<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"> <HTML><HEAD> <META http-equiv=Content-Type content="text/html; charset=iso-8859-1"> <META content="MSHTML 6.00.6000.16414" name=GENERATOR> <STYLE></STYLE> </HEAD> <BODY bgColor=#ffffff> <DIV><FONT face=Arial size=2>I am getting to this rather late (two weeks away from my computer)...</FONT></DIV> <DIV><FONT face=Arial size=2>    I have the same condition in my left arm from the repeated impact of striking the key.  My physical therapist recommended cross fiber massage (very specific technique - involves a small movement across the tendon connection to the bone to break up scar tissue - ask a physical therapist) and ice.</FONT></DIV> <DIV><FONT face=Arial size=2>    I now use a wrist brace with a metal support on the underside (drug store purchase).  This is used with a striker consisting of two pieces of hammer sciving glued together and a piano hammer glued into that all to act as a cushion, wrapped with an ace bandage in my hand to prevent me from gripping the sriker.  A little hard to descibe.  It has helped a lot.</FONT></DIV> <DIV><FONT face=Arial size=2></FONT> </DIV> <DIV><FONT face=Arial size=2>Brooks Weisman RPT</FONT></DIV> <DIV><FONT face=Arial size=2>Arcata & Napa, CA</FONT></DIV> <DIV><FONT face=Arial size=2><A href="mailto:brooksw@jps.net">brooksw@jps.net</A></FONT></DIV> <DIV><FONT face=Arial size=2></FONT> </DIV> <BLOCKQUOTE style="PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px"> <DIV style="FONT: 10pt arial">----- Original Message ----- </DIV> <DIV style="BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: black"><B>From:</B> <A title=rfinley@rcn.com href="mailto:rfinley@rcn.com">Robert Finley</A> </DIV> <DIV style="FONT: 10pt arial"><B>To:</B> <A title=pianotech@ptg.org href="mailto:pianotech@ptg.org">pianotech@ptg.org</A> </DIV> <DIV style="FONT: 10pt arial"><B>Sent:</B> Sunday, March 18, 2007 8:02 PM</DIV> <DIV style="FONT: 10pt arial"><B>Subject:</B> Advice on tuning techniques for recovering tendonitis sufferer</DIV> <DIV><BR></DIV> <DIV><FONT face=Arial size=2>Since July of last year I have been suffering from lateral epicondylitis in my left arm, or tennis elbow. I am not sure if I got this by practicing the piano, tuning pianos, lifting a heavy suitcase, playing golf or what. I have had a couple of cortisone injections and physical therapy sessions, and now the problem has almost disappeared. After this problem started, I had to severely cut back on my piano tunings because it was painful when I had to hit the keys firmly with the fingers of my left hand to settle the strings. I recently tuned a piano and tried to hit the key with my right hand, then hold the key down with my left finger while I turned the tuning hammer with my right hand. It took longer but I was able to tune the piano, and it reduced the amount of pain I had in my left arm. The last thing I want to happen is to aggravate my arm and for this problem to come back, and then to eventually need surgery. I have heard that surgery is not always successful and can lead to permanent irreversible damage. It's a very scary thought since I am a concert pianist and teacher as well. </FONT></DIV> <DIV><FONT face=Arial size=2></FONT> </DIV> <DIV><FONT face=Arial size=2>I have heard that some piano technicians use a technique where they hit the key with a smaller amount of force and gently push the string with a small rod or tool to equalize the tension along the speaking length. This avoids the need to hit the key firmly and achieves the same effect, whilst reducing the chance of getting tendonitis and tinnitus (due to high sound levels that might cause hearing loss unless ear plugs are used). </FONT></DIV> <DIV><FONT face=Arial size=2></FONT> </DIV> <DIV><FONT face=Arial size=2>My question is, has anyone used this and how successful is it? Do you push the string downwards or horizontally inwards? Does it matter? Is this done after the key had been struck? What is the sequence of actions to use? How long would you expect to complete a piano tuning using this technique? </FONT></DIV> <DIV><FONT face=Arial size=2></FONT> </DIV> <DIV><FONT face=Arial size=2>Thank you for your help. </FONT></DIV> <DIV><FONT face=Arial size=2></FONT> </DIV> <DIV><FONT face=Arial size=2>Robert Finley</FONT></DIV></BLOCKQUOTE></BODY></HTML>