Why Choose Us
A Multidisciplinary Team Dedicated to You
If you’re a musician and you play the trumpet / trombone / horn / tuba / euphonium, you know that performance is a delicate balance between load, neuromuscular efficiency, and tissue tolerance.
Rigenera Brass Lab is a clinical and artistic pathway designed for musicians who want to focus on prevention or who are dealing with an injury or condition. We assess and treat the factors that limit endurance, range, sound quality, and control—reducing the risk of overuse, or, if you’re currently facing a problem, guiding you back to playing (return to play) after the acute phase and helping prevent recurrences.
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The Team
A multidisciplinary team that integrates clinical expertise with performance-oriented skills to guide you through a comprehensive pathway dedicated to brass musicians. We work in synergy with a task-specific approach built around your goals (endurance, range, control, and sound quality), attentive to the details of your playing mechanics and focused on measurable, sustainable, long-lasting results.
Clinical care and performance in one team: a lab dedicated to brass players.
How We Can Help
We work on the relationship between:
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Airflow + pressure management (breathing efficiency and load control)
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Aperture / lip function (endurance and precision)
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Cranio-cervical region / shoulder girdle / thorax (the setup that supports the air column)
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TMJ and the orofacial component (tension, compensations, coordination)
Goal: to make your playing mechanics repeatable, efficient, and sustainable during periods of high performance load (auditions, tours, productions).
For musicians who are looking for integrated technical and clinical support, aligned with real on-instrument practice.
Who Is It For?
and possible clinical correlates
Frequent Issues
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Range that “disappears” when you’re cold or at the end of a session
→ load management + local fatigue, cervical compensations, excessive mouthpiece pressure, thoracic stiffness
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Low endurance / slow recovery (even with good technique)
→ reduced tissue tolerance and conditioning, inefficient breathing pattern, overuse of neck/jaw muscles -
Unstable sound or “pushed” tone in loud dynamics
→ impaired airflow/pressure coordination, dysfunctions in the cranio-cervical tract and the scapulo-thoracic region -
Jaw tension, clenching, TMJ clicking/pain
→ stress on the TMJ and masticatory muscles, lingual/labial compensations, uneven distribution of orofacial (oromyofunctional) load -
Neck/shoulder/scapular pain during long rehearsals
→ reduced shoulder-girdle control and endurance, thoracic stiffness, posture not functional for playing -
If you want, I can also adapt this into a more “website-friendly” version (less technical, more readable) while keeping the same content.
Important: please bring your instrument and mouthpiece(s) (and, if you use them regularly, your main mutes).
Assessment Protocol
1. Performance-oriented history (anamnesis)
2. Task-specific observation: you play in the studio
3. Clinical-functional assessment
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cervico-thoracic and costo-vertebral mobility, endurance, and coordination; respiratory core control
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TMJ screening
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orofacial and myofunctional speech-therapy assessment
4. Immediate output
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“bottleneck” hypothesis (where efficiency is lost)
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work priorities
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first practical corrections/strategies to reduce compensations and load
Treatments
Multidisciplinary, guided by a lab mindset
Physiotherapy (performance & load management)
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Ultrasound-guided physiotherapy
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Physiotherapy targeting facial muscles and the playing gesture
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Neuromodulation
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State-of-the-art devices used by elite athletes, adapted to support musicians
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Recovery and management of overuse pain (neck/shoulders/upper back)
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Scapular control and specific endurance for long sessions
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Thoracic mobility and breathing–posture integration
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Load-progression strategies (returning to volume/intensity without setbacks)
Osteopathy (targeted manual work, not “generic”)
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Treatment of structures related to breathing (cervico-thoracic and abdominal regions)
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Targeted work on stiffness and compensations (also in acute/subacute phases)
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Cranio-facial treatment
Speech Therapy (orofacial function & coordination)
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Management of orofacial compensations (when relevant)
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Coordination of lips/tongue/jaw in relation to the playing gesture
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Functional education and strategies to reduce overload in the head–neck region
Facial massage for musicians: Rigenera BrassFace Reset™
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A targeted hands-on treatment for brass musicians, designed to:
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reduce hypertonicity and fatigue in the masseters, temporalis, perioral and submandibular areas
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improve the feeling of “softness” and control during warm-up or after high-load sessions
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support work on TMJ issues and cervical compensations when present
Instrument-specific technical consultation with Giuliano Rizzotto
A performance-oriented session integrated with the clinical assessment (not a traditional lesson), useful to:
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identify “trigger” passages (range, attacks, endurance, dynamic changes)
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observe playing strategies and compensations in relation to load
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align musical goals and the clinical plan (routines, peak management, return to form)
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define a practical, sustainable routine within your schedule (practice/rehearsals/concerts)
OUR KEY STRENGTHS
Client Feedback
Each Rigenera Brass Lab intervention is designed to improve comfort, control, and efficiency in your playing mechanics, combining clinical expertise, targeted technical work, and a pathway built around your musical goals. Results are reflected in your sound and on-stage stamina but the true value of our work emerges in musicians’ experiences.
