{"id":1081,"date":"2016-09-05T12:56:10","date_gmt":"2016-09-05T19:56:10","guid":{"rendered":"https:\/\/keck.usc.edu\/news\/faculty-physicians-keep-singers-musicians-and-actors-in-peak-shape\/"},"modified":"2025-10-23T13:33:00","modified_gmt":"2025-10-23T20:33:00","slug":"faculty-physicians-keep-singers-musicians-and-actors-in-peak-shape","status":"publish","type":"post","link":"https:\/\/keck.usc.edu\/news\/faculty-physicians-keep-singers-musicians-and-actors-in-peak-shape\/","title":{"rendered":"Faculty physicians keep singers, musicians and actors in peak shape"},"content":{"rendered":"\n \n \n\n\n\n\n\n\n\n
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\n\n \n Press Release<\/span>\n\n\n\n<\/div>\n \n \n
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Faculty physicians keep singers, musicians and actors in peak shape<\/h1>\n\n\n<\/div>\n \n \n
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Injuries won’t keep these performing artists out of the spotlight.<\/p>\n\n\n\n<\/div>\n \n

\n Candace Pearson<\/span>\n \n September 05, 2016<\/span>\n <\/div>\n \n \n
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\u00a0reassured the worried singer that a doctor could help. Smith turned to Keck Medicine of USC, where otolaryngologists, physical therapists, orthopedists and other specialists understand and treat the special needs of musicians, singers, actors and dancers.Smith was afraid that he had irreparably damaged his voice, but Keck Medicine laryngologist\u00a0Lindsay Reder, an assistant professor of otolaryngology and an expert in caring for vocalists, reassured him that a virus had only temporarily immobilized his vocal cords. She advised him to rest his voice and modify his performance. \u201cI was able to get through opening night,\u201d Smith says.Getting sick or injured can threaten the career of a performing artist. In recent years, singers from Adele to Sam Smith have had to cancel tour dates due to voice problems, while actors on elaborate sets have fallen and broken bones on stage or during filming. Among performing artists and professional athletes, some 4.7 people in every 100 were injured in the U.S. in 2014, the latest figure available from the Bureau of Labor Statistics.But artists can get specialized help quickly through resources like Keck Medicine\u2019s USC Performing Arts Medicine Center within the Department of Orthopaedic Surgery and the new\u00a0USC Voice Center\u00a0in the USC Tina and Rick Caruso Department of Otolaryngology\u2014Head and Neck Surgery. Keck Medicine physicians draw patients from USC Thornton and the USC Kaufman School of Dance, the Los Angeles Philharmonic, LA Opera and Los Angeles Ballet, as well as quartets, bands, musical theater actors and soloists.Art as SportIn the\u00a0USC Performing Arts Medicine Center, orthopedic surgeons apply their extensive experience in sports medicine to the arts. \u201cWe understand the education and training needed to excel as a performer,\u201d says\u00a0Jay R. Lieberman, chair of the Department of Orthopaedic Surgery. \u201cWe have made a commitment to evaluate performers quickly and get them back to performing as soon as possible.\u201dThe center offers a dedicated hotline that musicians can call for appointments. It\u2019s a collaboration with USC Thornton and its comprehensive Musician\u2019s Wellness Initiative launched in 2015.Orthopedic surgeons with expertise in the hand, elbow, shoulder, hip, knee, foot, ankle and spine are available not only for musicians, but also for artists ranging from stunt professionals to theater actors. These surgeons work closely with physical therapists to help artists heal from muscle, joint and bone problems.Seth Gamradt,\u00a0director of orthopaedic athletic medicine, notes that athletes and performing artists have several traits in common: \u201cpassion, talent and drive.\u201d Their key difference is the types of injuries they often experience. For athletes, collision injuries or muscle pulls and sprains dominate. For musicians and dancers, problems grow from overuse.\u201cThe tough thing about dancers and musicians,\u201d Gamradt says, \u201cis that they\u2019re reluctant to take any rest. The exact thing that\u2019s causing the problem is the exact thing that they want to do.\u201dKeck Medicine orthopedic surgeon\u00a0Milan Stevanovic\u00a0has seen that time and again. As an internationally known hand specialist, he has treated the delicate fingers and wrists of professional guitarists, pianists, horn players and other musicians who want to keep playing despite injury or arthritis. It\u2019s important to treat those digits with care. \u201cThe hand is the most creative organ after the brain,\u201d says Stevanovic, director of the USC Joseph H. Boyes Hand Fellowship, the oldest training program for hand surgery in the U.S. \u201cWith the hand, you can talk without a voice and see without your eyes.\u201dHe works closely with patients to manage their hand problems conservatively, performing surgery only when appropriate.The physicians all agree: \u201cNo pain, no gain\u201d might be a common motto for athletes, but it doesn\u2019t work for musicians. Veteran artists know that firsthand.\u201cWith the fine motor control that musicians must have, pain indicates that something\u2019s wrong. It should never hurt to perform,\u201d says\u00a0William Kanengiser\u00a0\u201981, MA \u201983, an associate professor of practice in classical guitar and a member of\u00a0USC Thornton\u2019s Musician\u2019s Wellness Initiative\u00a0committee.USC Thornton offers wellness information online, as well as lectures and workshops on topics like performance anxiety, musculoskeletal issues, hearing protection, and posture and ergonomics for musicians\u2014some of which are open to the public. \u201cWe want to build awareness among students that good health and good habits are lifelong essentials for performers,\u201d Kanengiser says.That applies to vocalists as much as to a trombone player or cellist. As Reder points out, \u201cSinging is an athletic event. The vocal cords are touching each other at a rate of 200 to 250 times a second.\u00a0Over eight shows a week, that\u2019s a hard thing to do.\u201dAmong vocalists, illness, overuse and trauma can hurt a voice, as can a lack of sleep, poor eating or dehydration. As young artists learn how to use their instruments, they\u2019re also just beginning to learn how to care for them.Mezzo-soprano\u00a0Cynthia Munzer, an associate professor in USC Thornton\u2019s vocal arts and opera program, has sung with the Metropolitan Opera and around the globe, so she understands work-health balance among professional singers. Healthy vocal cords are free of nodules, polyps or inflammation, she says. Yet she admits that for working vocalists, \u201cthat\u2019s a tall order, and the singer is sometimes part of the problem.\u201d\u201cWe are really athletes,\u201d she says\u2014\u201cartistic athletes.\u201dStriking a Chord[\/fusion_builder_column][fusion_builder_column type="1_1" background_position="left top" background_color="" border_size="" border_color="" border_style="solid" spacing="yes" background_image="" background_repeat="no-repeat" padding="" margin_top="0px" margin_bottom="0px" class="" id="" animation_type="" animation_speed="0.3" animation_direction="left" hide_on_mobile="no" center_content="no" min_height="none"] Illustration by Chris Gash<\/figcaption>\n <\/figure>\n \n \n \n\n<\/div>\n \n\n <\/div><\/div>\n\r\n\r\n\n\n \n \n\n\n\n\n\n\n\n
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Just like their orthopedic colleagues, Keck Medicine physicians in the USC Voice Center try to get to the source of their patients\u2019 problems to figure out the best way to treat them.<\/p>\n

