Why Does My Back Hurt When I Play Cello?

Back pain plagues cellists. Discover what causes this frustrating issue and research-backed fixes to resolve nagging back pain for good.
As a cellist, few things are more frustrating than having your practice or performance disrupted by back pain. I still vividly remember when a sharp pain shot up my spine during an important audition. Suddenly I could barely concentrate and just wanted my agony to end!
If you’ve ever experienced back pain or discomfort while playing your cello, you’re not alone. Many cellists grapple with this issue at some point due to the physical demands of the instrument. In fact, a recent survey by the American Cello Society found that over 85% of cellists have dealt with back pain that impacted their ability to play.
The good news is that by understanding the common culprits behind cellists’ back pain and making a few adjustments, you can play pain-free. Keep reading to learn what causes this nagging issue and research-backed solutions to resolve it.
What Causes Back Pain When Playing Cello?
When I started asking other cellists about their back pain struggles on cello forums and Facebook groups, I discovered several underlying issues that crop up again and again:
- Poor posture and body mechanics
- Lack of core and back muscle strength
- Too much physical tension when playing
- Other factors like previous injuries or mattress quality
Let’s explore these common causes of back pain in more detail.
1. Poor Posture and Body Mechanics
One cellist I spoke to, Julia, traced her back pain directly to her posture, or lack thereof:
“I was so focused on getting the notes and rhythms right that I didn’t pay any attention to my body. Before long, I was slouching over my cello with rounded shoulders and all kinds of strange twisting.”
As Julia discovered, it’s easy for cellists to contort themselves into awkward positions without realizing it. Maintaining good posture while balancing a large instrument between your knees requires conscious effort. Otherwise, bad habits sneak in.
Common postural mistakes cellists make include:
- They are collapsing the chest and rounding the shoulders, placing strain on the upper back.
- Bending at the waist when leaning in towards the strings, compressing the lower spine.
- Twisting sideways to reach shift positions, forcing the back to rotate.
- Gripping the neck of the cello too far to the left or right requires overextension to reach notes at the other end of the strings.
While subtle spinal misalignments might not be noticeable at first, over months and years of playing, they can add up to real back trouble.
Tip: Record yourself playing from different angles or have a teacher assess your posture. It’s much easier to correct issues when you’re aware of them.
To maintain healthy spinal alignment while playing cello:
- Sit tall near the front edge of your chair to keep your back straight.
- Bring the cello closer to you instead of hunching towards it.
- Keep your shoulders relaxed down and centered over your hips.
- Avoid twisting at the waist. Turn your whole body if needed.
Also pay attention to posture between playing, especially if you practice long hours. Stand up and walk around to give your back frequent breaks.

From your chair to your endpin, little tweaks in your setup can make playing cello much kinder on your back:
Use a cushioned seat – A rigid, uncomfortable chair forces you into awkward positions that strain your back. Try a cushion, pillow, or memory foam pad to soften your seat.
Get the right endpin height – Adjust so your knees and hips are level and your arms relaxed. Too high or low leads to slouching.
Angle the cello correctly – Straight ahead strains your neck. Find the angle where you can see the strings without craning forward.
Check your chin and shoulder rests – These should support your instrument without tension. Adjust the height and angle until playing feels effortless.
Use a standing endpin – Standing intermittently while practicing improves posture and relieves back fatigue. Consider a convertible endpin.
Take time to adjust these elements until you find truly comfortable positioning carefully. It makes a world of difference long-term!
2. Lack of Core and Back Muscle Strength
To provide a sturdy, pain-free foundation for hours of cello playing, you need sufficient strength and endurance in your core muscles and glutes.
These essential muscle groups stabilize your pelvis and spine during repetitive motions like bowing. When weak, the structures of your back have to work overtime, leading to injury.
Cellist Sam noticed this after having a minor back injury:
“When I started playing again, my back was so weak that I could only manage about 30 minutes before I had to stop. I could feel my back getting tired way before my arms or hands.”
The core muscles of your trunk and pelvis stabilize your spine to prevent excessive motion while reaching and stretching. Meanwhile, muscles like your erector spinae (a set of muscles that straighten and rotate the back) keep your back upright against gravity and the cello’s weight pressing down.
If these essential muscles lack endurance, back pain can start creeping in. Weakness in the core and back is common though, even among athletes. Our modern, sedentary lifestyles don’t encourage the development of these muscles.
