Who Does MWNA Primarily Work With?
We work with Musicians suffering from dystonia, playing injury, or playing concerns.
See below for common symptoms:
Musicians with dystonia:
Players who have been diagnosed or suspect they have dystonia may exhibit some of the symptoms below.
Embouchure dystonia:
o Facial Muscles
- Involuntary movements of the embouchure muscles
- Lip closure, tremor, embouchure collapse
- Irregularity or loss of sensation in face or lips
- Air leakage or blockage
- Weakness in tone production (dull sound)
- Hypo- or hyperactivity in movement
o Tongue
- Difficulty articulating
- Involuntary movements
- Pitch going sharp
- Inaccurate perceptions of tongue
o Jaw
- Jaw instability or closure
- Involuntary movements
- Jaw tension
o Neck & Throat
- Torticollis: Involuntary spasms or movement of the neck muscles
- Valsalva maneuver

Hand dystonia
- Involuntary movements of the hands
- Hands pulling away from task
- Fingers feeling stuck
- Loss of sensation
- Hypo or hyperactivity in movement
- Inaccurate perceptions of hand
Musicians with an injury
Injuries including but not limited to
- Overuse injury
- Pain/discomfort
- Numbness/tingling
- Physical trauma
- Bruising or discoloration
- Micro neuroma or mouthpiece traumas
Musicians with playing concerns
Issues including but not limited to:
- Hesitation in tone production
- Instability of tone
- Limitations in articulation/volume/range
- Lack of tonal resonance
- Lack of feeling of ease and/or efficiency