Discover what people say about us:
Paolo M.
trombonista (post paralisi facciale)
“Dopo una paralisi facciale avevo asimmetrie evidenti e soprattutto poca fiducia: l’embouchure non ‘rispondeva’ e compensavo con mandibola e collo. Il percorso di fisioterapapia e il lavoro clinico mirato mi ha dato una progressione chiara, senza forzare. Ho recuperato controllo e resistenza, e oggi riesco a suonare con una sensazione molto più stabile e prevedibile.”
Chiara S. trombettista (overuse / sovraccarico)
“Periodo di audizioni + lezioni = volume altissimo, e mi è esploso un overuse: stanchezza locale, suono che si chiudeva e dolore cervicale. Non mi hanno ‘solo trattata’: hanno ricostruito il mio carico, cambiato la densità delle sessioni e inserito una progressione realistica. In poche settimane sono tornata a reggere, con un recupero molto più rapido tra un giorno e l’altro.”
Riccardo F. corno
(distonia focale)
“Quando è comparsa la distonia mi sembrava di perdere il controllo fine: attacchi incerti, sensazioni strane, più cerchi di correggere e peggio va. Ho trovato un approccio serio e rispettoso: niente ricette magiche, ma lavoro su coordinazione, riduzione dei compensi e strategie pratiche per rendere il gesto più ‘pulito’. Anche la consulenza tecnica mi ha aiutato a non inseguire il problema, ma a gestirlo con criteri chiari.”
Matteo G. trombone basso (problema ATM)
“Tour = tanti viaggi, poche ore di sonno e prove lunghe. Mi si infiammava l’ATM e la mandibola diventava ‘dura’, con suono più chiuso. Tra trattamento mirato e BrassFace Reset™, ho sentito subito meno congestione; poi, con gli esercizi, ho avuto un controllo più pulito anche nei giorni pesanti.”
Francesca T. corno
(problema cervicale e PRMD)
“Stavo preparando un concorso e mi si presentava sempre la stessa cosa: tensione al collo, formicolio al braccio e instabilità sugli attacchi dopo 40–50 minuti. La valutazione su passaggi reali è stata illuminante.La consulenza con Giuliano mi ha aiutato a integrare tutti i consigli nel mio warm-up e con la progressione del carico corretta, ho recuperato continuità e sicurezza.”
NB A tutela della privacy dei nostri pazienti le foto sono eseplificative e non corrispondono all'autore della recensione
Workshops and collaborations
We can organize sessions for instrument classes, ensembles, orchestras, and schools: screening, prevention, load hygiene/management, and practical strategies for intensive periods.
Personalized Pathways
3 common options
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Performance Screening (initial assessment)
Comprehensive evaluation + on-instrument sound/play analysis + action plan. -
Endurance/Range Pathway (4–6 sessions)
Goal: improved efficiency + load tolerance + stable mechanics at high volume. -
“Return to Play” Pathway (2–8 sessions, flexible)
To return after pain/time off/surgery: graded load progression + compensation control.
Booking note: if you can’t find an option called “Brass Lab,” book the initial assessment with the indicated professionals and write “Rigenera Brass Lab” in the notes.
