In the string hand repeated shooting changes the skin and the microcirculation of the fingers
3 studies · 50 archers measured
The summary today
Two small studies of archers, each on a different piece, and a third in kyudo that does not isolate the string hand. On the skin the data are the simplest: in eight Japanese university archers the index fingertip of the string hand is harder than that of six students who do not shoot (49.3 against 39.8 on the durometer scale), and where the skin is harder small differences in pressure tend to be told apart slightly less well, although the right hand was measured in the controls and the groups are tiny. On the vessels the clearest data come from a case examined with capillaroscopy in 2020: a sixteen-year-old compound archer with finger pain has dilated capillaries, with microhaemorrhages, only on the index, middle and ring fingers of the string hand, the three fingers that hook the string, with the thumb, little finger and bow hand unaffected and every test for autoimmune disease negative. It is the strongest argument for tying the picture to the movement, but it is a single case. The 2004 kyudo study finds in its seven practitioners a weaker response of the finger vessels to raising the arm than in kendo masters (137 against 233 per cent), but the difference appears with both arms, the masters have a mean age of 43.7 against university students, and when the arm is lowered neither the discipline nor the hand makes a difference: it says something about the group, not about the string hand. Riportato: the string fingers do change, but nobody knows how often, or where adaptation ends and damage begins.
Also phrased as: "calluses on the string fingers"; "tingling fingers after shooting"; "the archer's fingertip skin"; "circulation in the archer's fingers"; "pain in the string fingers"
In practice
It is said that calluses on the string fingers are the mark of someone who shoots a lot and should be left to form, and that tingling or pain in the fingers after many arrows goes away on its own with rest.
Evidence
-
2004
Context Kyudo archers Published later
35 martial arts practitioners in 5 groups, including 7 university kyudo archers: when the left arm is raised, the response of the finger vessels, as a percentage of the heart-level position, is 137.3 ± 14.2 per cent in kyudo against 233.0 ± 35.9 in the kendo masters (p below 0.05); with the right arm the difference between masters and kyudo stays significant, and the lowest value belongs to the karateka (138.8 ± 18.9). The difference appears with both arms and mixes discipline with age (masters with a mean age of 43.7, kyudo practitioners university students): it does not isolate the string hand.
DIFFERENTIAL DIGITAL PHOTOPLETHYSMOGRAPHIC ANALYSIS OF MICROCIRCULATORY RESPONSES INDUCED BY ARM POSITION CHANGE AND IMAGE LOADING IN KENDO MASTERS · Yukio Tanaka, Kazumi Eguchi, Takashi ITO, Takashi Takemiya
-
2004
Context Kyudo archers Published later
When the arm is lowered amplitude falls in every group (p below 0.05), but there are no differences between disciplines, kyudo included, nor between right and left hands: the change is not located in the string hand.
DIFFERENTIAL DIGITAL PHOTOPLETHYSMOGRAPHIC ANALYSIS OF MICROCIRCULATORY RESPONSES INDUCED BY ARM POSITION CHANGE AND IMAGE LOADING IN KENDO MASTERS · Yukio Tanaka, Kazumi Eguchi, Takashi ITO, Takashi Takemiya
-
2004
Context Kyudo archers Published later
In the same study, during mental images of tension the finger vessels narrow without heart rate or breathing changing significantly, kyudo archers included: the circulation of the fingers also responds to what a person is thinking.
DIFFERENTIAL DIGITAL PHOTOPLETHYSMOGRAPHIC ANALYSIS OF MICROCIRCULATORY RESPONSES INDUCED BY ARM POSITION CHANGE AND IMAGE LOADING IN KENDO MASTERS · Yukio Tanaka, Kazumi Eguchi, Takashi ITO, Takashi Takemiya
-
2007
For Archers Published later
8 Japanese university archers against 6 students who do not shoot: the skin of the index fingertip of the string hand is harder (49.3 against 39.8 on the durometer scale, t(12)=2.199, p below 0.05), and the differential threshold, the smallest difference in pressure that can be told apart, is higher in the archers (0.63 against 0.50, p below 0.01), with a tendency for the threshold to rise where the skin is harder. In the controls the right hand was measured, not the bow hand of the same archer.
Evaluating Tactile Sensitivity Adaptation by Measuring the Differential Threshold of Archers · Kentaro Kotani, Seiji Ito, Toshihiro Miura, Ken Horii
-
2020
For Archers Published later
A 16-year-old compound archer, 5 years of practice, 3 hours a day on 3 days a week plus a competition, 48-pound bow, 100 to 200 arrows a session, with finger pain: in the string hand the efferent capillary loop is dilated to 35 microns (normal 8 to 20), with an efferent to afferent ratio above 2 to 1, microhaemorrhages, granular flow and oedema; the bow hand is normal.
