PianoWell™System

Focal Dystonia · A Personal Retraining Journey

How I Returned to the Piano After Focal Hand Dystonia

What if returning to the piano requires more than correcting the movement of the hand?

After living with focal hand dystonia from 2008 to 2013—and spending most of that period away from the piano—I began rebuilding my playing in 2013.

Focal dystonia did not lead me to begin developing this work. Long before the symptoms appeared, I had already spent many years investigating how inner sound, musical intention and physical movement could function as one process. By 2008, that central relationship between mind and body was already largely established.

The recovery period revealed what was still incomplete. I needed to refine certain details of wrist and elbow motion. Above all, I had not yet found one essential physical link: the sensation of genuinely loose hands. I could imagine the music and organise the movement, but residual tension in the hands still blocked the free energy of that musical intention from reaching the keyboard.

This page describes how I connected an already-developed inner process with a new physical sensation, while separating piano playing from the repertoire, emotions and bodily associations connected with focal dystonia.

Portrait of Emma Leiuman seated beside her grand piano
Emma LeiumanPianist

An Archival Comparison

The symptoms had not appeared. The tension had.

The Same Rachmaninoff Sonata—2008 and 2024

Before the first symptoms
Relearned and recorded
Time away from the piece
16 years

In the 2008 recording, the dystonia had not yet appeared, but I can now recognize the tension that preceded it. After 2008, I did not play this sonata again until 2024. By then, I no longer remembered it and had to relearn the entire work from scratch. The 2024 recording shows the same music passing through the new sensation of loose hands that had become central to my return.

In My Own Words

My recovery story | Musician’s DystoniaOriginally recorded Duration: 7 min 4 sec

The Beginning

The problem was not only in my hands

I had been playing the piano intensively since childhood. By the age of six, I was studying at the Central Music School of the Moscow Tchaikovsky State Conservatory. My training eventually included twenty years within the Russian School and a Master’s degree from the Moscow Conservatory.

Behind the performances, however, there had always been difficulty.

Much of my earlier training had been built on physical repetition, and learning new repertoire required enormous effort. Long before the symptoms appeared, I had already begun searching for another relationship between musical thought and movement. Yet technical uncertainty, pressure and residual tension still remained part of my playing.

At twenty-four, during my conservatory studies, I began noticing unfamiliar sensations in both hands: tingling and electrical spasms travelling through the elbow, wrist and little finger. My fourth and fifth fingers curled inward and stopped responding normally. I also began losing coordination in my thumb.

The symptoms eventually affected more than piano playing. I struggled to write, type or even press a number on a telephone.

Rest, medication and massage did not resolve the problem. Diagnostic procedures later confirmed focal hand dystonia.

For several years, I stayed away from the piano.

Before the Retraining

The inner process did not begin with focal dystonia

The central ideas behind my work were already developing many years before the dystonia appeared.

I understood that technique could not be organised by the hands alone. The sound had to exist inwardly first, movement had to respond to musical direction, and physical action had to serve an intention that was already present.

But this relationship was not yet complete. I was still refining details of wrist and elbow motion. More importantly, I had not fully understood how even subtle compulsive tension in the hands could interrupt everything that came before it.

The musical intention was present.
The hands were not yet a clear, open channel through which it could reach the piano.

The Association

Piano playing had become an entire physical and emotional state

When I first tried to return, I discovered that the difficulty was not limited to a particular finger or movement.

The sound of classical music itself had become connected with the former experience:

  • demanding repertoire;
  • long hours of repetition;
  • constant correction;
  • fear of technical failure;
  • the pressure to prove myself;
  • close monitoring of my hands;
  • and the familiar sensations of tension and lost control.

When I heard or attempted classical repertoire, the old physical response could return.

This raised a different question.

Perhaps I could not rebuild my playing by correcting the final movement while everything preceding that movement remained unchanged.

The musical sound, emotional expectation, quality of attention and bodily response had all become connected. I needed to create another way of experiencing the piano—not merely another way of moving my fingers.

That did not mean inventing an entirely new mental approach. It meant removing the physical and emotional obstruction that prevented an already-developed inner process from passing freely into sound.

