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The Hyoid Bone

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Updated: May 8, 2026

Chuzhen Therapy as a Non-Invasive Traditional Chinese Therapy for Neck Pain

Chuzhen Therapy as a Non-Invasive Traditional Chinese Therapy for Neck Pain

Published on: June 6, 2025

[Fiddler's neck].

C Knierim¹, W Goertz, J Reifenberger

¹Hautklinik, Universitätsklinikum Düsseldorf, Moorenstr. 5, 40225, Düsseldorf, Deutschland.

Der Hautarzt; Zeitschrift Fur Dermatologie, Venerologie, Und Verwandte Gebiete

|August 31, 2013

Summary

This summary is machine-generated.

Fiddler's neck, a type of acne mechanica, presents as a persistent nodule on violinists' necks. Management requires addressing mechanical triggers through posture changes or instrument modifications.

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Area of Science:

Dermatology
Musculoskeletal Conditions

Background:

Acne mechanica is a form of acne caused by prolonged friction, pressure, or stretching of the skin.
Violinists and violists are susceptible to a specific variant known as "fiddler's neck" due to instrument contact.

Observation:

A 72-year-old female violinist presented with an 18-month history of a firm, red-brown dermal nodule on her neck.
The nodule, characteristic of fiddler's neck, persisted despite cushioning interventions.

Findings:

Fiddler's neck is an uncommon presentation of acne mechanica.
Therapeutic challenges arise from persistent mechanical factors inherent to playing the violin.

Implications:

Treatment may involve surgical excision for persistent lesions.
Corrective strategies include modifying playing posture and chin rest modifications to reduce skin pressure.
Interposing a neck cloth can offer supportive relief.