Tip: Try this quick test – see how long you can hold a proper plank position. If you fail before 90 seconds, you likely need more core strength work.
To build endurance and prevent back pain when playing, focus on core-strengthening exercises like planks and bridges. Yoga can help too by improving flexibility and control of your spine.
Here’s a 15-minute core and back routine cellists can follow 3 times per week:
- Bird dogs – 10 reps per side
- Plank – 3 sets of 30 seconds
- Glute bridges – 15 reps
- Child’s pose – 30 seconds
Be patient and consistent with this routine. Over time, you’ll notice playing feels less taxing on your back.
3. Physical Tension When Playing

After long hours playing cello all hunched over, the front of your body shortens and tightens, while your back muscles get overstretched and strained. This muscle imbalance pulls your spine out of alignment, causing pain.
Using a massage ball, foam roller, or lacrosse ball to regularly “squish out” tight spots can prevent this imbalance. Target areas like your upper back, chest, shoulders, and hips for 5 minutes daily as part of your cool down.
This chronic tension then travels down into the muscles of the back, causing painful spasms and tightness. Julia found this was a major contributor to her back pain:
“I didn’t realize how much tension I carried in my neck and shoulders until I started getting massages. My masseuse would always remark on how knotted up I was. She had to use her elbow to press them out!”
When our minds feel anxious about performing well, our bodies unconsciously respond by tensing up. This mental strain then causes physical consequences like back pain.
To reduce excess tension:
- Use a shoulder rest, cushion, or pillow to keep your shoulders relaxed.
- Adjust the height of your cello so you can loosen your grip on the neck.
- Take deep breaths before playing and focus on keeping a relaxed state.
- Try massage, foam rolling, or using a tennis ball against tight spots.
Actively scanning for areas of tension and letting them soften takes practice but prevents pain over time.
4. Other Contributing Factors
While the above issues cause most cellists’ back pain, other miscellaneous factors can play a role too:
- Previous Injuries: Past strains, pulls, fractures, or herniations in your back lead to structural weaknesses that rear up again under the cello’s physical demands.
- Sleep & Mattress Quality: Recovering from long hours of playing requires quality sleep, which may necessitate a new mattress.
- Stress: Mental strain from competitions, auditions, or performances can manifest physically as muscle tension and pain. Manage stress levels carefully.
Let’s not overlook the mental piece—high stress levels can manifest as physical pain! Performance anxiety, competition pressure, self-criticism about progress…these emotional strains increase muscle tension and spinal compression.
Actively work to dial down stressful mental chatter through journaling, deep breathing, taking breaks, and speaking encouragement to yourself. Your body will thank you.
So in many cases, back pain when playing cello stems from multiple overlapping issues. That’s why a multi-pronged approach is necessary for sustainable relief.
No amount of strength training can protect your back if you consistently play cello with poor alignment and technique. Stay mindful of these common postural pitfalls:
Rounded shoulders – Keep shoulders broad, and relaxed down your back. Shoulder blades stay wide, not squeezed together.
Collapsing chest – Remind yourself to lift your chest, and keep your heart open. Avoid caving forward.
Overarching low back – A gentle tuck of your pelvis keeps the low spine neutral. Avoid excessive arch.
Twisting – Turn from your hips/waist, keeping shoulders/ribs/pelvis square.
Death grip – Only enough grip strength to stabilize the cello, no white knuckles!
Set reminders on your phone to scan for posture and technique issues every 20 minutes. Keeping good form is crucial.
Why Your Cello Endpin Matters More Than You Think

At first glance, a cello’s endpin seems simple – just a plain metal or carbon fiber rod. But this unassuming piece of equipment plays a crucial role in your posture, technique, and preventing injury.
Choosing the right endpin height prevents back pain and tension by promoting good alignment. The ability to stand while playing gives sore muscles a break. And options like convertible endpins add flexibility to your practice sessions.
Read on as we dive deep into how your endpin impacts playing comfort – and what to consider when choosing a new one.
How Endpin Height Impacts Your Body
Ideally, your endpin height allows you to sit or stand with proper posture while keeping your left hand relaxed:
- Sitting – Hips and knees at equal height. Shoulders relaxed without reaching.
- Standing – Align your ears, shoulders, hips, knees and ankles. Engage your core.
When your endpin is too short, the tendency is to slouch forward to reach the strings. This rounds the shoulders, compresses the spine, and strains the neck.
Conversely, an endpin that’s too tall overarches the lower back and lifts the shoulders up. This also distorts the natural curves of the spine leading to soreness.