Faith and Community

I did not return alone

During the years in which I was away from the piano, prayer to Jesus became a central part of my life.

I spent time in churches—first in Florida and later in Singapore—where people listened to me, prayed with me, sang with me and welcomed me into supportive communities. After many years in which music had become associated with pressure, fear of failure and rejection, I encountered something very different: belonging, acceptance, love and the freedom to be present without having to prove myself.

I do not present prayer or participation in church as a medical treatment for focal dystonia, and I cannot measure precisely what part these experiences played in the changes that followed.

But in my lived experience, faith and supportive community transformed the emotional conditions in which I approached music. Piano playing no longer had to begin with fear, correction or the demand to succeed. It could begin with prayer, gratitude and a sense of being held by something larger than myself.

This is why devotional and gospel music became such a natural path back to the instrument. It was not simply easier or non-classical repertoire. It belonged to this new world of faith, community and emotional safety.

I was not returning to the piano in order to prove that I could still play.
I was returning through prayer, gratitude and music offered to God.

When we’re asked to give up playing

Focal Dystonia – When We’re Asked to Give Up PlayingDuration: 3 min 54 sec

Two Different Routes

How I experienced the change

I came to understand the process as the formation of new associations. But this was not a movement from having no inner musical process to suddenly acquiring one. The musical intention was already present. What changed was the route through which it reached the instrument.

The older route

The older route had become deeply familiar:

  1. Classical repertoire and familiar aural patterns
  2. Expectation, emotional pressure and close monitoring of the hands
  3. Musical intention passing through habitual hand tension
  4. Free energy blocked before reaching the keyboard
  5. Familiar dystonic sensations

The new route

The new route began differently:

  1. Prayer, belonging and supportive community
  2. Unfamiliar and emotionally safe music
  3. An already-imagined musical intention
  4. A new sensation of loose, light and open hands
  5. Refined wrist and elbow response
  6. Free energy reaching the keyboard through coordinated touch
  7. Increasing trust

As this second route became more familiar, my mind and body increasingly began associating piano playing with it. At the same time, the older route was no longer being reinforced through the same repertoire, emotional expectations and physical sensations.

I think of this as developing new neural and sensorimotor associations. That is my interpretation of my lived experience—not a scientifically established explanation of everything that occurred in my nervous system.

Research into task-specific and musicians’ dystonia does include sensorimotor retraining, sensory reorganisation and motor re-education. However, the particular process described here has not yet been examined in a clinical study. I can describe what changed in my playing; I cannot claim to have demonstrated precisely why it changed.

The Missing Link

My mind already knew the music. My hands were still blocking its path.

The retraining was not the creation of the entire system after dystonia. Nor was it based on repeating a corrected hand position until it became habitual.

The decisive work was to connect an inner process I had already developed with a physical sensation I had not yet found: hands that felt genuinely loose, light and open, without gripping, clinging or fixed pressure.

  1. 01

    What already existed

    Before focal dystonia, I had already spent many years developing the relationship between imagined sound, musical direction and physical movement. Inner hearing was not a discovery that began during recovery. It was already central to the way I understood playing.

  2. 02

    The physical obstruction

    I could imagine the music and organise the movement, but subtle compulsive tension remained in the hands. That tension acted as a barrier. Musical intention and the free energy of the body could not pass through the hands into the keyboard without interference.

  3. 03

    What needed refinement

    I continued clarifying certain details of wrist and elbow motion, especially how movement could remain responsive without causing the hand to grip or carry unnecessary strain. These refinements mattered, but they were not the whole recovery.

  4. The central change was learning to play with hands that felt loose, light and almost absent. This was not limpness. The fingertips remained responsive, but the hand no longer gripped the keyboard or held fixed pressure after touching a key.

  5. 05

    Reconnection

    Once the hands no longer blocked the passage from intention to sound, the relationships within the larger framework—inner hearing, movement, inner singing, touch and arm weight—could work together more freely.

    Recovery helped complete and refine this framework. It did not create it from nothing.

Beginning Again

I did not begin with classical music

When I returned to the piano in 2013, the music through which I began was inseparable from this period of faith and community.

I deliberately set classical repertoire aside. I began with simple devotional and gospel music, together with music from animations. This music carried no history of conservatory examinations, difficult technical passages, judgement or failure.

