Wrist and Shoulder Pain (RSI?)

trialanderror.

Repetitive Strain Injuries (RSIs) are also known as:

- repetitive stress injuries (also RSIs) or repetitive stress disorders (RSDs)
- cumulative trauma disorders (CTDs)
- occupational overuse syndrome (OOS)
- work-related musculoskeletal disorders (WRMSDs)
- or a number of other less-familiar terms

Different regional areas and different groups of practitioners tend to use different terms even though they are speaking of the same thing. In fact, in one newsletter related specifically to repetitive strain injuries, three different terms were found on the same page within the same article! It's no wonder there is much confusion.

The term repetitive strain injury is a general term that is used to describe a type of injury/condition that often occurs from excessively repetitive or stressful activity. The term does not describe a specific diagnosis (for example, carpal tunnel syndrome). As there are many specific diagnoses that can fall under the general category of repetitive strain injury, symptoms can vary dramatically from person to person.


So, first it is necessary to get a diagnosis for what is causing your discomfort. Treatment is then aimed at treating that disorder. The first step for therapists, who treat conditions brought on by repetitive activities, is to either stop the activity or modify it so that it no longer causes the stress on the body part.

If the modification of the activity, by decreasing the amount, the intensity, changing the biomechanics involved, using ergonomic aids, whatever, does not take care of the problem, then you have to get a physician involved. Usually, these conditions are treated by an orthopedic surgeon, hand surgeon, or a physiatrist (specialist in PM&R - physical medicine and rehabilitation), depending upon what is needed.

Most of these conditions can be treated with activity modification, therapy, and medications. However, some conditions do have to be treated surgically, if there is a structural problem.

But, again, the first step is getting a firm diagnosis. Repetitive Strain Injury is not a diagnosis, it is more of a cause of the underlying disorder.

Good luck.