\u201cCare of the professional voice is best delivered by an interdisciplinary team,\u201d says Keck Medicine surgeon\u00a0Michael Johns,<\/a>\u00a0director of the center and division director of laryngology, who notes the group includes laryngologists, speech pathologists and singing specialists. \u201cWe work together, evaluating each individual case from different angles.\u201d<\/p>\n

The hallmark tool for diagnosis is called laryngeal videostroboscopy, a synchronized flashing light that\u2019s passed through a flexible endoscope into the throat. It gives doctors a slow-motion view of rapidly vibrating vocal cords. The strobe effect, Johns quips, is \u201clike taking your vocal cords to a disco.\u201d During the procedure, vocalists sing, sometimes accompanied by a keyboard, enabling doctors to accurately assess problems with pitch, range or specific notes.
\nThe vocal cords or folds are just one-sixteenth of an inch thick and prone to injury, but they don\u2019t have much sensation, so you can injure the folds and not feel it, says Johns, recently named by Billboard magazine as one of \u201cMusic\u2019s Top Throat Doctors\u201d nationwide.
\nComplicating the issue: Performers can sometimes \u201cpower through\u201d and develop workarounds that make the problem worse.
\nVoice troubles may also increase with age, he explains. Changes to muscles and mucous membranes over time can result in loss of strength, agility and endurance. When vocal fitness workouts don\u2019t help, physicians can inject fillers to plump up thinning vocal cords. Johns also is researching rejuvenation of vocal cord tissues using a patient\u2019s own stem cells.
\nRecently Justin Fatu Su\u2019esu\u2019e, a USC Thornton master\u2019s student in opera, got a good look at his own vocal cords. At a Musician\u2019s Wellness Initiative event, laryngologist Reder was offering free baseline videostroboscopies to USC Thornton students. Su\u2019esu\u2019e, rehearsing for a lead role as Der Tenor\/Bacchus in the Richard Strauss opera\u00a0Ariadne auf Naxos<\/em>, opening in April at USC, hasn\u2019t had any problems yet. But he wondered if his vocal cords might be getting damaged.
\nHis scope showed them to be healthy, but if he does get sick or injure them, doctors will have an invaluable diagnostic comparison. And when Reder, his Keck Medicine laryngologist, cautioned him that he could potentially do more damage to his vocal cords by speaking than through his singing, that gave Su\u2019esu\u2019e pause. \u201cIt made me more aware I have to be extra careful.\u201d
\nAt age 30, his voice is still maturing, and he aspires to an international career. \u201cKnowing you have medical professionals here at USC who understand the science of what you\u2019re going through, and are just a call or email away, is quite reassuring,\u201d he says.
\nJaven Smith, whose ambition is to be both a recording artist and an actor, is equally comforted that whenever he sees Reder, her findings go to his vocal coach. At Keck Medicine, he says, \u201cyou basically have an entire team of people behind you who are making sure everything\u2019s all right.\u201d
\nFor performers, he believes, consistency is more crucial than just one great night. \u201cTo build a long career of great nights\u2014that\u2019s why keeping your body healthy is so important,\u201d he says.<\/p>\n\n\n\n<\/div>\n <\/div>\n\n\n <\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":72,"featured_media":1084,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"advgb_blocks_editor_width":"","advgb_blocks_columns_visual_guide":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[6],"tags":[106,16,57],"class_list":["post-1081","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-press-release","tag-orthopaedic-surgery","tag-otolaryngology","tag-recent"],"acf":[],"yoast_head":"\nFaculty physicians keep singers, musicians and actors in peak shape<\/title>\n<meta name=\"robots\" content=\"index, follow, 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