It belonged to another emotional world.

At first, I could play for only about fifteen seconds without the old sensations appearing. But those fifteen seconds mattered. They allowed me to experience contact with the keyboard without immediately entering the physical and emotional state in which the dystonia had developed.

Before and after playing, I prayed to Jesus and expressed gratitude. I approached the instrument gently, without demanding a result from my hands.

Gradually, piano playing began to contain different sensations:

  • peace rather than anticipation of failure;
  • curiosity rather than constant correction;
  • musical intention rather than physical control;
  • and enjoyment rather than fear.

The duration of the sessions increased slowly. The importance of this period was not the complexity of the music. It was the creation of a different relationship with the instrument.

The Music I Returned Through

Six pieces from the first months of my return

These performances were originally recorded in the autumn of 2013, before I started my YouTube channel. They were later remixed and published together in 2017.

They preserve the quieter stage of my return—the devotional and non-classical music through which I was slowly learning to touch the piano again. This was before the Chopin Études, Liszt and Rachmaninoff; before I knew whether demanding classical playing would become possible again.

At that time, progress was not measured by the difficulty of the repertoire. It was measured by how long I could remain at the piano without the old sensations returning—and by whether playing could continue to feel connected with prayer, gratitude and peace.

Six Pieces of Beautiful Music

Originally recorded
Autumn 2013
Remixed and published
Duration
The original performances were recorded during the period between my first fifteen-second sessions and my return to demanding classical repertoire.

Other early recordings from my return

I first learned these pieces in 2013 before YouTube, during the earliest months of my return to the piano. I recorded and published most of them the following year. Although the videos date from 2014 onward, the music itself belongs to that earlier period of rebuilding.

  1. The Little Mermaid — Part of Your World

  2. River Flows in You

  3. J. Pachelbel — Canon in D

The Role of Repertoire

I did not use my former pieces to test whether I had recovered

Returning immediately to old repertoire would have meant returning to music already filled with physical, aural and emotional memories.

Instead, when I eventually returned to classical music, I learned completely new pieces.

I did not begin by asking:

Can I still play the repertoire that once caused difficulty?

I allowed new music to become associated with the inner process I had already developed, the newly learned sensation of loose hands, and a calmer physical and emotional relationship with the instrument.

The transition happened within only a few months.

After nearly five years in which I had barely touched the piano, I could initially play for only about fifteen seconds without the old sensations returning. I then spent several months playing slow devotional and gospel music, together with music from animations—music that carried none of my former classical associations.

By November 2013, only a few months after beginning again, I had started my YouTube channel and begun documenting my return.

What followed was not a cautious progression through easier classical pieces. I moved directly into some of the most technically demanding repertoire I had ever attempted. I learned entirely new works from scratch—including Chopin Études, Liszt’s Second Hungarian Rhapsody, and Rachmaninoff’s G-minor Prelude.

Several of these performances were recorded after only seven to fourteen days of practice.

  1. Nearly five years with almost no piano.
  2. Fifteen seconds at the keyboard.
  3. Several months of slow, unfamiliar, non-classical music.
  4. Then some of the most demanding works I had ever attempted.

The purpose was never to prove how quickly I could learn. The change in learning time revealed something more important: what had already been organised inwardly could now pass through the hands with far less interference.

And the feeling of completing these pieces was not primarily one of technical achievement.

It was triumph, relief and perhaps the deepest gratitude I had ever experienced.

After believing that I might never play again, every completed recording showed me that the connection between musical intention, free movement and the piano was becoming possible again.

A Record of the Return

The first demanding works I learned after coming back

These recordings belong to the earliest period of my return to classical playing. They are not presented as a prediction of what another pianist should expect from recovery. They are a record of what happened in my own playing, captured at the time.