Key Clinical Conditions
This section does not replace a diagnosis: it is intended to outline the most common presentations and explain, in technical terms, what we assess.
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TMJ disorders (TMD): myalgia, arthralgia, clicking/locking
Typical signs: jaw pain or stiffness, clicking, locking, chewing fatigue, temporal headaches, difficulty “releasing” the embouchure after intense sessions.
What we assess: mandibular ROM, provoked pain, opening pattern, masticatory muscles (masseter/temporalis/pterygoids), cranio-cervical integration, load-related triggers (loud dynamics, high register, long sessions).
How we intervene: targeted manual work + control exercises and strategies to reduce overactivity; when indicated, integration with BrassFace Reset™ and functional training (speech therapy/osteopathy). -
Neck pain and cranio-cervical dysfunction (upper-chain overload)
Typical signs: “locked” neck, pain with extension/rotation, suboccipital tension, cervicogenic headache, increased compensations in the high register or loud playing.
What we assess: cranio-cervical control, deep neck flexor endurance, scapula–neck relationship, breathing pattern, thoracic stiffness.
How we intervene: physiotherapy (control + endurance) + targeted osteopathy; load progression to reduce recurrences during production/audition periods. -
Mid-back pain and thoracic (costo-vertebral) stiffness impacting airflow
Typical signs: “closed” chest, breath perceived as short, early fatigue in loud dynamics, sound instability at the end of a session, interscapular stiffness.
What we assess: thoracic mobility, trunk control, breathing–posture coordination, pressure/compensation strategies.
How we intervene: mobility work and active control + targeted manual techniques; pre/post-session routines with measurable goals. -
Scapular dysfunction and shoulder overload (impingement/tendinopathies)
Typical signs: anterior shoulder pain, discomfort during dynamic changes, upper trapezius tension, “elevated” scapula, fatigue during long sessions or when playing standing up.
What we assess: scapulo-humeral rhythm, shoulder-girdle endurance, cervical and thoracic compensations, instrument-specific load and functional playing posture.
How we intervene: physiotherapy focused on scapular endurance and coordination; load progression and strategies to distribute effort. -
Orofacial myofascial pain (myofascial trigger points) (masseter/temporalis/perioral) and clenching
Typical signs: “vise-like” sensation, lips losing precision, local fatigue, perioral tension after long rehearsals, referred pain to temples/ear.
What we assess: trigger points, jaw/neck overactivation patterns, relationship with mouthpiece pressure and effort management (RPE).
How we intervene: targeted manual techniques/release + functional education; when indicated, BrassFace Reset™ to decompress and reduce post-load hypertonicity. -
Orofacial coordination disorders (when efficiency doesn’t “hold”)
Typical signs: unstable sound without an obvious cause, precision decreasing with fatigue, difficulty maintaining a “free” feeling in target passages, jaw/tongue compensations.
What we assess: lip–tongue–jaw coordination in relation to the task, breathing pattern, cervical compensations, technical triggers on real repertoire.
How we intervene: orofacial speech therapy (when indicated) integrated with clinical work; optional technical consultation with Giuliano Rizzotto to align musical targets and load management. -
Overuse and load-related syndromes from volume/intensity (Return to Play)
Typical signs: recurring flare-ups, “on-and-off” pain, needing to reduce volume to cope, worsening after peaks (tours, productions, auditions).
What we assess: load timeline, session density, recovery, RPE, factors that trigger symptom spikes.
How we intervene: graded progression plan (volume/intensity/frequency) + recovery strategies and micro-cycles; follow-up using simple metrics. -
Paresthesia/radiation (cervico-brachial symptoms) during or after playing
Typical signs: tingling in the arm/hand, heaviness, worsening in prolonged static positions.
What we assess: neurodynamic screening, posture and stability, cervico-thoracic and scapular contribution, compression/irritation factors.
How we intervene: targeted treatment and retraining; if atypical or progressive signs emerge, appropriate medical referral.
Red flags (do not ignore): persistent jaw locking with severe pain, progressive strength or sensation deficits, severe unexplained night pain, acute neurological symptoms. In these cases, prompt medical evaluation is required.
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