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• Gradual onset of playing impairment (usually longer than hours to days)
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• Diffuse sense of loss of fine control of finger or hand movements
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• Need for increased effort to perform passages that were previously automatic
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• Absence of pain
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• Absence of numbness or parasthesias
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• Impairment that does not remit, although it may wax and wane
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• Practicing worsens the condition
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• Rest does not help
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• Impairment is present almost from the moment of playing (i.e. there is not a window of normal playing for 10–15 minutes before symptoms occur)
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• Changing technique or refingering passages temporarily helps, but symptoms eventually recur
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