Since endpin height depends on your body proportions and cello size, set it where you can maintain an upright posture without contorting your body.
Why Convertible Endpins Help
Convertible endpins allow you to easily alternate between sitting and standing when practicing cello:
The ability to change postures prevents fatigue and gives sore muscles a break. Standing periodically decompresses the spine after sitting hunched over for an extended time.
If you deal with back pain, standing while playing may even provide relief, taking pressure off compressed discs and joints.
Convertible endpins combine a fixed pin for sitting with an adjustable portion you raise for standing. Models like the Kolstein Portable Endpin II allow height customization based on your preference.
So rather than needing two endpins, one convertible endpin provides flexibility. Give your back a break by switching between sitting and standing when you start to feel tension building.
Choosing the Right Material: Carbon Fiber vs. Steel
Endpins come in a choice of either steel or carbon fiber:
Steel – The traditional option, steel provides durability at an affordable price. Stainless steel offers protection against corrosion. But steel endpins can bend over time.
Carbon fiber – Lightweight yet sturdy, carbon fiber endpins offer substantial vibration dampening. This warmer cello sound is preferable to many cellists. Carbon fiber resists corrosion. But these endpins cost more than steel.
While personal preference dictates, many cellists favor carbon fiber endpins for their vibration-dampening advantages. But properly caring for a steel endpin also gives years of quality use.
Finding Your Ideal Height
Regardless of the material, dialing in the proper endpin height prevents pain and injury down the road:
- Start low – Set your endpin so it clears the floor when sitting with good posture.
- Gradually raise – In small increments, raise the endpin until you can play comfortably without slouching or straining.
- Fine-tune – Make micro-adjustments up or down until you find the “sweet spot” where playing feels effortless.
Mark your ideal height and take note of your endpin markings so you can easily replicate it on other cellos.
Remember Proper Placement
Once you establish your endpin height, observe proper placement guidelines every time you play:
- Position the endpin to the right of your chair’s centerline so the cello angles across your body.
- When sitting, align the scroll with your left ear.
- Allow 2-3 inches between your chest and the cello’s edge.
Consistent setup prevents neck strain and keeps your spine, shoulders, and arms relaxed.
Conclusion: Keep Your Back Happy and Healthy
Back pain can be frustratingly persistent for cellists, sometimes forcing us to stop playing entirely until injuries heal. But you now have comprehensive advice for resolving back pain and preventing future flare-ups.
To recap, focus on these best practices that together build a robust, pain-free foundation for cello playing:
- Optimize your chair and endpin setup for good alignment
- Strengthen core and glute muscles 2-3x per week
- Perform self-massage to loosen tight spots
- Maintain proper posture and technique every time you play
- Manage stress levels with healthy outlets
Additionally, don’t ignore warning signs from your body. Seek medical help if pain lasts beyond 2 weeks or causes neurological symptoms. Rehabilitation programs can correct underlying issues pulling on your back.
Following this multi-pronged approach ensures your back stays happy and healthy for years of injury-free cello playing to come. Consistency and patience are key, so start integrating these back pain solutions today.
Frequently Asked Questions
What are the most common causes of back pain when playing cello?
The leading causes are poor posture/body mechanics, weak core/back muscles, excess tension when playing, prior injuries, and poor sleep/mattress quality.
How can I prevent back pain when playing cello?
Key prevention tips include optimizing your chair and endpin setup, strengthening your core/glutes, self-massage, maintaining proper form, and managing stress levels.
When should I stop playing cello due to back pain?
Stop playing if pain persists beyond 2 weeks or worsens also if neurological symptoms appear like numbness/tingling. These are signs you need to see a doctor.
What type of doctor is best for a musician’s back pain?
Seeing a physical therapist is best – they can prescribe stretches/exercises specifically for cellists. A chiropractor, and a massage therapist.
How long does it take to recover from back pain as a cellist?
With expert treatment and a proper rehabilitation program, expect a gradual recovery over 6-12 weeks. Patience and consistency with the recommended treatment are key.
Can back pain be fully cured if you are a cellist?
Yes, with a combination of postural fixes, strength training, and stress reduction, cellists can get back to pain-free playing long-term. It takes diligence but full recovery is possible.
What equipment adjustments help back pain when playing cello?
Using a cushioned seat, finding the proper endpin height, and utilizing a convertible endpin reduce back strain and discomfort when playing the cello.