That I have thoracic outlet syndrome is not particularly interesting. That a lot of major league pitchers have it too -- according to my brother-in-law -- is marginally more interesting, but not by much.

Here is my layperson's understanding: the cluster of muscles in and around the "thoracic collar" seize up and won't unclench. Nerves and blood vessels  constrict. Symptoms ensue.

It's mostly low level pain, unless I move in the wrong way. (Trying to put on a coat right-arm-first, for instance, and then wriggle my left arm in.) I've learned to adjust the way I move, the way I sleep, the way I wash my hair. 

I don't like the chronic pain or the inability to lift my arm. But what I really don't like is how it impacts my ability to play guitar. I don't feel like I'm a "serious" guitar player, but my guitar feels to me like an extension of my hands and arms even so. 

Thoracic outlet syndrome can cause pain, and/or weakness, and/or numbness. I'm not always able to manage barre chords these days. Sometimes I can play them; sometimes not. Sometimes I start a song and midway through realize I can't barre. 

It's a little bit funny when I stop and think about it. The pain is annoying but bearable. The limited range of motion is annoying but bearable. But if it gets in the way of my ability to make music? Whoa, hold up there, I can't live like that!

I will put up with pain, discomfort, and numbness. But if they are impinging on my ability to make music -- which is interwoven with one of the ways I most love to pray -- then that's a non-starter. Music is necessary to my soul, like breathing.

I can still lead prayer with my guitar. I'm just aware that it's more difficult than I want it to be. I have to work around the limitations imposed by my neck and shoulder and arm. I'm aware that my body isn't working quite as well as I want it to be.

Blessed are You, Adonai our God, source of all being: You form the human body with wisdom, creating the body's many pathways and openings... 

My thoracic outlet syndrome has given me another point of engagement with Asher Yatzar. That's the blessing that reminds us that we can't pray if our bodies malfunction too profoundly -- if something opens that should be closed, or vice versa.

Sometimes we offer this prayer during Shabbat morning services. It appears in our siddur alongside the prayer for the soul. I call it "the prayer for having bodies that mostly work, most of the time." That usually gets a rueful laugh from someone.

Because even the healthiest among us have bodies that don't always work the way we want them to. Or if they do now, we know that if we live long enough, they won't anymore. This fragility, this imperfection, seems to be built into embodied life. 

Maybe that's why this balancing act feels built-in, too. Making music with an arm that doesn't always work; praying with a heart and mind that don't always work; balancing our broken places with our whole ones -- isn't that always what we're here to do?

Praise God in market and workplace,
With computer, with hammer and nails,

Praise him in bedroom and kitchen;
Praise him with pots and pans.

(So writes Stephen Mitchell in his rendering of Psalm 150.)  In that vein... Praise God in physical therapy and on the massage table, with resistance bands and heating pads. Praise God with the range of motion that might become possible again. 

Or in the words of Psalm 118:5, "From the narrow place I called to You; You answered me with expansiveness." May the Holy One of Blessing answer all of our constricted places, our tight and painful places, our restricted-motion places, with freedom.