anymore.  Imagine doctors not having a clue what to do about it.  Imagine how tragic, distressing, frustrating and heartbreaking something like this could be.  Then double it.

Focal Dystonia is one of those silent maladies that is all around us that we rarely hear about.  My musical coach has it (though he staved it off for 15 years since he first got serious symptoms.  More on that later.)  And I have been surprised how often I am contacted by guitarists (typically advanced players, well-studied) suffering from the effects of Focal Dystonia.


What is Focal Dystonia?

Disclaimer: I am not a medically certified anything.  I don’t even know CPR.  If you suspect you may have focal dystonia, widen your research to beyond this guitar blog!

In a nutshell, focal dystonia is an affliction where your brain sends your muscles too many commands at once.  The result is a total traffic jam of muscle movements, which creates a clinching spasm.

Instead of playing an arpeggio pattern, say, PIMA, You instead have a cluster of fingers all at once.  Like this:


Nice and tidy


All jumbled together








Focal Dystonia Treatments

People and doctors are experimenting with many different cures and treatments.  (surprisingly, Botox is a common treatment!  Though the effects are temporary.)

One treatment, that could also help as a preventative, is practicing slow, exaggerated movements.

For this, you would break down all the separate motions that go into a stroke, such as an arpeggio, or I and M alternation.  Then you would play each in turn, slowly, exaggerating the follow-through.

(I was happy to learn that my methods for I and M alternation, and for playing arpeggios, jive well with this, because I suggest breaking down the movements to begin with.  I got lucky on that one!)

This is how my coach was able to continue performing publicly for 15 years after first diagnosing his focal dystonia.  He went back to square one, and practiced slowly, examining and retraining every movement involved with basic technique.  Never underestimate the power of patience and a serious work ethic!


Re-visit your basic technique

For us all, this is one more reason to slow down and focus on good technique.  If you haven’t in a while, this would be a great time to set aside a practice or two to re-visit your basic movements, and re-train any non-optimal habits you may find.

Here is a lesson on fundamental movement.

Here are 5 common mistakes guitarists make.

Here is the course on arpeggio technique.

Here is the lesson on I and M alternation.

 Other resources

Other avenues that may prove helpful:

1. The Alexander Technique – I have studied this for years, and it is probably the absolute best thing I have ever done for my daily quality of life and bodily health.  It’s not easy to talk about unless you have some experience with it, but it’s well worth the investment for lessons.  (For US residents, make sure you get an AmSAT-certified teacher.  There are others, but the AmSAT standards are miles higher.  If you are not in the US, I am sure you can do an internet search for a teacher nearby.)

2.  Body-Mapping – Body Mapping teaches the basic fundamentals of movement.  Some people compare it to the Alexander Technique, but that would be like comparing a story with an actual experience.  It’s a whole different thing.  Still, Body Mapping is quick and cheap to learn (AT is not) and is valuable for what it is.   It is simply intellectual knowledge, whereas AT teaches through bodily experience (i.e. you could learn all about a peach, or you could learn about a peach while actually eating one.)  If you get the opportunity to take a Body-Mapping workshop, I would encourage you to sign up.

3.  The Poised Guitarist – Thanks to Sasha Ahuja for turning me on to this guy.  He’s a guitarists who used Body-Mapping in his teaching, and specializes working with people with focal dystonia and repetitive stress injuries.  There are some great videos on his home page that are worth a watch.

4. Do you have others that belong on this list?  Let me know, please, either via a note or in the comments below.



If you have focal dystonia, you have my complete sympathies, and I encourage you to stay patient and dedicated to slow practice.

If you are all clear, I encourage you to thank your lucky stars and periodically return to fundamentals and basics.

Do you have any experience or knowledge on focal dystonia?  Please share it below!


8 Responses to Focal Dystonia of the Hands: Info for Guitarists

  1. Kate Benessa March 1, 2016 at 5:19 pm #

    I learned these exercises from lutenist Pat O’Brien and they helped me significantly. There are some errors and I will re-tape in the future, but I wanted to just put the info out there for now, and will improve it later. http://www.kateclassicalguitar.com/category/focal-dystonia-retraining-exercises/

  2. ori November 8, 2015 at 1:52 am #

    I have fd, and in treatment with the help of institutart from spain, my progress is amazing, feels like i’m “almost there”. Hopefully in a few months.

    • Allen November 8, 2015 at 1:19 pm #

      Hi Ori, Thanks for the inspiring note! Congratulations!

  3. K.M.Eriksen January 6, 2015 at 12:49 pm #


    I have focal dystonia and heres the concept I’m working on.
    1.Play as slow as you can.
    2.Play as soft as you can.(barely audiable)
    3.As small movements as you can (movement from knuckle not joints)
    (with some variations of course)

    • Allen January 6, 2015 at 2:33 pm #

      Hi K.M.
      Thanks for the comment. That’s interesting. Please keep us posted on how it’s going.

  4. Frederico December 20, 2014 at 6:54 am #

    Very interesting subject!

    As I’m seeing more and more, in classical guitar you’re better off really thinking things through and doing things methodically and really slowly. As counterintuitive as that may sound, going slow you’ll reach your objective faster and better. It’s like running a marathon, not a sprint.

    To be honest that might be true for most of the subjects that we can learn.

    Thanks a lot for your videos.
    You’re doing God’s work.

    • Allen December 20, 2014 at 9:25 am #

      Thanks Frederico! I completely agree. As a former teacher of mine used to frequently say, “Slow is smooth, and smooth is fast.”

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