Microvascular Damage in a Young Female Archer Assessed by Nailfold Videocapillaroscopy: A Case Report · Maria Maddalena Sirufo, Enrica Maria Bassino, Francesca De Pietro, Lia Ginaldi, Massimo De Martinis
-
2020
For Archers Published later
In the same case the changes are limited to the index, middle and ring fingers of the string hand, the three fingers that hook the string; the thumb and little finger, which stay free, are unaffected, as are all the fingers of the bow hand.
Microvascular Damage in a Young Female Archer Assessed by Nailfold Videocapillaroscopy: A Case Report · Maria Maddalena Sirufo, Enrica Maria Bassino, Francesca De Pietro, Lia Ginaldi, Massimo De Martinis
-
2020
Context Archers Published later
What changes is the calibre and shape of the vessels, not their number: capillary density and arch architecture are normal (9 to 14 capillaries per millimetre). The first symptoms had appeared at 14, after about three years of practice, and worsened over the last year.
Microvascular Damage in a Young Female Archer Assessed by Nailfold Videocapillaroscopy: A Case Report · Maria Maddalena Sirufo, Enrica Maria Bassino, Francesca De Pietro, Lia Ginaldi, Massimo De Martinis
-
2020
Context Archers Published later
Tests for autoimmune and vascular disease are all negative (antinuclear antibodies, rheumatoid factor, ANCA, ESR and CRP among others), and MRI of the hands and Doppler ultrasound of the arms show nothing abnormal: the picture is not explained by a general disease.
Microvascular Damage in a Young Female Archer Assessed by Nailfold Videocapillaroscopy: A Case Report · Maria Maddalena Sirufo, Enrica Maria Bassino, Francesca De Pietro, Lia Ginaldi, Massimo De Martinis
Status history
- 2004 Not studied The first data close to the question come from kyudo and concern the finger vessels at rest. Seven university kyudo practitioners show, when the arm is raised, a weaker vessel response than kendo masters, 137 against 233 per cent with the left arm, but the difference appears with both arms, the masters have a mean age of 43.7 against university students, and when the arm is lowered there are no differences between disciplines or between right and left hands. The study does not isolate the string hand, and nobody has yet measured the skin or vessels of the fingers that hold the string: not studied.
- 2007 Reported The first study of the string fingers comes from archers and concerns the skin: in eight university archers the index fingertip of the string hand is harder than that of six students who do not shoot, 49.3 against 39.8, and where the skin is harder small differences in pressure tend to be told apart slightly less well. The right hand was measured in the controls and the groups are tiny, but the change is on the fingers that hold the string: a single small study, and the status moves to reported.
- 2020 Reported A case examined with capillaroscopy brings the question to the archer's microcirculation: in a sixteen-year-old compound archer with finger pain, the capillaries of the index, middle and ring fingers of the string hand are dilated to more than twice normal, with microhaemorrhages and granular flow, while the thumb, little finger and the whole bow hand are unaffected. Capillary density and architecture are normal, tests for autoimmune and vascular disease negative, and the load was high, one to two hundred arrows a session with a 48-pound bow. The distribution over the three fingers that hook the string ties the picture to the movement, but it is a single case: with two studies in favour, both small and on different things, the status holds.
Related
Related articles
- Dexterity, sensitivity and grip: how archers' hands differ, and how much that weighs on the scoreFine dexterity, fingertip sensitivity, grip strength and hold time: how archers' hands differ, and which of these goes with the score among archers.
- Hands, fingers and calluses: skin, small vessels and injuries in archers who shoot a lotHarder skin, calluses, the small vessels of the fingers and acute injuries: what studies have measured in archers' hands, and how firm the findings are.
Research lines
Studies describe groups of archers, and your own numbers show how far the finding applies to your shooting.
See the programmeCite
Campagna, M. (2026). In the string hand repeated shooting changes the skin and the microcirculation of the fingers (Version 2). In Evidence Registry. Retrieved 16 October 2026, from https://matteocampagna.com/en/registry/health/string-hand-skin-microcirculation
@misc{campagna2026_manocordaditaadattamenti,
author = {Campagna, Matteo},
title = {In the string hand repeated shooting changes the skin and the microcirculation of the fingers},
year = {2026},
howpublished = {Evidence Registry, matteocampagna.com},
url = {https://matteocampagna.com/en/registry/health/string-hand-skin-microcirculation},
note = {Version 2; accessed 2026-10-16}
}
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