Today, music creation software and hardware are central to the workflow of most professional composers, producers, and songwriters. Music is an aural art form, but it is notated graphically, and highly visual mainstream technologies pose significant accessibility barriers to blind and visually impaired users. Very few studies address the current state of accessibility in music technologies, and fewer propose alternative designs. To address a lack of understanding about the experiences of blind and visually impaired music technology users, we conducted an interview study with 11 music creators who, we demonstrate, find ingenious workarounds to bend inaccessible technologies to their needs, but still face persistent barriers including a lack of options, a limited but persistent need for sighted help, and accessibility features that fail to cover all use cases. We reflect on our findings and present opportunities and guidelines to promote more inclusive design of future music technologies.