  • Recorded after 14 days of practice

    Chopin — Étude Op. 10 No. 4

    Published Duration: 1:13:17

  • Recorded after 7 days of practice

    Chopin — Étude Op. 25 No. 11 “Winter Wind”

    Published Duration: 33:27

  • Recorded after 20 days of practice

    Liszt — Hungarian Rhapsody No. 2

    Published Duration: 22:05

  • Recorded after 14 days of practice

    Chopin — Étude Op. 10 No. 1

    Published Duration: 1:51:38

  • Recorded after 7 days of practice

    Rachmaninoff — Prelude Op. 23 No. 5

    Published Duration: 3:50

  • Recorded after 14 days of practice

    Rachmaninoff — Étude-tableau Op. 39 No. 5

    Published Duration: 1:54:06

What Recovery Means to Me

Focal dystonia no longer affects my piano playing

I do not use the word “cured” as an absolute medical declaration.

I can, however, say something precise:

Focal dystonia no longer affects my piano playing.

I can practise, learn demanding classical repertoire, record and perform without the dystonic response that once prevented me from playing.

A trace of the old symptoms appears only under a very rare and specific combination of circumstances—approximately once every five years—when prolonged typing on my laptop coincides with a strong negative emotional response, usually anger arising from an interpersonal conflict.

Under those particular conditions, I may briefly recognise the old sensation. It does not appear while I am playing the piano.

This distinction matters. “Mildly present” could suggest that I continue managing symptoms regularly at the instrument. I do not.

At the same time, the rare reappearance reminds me that the earlier pathway has not necessarily been erased from my nervous system. It has simply become disconnected from the experience of piano playing.

A Careful Distinction

My experience is not a promise about another pianist’s recovery

Focal dystonia does not have one identical history or expression in every person.

Another pianist may have different symptoms, triggers, medical circumstances, musical associations and emotional experiences. For that reason, I cannot promise that another person will have the same outcome.

The current programme presents the mature form of work that began many years before the dystonia and continued to develop during recovery and through subsequent teaching. It examines:

  • how written notation becomes internally heard sound;
  • how imagined sound acquires quality and direction;
  • how that direction is connected with movement;
  • how inner singing connects the space between notes;
  • how touch and arm weight become part of the same musical intention;
  • and how these relationships can gradually become integrated.

These relationships were not all created as a response to focal dystonia. Recovery clarified several elements that had remained incomplete—above all, the role of genuinely loose hands and certain details of wrist and elbow motion.

This work can accompany appropriate medical care. It is not a substitute for neurological diagnosis or treatment.

Beginning the Work

How the work is available

Study the programme

Free

The complete programme presents the mature form of a framework developed before, during and after my recovery. It should not be read as a clinical dystonia treatment or as a reconstruction of one universal recovery protocol.

The complete online programme is available free of charge, without registration or subscription.

It consists of illustrated chapters, guided video demonstrations and recorded lessons. The material is designed as a progressive sequence, beginning with the foundations of movement and gradually connecting them with inner hearing, inner singing, touch, arm weight, musical structure and artistic performance.

For someone approaching the work after focal dystonia, I would recommend beginning with the Introduction and following Volume I in order rather than selecting isolated exercises.

Join the PianoWell Studio

Free

The Studio is also available free of charge.

Your practice remains private unless you choose to share something. You may ask questions, describe what you are experiencing or post a short Studio Clip when you would like me to observe your work more closely.

Work with me privately

€220 / $250 per hour

Private online lessons are available when a question requires more time, detailed observation or individual work together at the piano.

Private lessons are optional and currently cost €220 / $250 per hour.

Frequently Asked Questions

Before you begin

No. It is a pedagogical retraining programme concerned with the relationship between musical thought, inner hearing, movement, touch and sound. It does not provide medical diagnosis or treatment.

A Longer Personal Reflection

Focal Hand Dystonia - tips to help you recover from dystoniaPublished Duration: 13 min 27 sec

Closing

The question that brought me back

My question was no longer:

How can I force my hand to play normally again?

It became:

Can the musical process I already understand reach the keyboard through hands that no longer block it—and can piano playing become a different physical and emotional experience?

For me, that question opened a way back.

Recovery did not begin with a difficult piece, a corrected finger or a test of what my hand could still do.

It began with fifteen seconds of unfamiliar music—and a new sensation: the music I already heard inwardly could pass through loose hands into the keys without reproducing the old response.

Medical and Research Context

For general medical information and current research on focal and task-specific dystonia:

These references provide context for the wider field. They do not constitute scientific validation of the particular pedagogical process described on this page.