What is RSI?
Repetitive Strain Injury (RSI) is a common (work related) disorder. Many synonyms exist such as Cumulative Trauma Disorders (CTD), Occupational Cervico-brachial Disorders (OCD). Literature describes at least 19 different (badly defined) synonyms. Known conditions which have been associated with RSI are:
- Thoracic Outlet Syndrome (TOS)
- Carpal Tunnel Syndrome
There is no consensus as to which conditions belong to the RSI phenomenon. A possible general description might be that RSI is a condition which occurs within specific professions and which involves overstraining (cq overtriggering) of tendons, muscles, ligaments in hand, wrist, arms and neck.
Signs and symptoms
A common complaint is tingling, muscles weakness and swollen joints. Occasionally there is excessive hair growth and sweating hands. Within the field of neurology, this type of complaint is referred to as "autonomous triggering". Factors that may cause or aggravate the problem are:
- Wrong working position: bended forward, static position
- Trauma (fall incidents, accidents) with or without clear injury even if years ago: potential (unrecognized) injuries can severely hamper the function of joints (wrist, elbow, shoulder, neck).
- Ignoring the first signs: slight irritation, pain, tingling
- Bad sleeping position: increases pressure points and strain of the spine
- General physical shape: poor diëet, smoking, stress (at work and privately)
How can the chiropractor help?
Chiropractic has shown to be effective against RSI. In 1988 chiropractor Brussee started to make an inventory of the type of treatments used for RSI among chiropractors. He performed a desriptive study within the NCA into how chiropractors treat RSI which led to the implementation of guidelines towards the treatment of RSI.
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