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I had tendonitis at the base of my thumb, and it was incredibly painful to play. I tried all manner of straps and even a Claricord. As an engineer I had a "Guinness" moment - rather than the weight of the horn being reacted out at the end of the thumb (putting the maximum torque on the base of the thumb) move the support closer to the base of the thumb (minimizing the torque). Worked phenomenally well and also steadys the horn.
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