(Last Updated On: March 24, 2024)

Repetitive Strain Injury –

Whether you are a frequent computer user such as office worker or dedicated gamer, musician or painter, factory line worker or an athlete.

Chances are, you’ve been affected by some sort of Repetitive Strain Injury at some point of your life.

A more serious or milder version of it, whether you know it or don’t. What to do if you’re affected with RSI? What causes this debilitating, painful condition?

What are the common symptoms & what happens if you don’t treat RSI properly early on?

How to recover quickly? What are the prognosis? Is it self-diagnosable, or should you run to doctor immediately?

Repetetitive Strain Injury  – Cumulative Trauma Disorder

Repetitive Strain Injury –

First off you should know that Repetitive Strain Injury (RSI) is not a single, specific medical diagnosis. It’s rather a family of conditions & medical disorders.

For example, specific types of RSI can be Tendinitis, such as Epicondylitis – Both Medial & Lateral Epicondylitis that we usually refer as Tennis Elbow & Golfer’s Elbow.

Also Cubital Tunnel Syndrome, Thoracic Outlet Syndrome or Bursitis to name a few. RSI can also lead to many other closely associated conditions such as Carpal Tunnel Syndrome or even Arthritis.

What are the Behavioral Changes that Can Indicate to RSI?

Do You Experience the Following?

  1. Are you clumsy & keep dropping items more than you normally do?
  2. Are you frequently using non-dominant hand & avoiding using other hand that hurts occasionally?
  3. Are you using other limbs & body parts, such as feet, hips, elbows or shoulders to push the doors open?
  4. Are you having trouble with activities like brushing teeth, using keys, putting on jewelry or certain clothes?
  5. Are you feeling weakness in hands & changing regular shopping habits because you can carry less?
  6. Are you protective towards your hands & you avoid using bracelets because your wrists feel tender?
  7. Are you frequently, sub-consciously giving a self-massage to your hand?
  8. Are you having sympathy pain when someone else talks about their hand pain problems?
  9. Are you avoiding certain activities & you don’t play sports that you used to enjoy?

What Symptoms Can Indicate You Might Suffer from RSI?

Typical Symptoms of RSI

Repetitive strain injury is cumulative trauma disorder
  • Do you have chronically cold hands?
  • Do you feel weakness in your fingers, hands & forearms?
  • Do you have hypersensitivity & heightened awareness?
  • Do you feel heaviness, like your hands are dead weight?
  • Do you have lack of coordination, & feel clumsy?
  • Do you feel tingling & numbness in your fingers?
  • Do you have less strength in your hands than usually?

The most common symptoms of RSI are pulsing pain & aching, weakness & tingling in arms, hands, neck or shoulders. RSI is usually caused by cumulative traumas – Repetitive, forceful & awkward movements. It’s likely related to overuse of muscles & tendons in both, your upper & lower body.

Who Are at Greater Risk to Be Affected with Repetitive Strain Injury?

Anyone Who’s Using Bad Posture

  • Those who are using bad posture – It’s the root of evil, & the biggest risk factor in RSI case
  • Anyone who’s performing awkward movements & in overall, is using bad techniques
  • Those who are regularly using computer, usually every day & more than 3 hours a day
  • Anyone who does not exercise regularly is likely exposed & has much higher risk
  • Those who don’t take breaks often & are too tense, focused only on their job tasks
  • Anyone who has sedentary & unhealthy lifestyle is always at significantly greater risk
  • Those who are affected with arthritis, diabetes & related serious medical conditions
  • Anyone who are under continuous stress is at high risk to be affected with RSI
  • Those who are overweight are vulnerable to serious medical conditions, including RSI
  • Anyone who uses repetitive movements to perform their regular every day job tasks

What Can You Do at Home to Treat & Prevent RSI?

The 5 Most Important Steps

  1. Modify Your Activity – If you experience pain, you need to stop that movement immediately that is causing you pain in the first place. Find proper techniques to prevent RSI as much as possible.

  2. Use Painkillers – Start using ice pack, heat pack, or Over-The-Counter type of anti-inflammatory medicine to relieve pain & reduce inflammation in your muscles & tendons.

  3. Keep Resting – It’s mandatory to rest as much as possible to recover quickly & effectively without any further complications. Avoid cumulative injuries & trauma.

  4. Protect Your Arms – Keeping good posture is one of the smartest moves you can do. Depending on your condition, use elbow sleeves or wrist counter-force braces to protect your body.

  5. Start Physical Therapy – Start exercising as soon as possible. This can likely be make or break moment if you want to make an effective change in the long run.

Repetitive Strain Injury –

Follow These 5 Important Steps to Treat RSI

#1 Additional Medical Approaches for RSI

Additional Medical Approaches for RSI

If these previous steps are not effective enough, additional medical approaches can be taken. Depending on your condition & severity of the case, some of these following medical approaches can be beneficial:

  1. Ultrasound Therapy – Therapeutic ultrasound is using very high frequency sound waves, that are used to break up stony deposits or tissue, or accelerate the effect of drugs in targeted area. It can be effectively used on muscle strains & ligament sprains, tendonitis & joint inflammation, osteoarthritis & rheumatoid arthritis. It can effectively speed up recovery, improve blood flow, massage the targeted area, also decrease pain & swelling in tissue.

  2. Shockwave Treatment – Extracorporeal Shockwave Therapy (ESWT) is used to treat tendon, muscle & joint conditions. It stimulates wound healing mechanisms & has shown excellent results in Tennis Elbow case, as well as in multiple other tendonitis cases such as in knee & shoulder rotator cuff, or plantar fasciitis. This type of treatment is non-invasive, has no side effects & promotes long term healing.

  3. Steroid Injections – Cortisone steroid injections are powerful anti-inflammatory medication, that are highly effective solution in short-term. It is often used in tendonitis cases to quickly reduce swelling, inflammation & relieve pain in affected tissues. Although, it’s one of the last resorts before surgery & has possible side effects.

  4. Platelet Rich Plasma Treatment – A relatively new type of treatment that includes procedure where a portion of patients own blood is being injected into infected tissues to promote faster healing. It’s been very effective to heal injured tendons, muscles, ligaments & joints. It’s possibly one of the better alternative options to treat tendonitis.
#2 Alternative Approaches to Treat RSI

Alternative Approaches to Treat RSI

  1. Massage – It’s very helpful strategy to stimulate blood flow & help muscles to relax. It’s good to improve blood circulation in affected areas & beneficial to speed up overall recovery. It alleviates muscle soreness, helps to improve tissues flexibility & mobility.

  2. Acupuncture – Another good alternative for some certain conditions such as knee pain, back pain, osteoarthritis. Its value is still uncertain, meanwhile research suggest it can be helpful. Many folks recommend it, & have found multiple benefits, including relief for pain from acupuncture.

  3. Pilates & Yoga – Excellent approach, not only to recover from medical condtition, but to stay healthier in the long term & prevent further symptoms. This is as good as physical therapy can get. There are a lot of variables for every taste to make it work effectively on individual level.
#3 Surgery is Most Aggressive Approach to Treat RSI

Surgery is Most Aggressive Approach to Treat RSI

Traditional open surgery or arthroscopy are two common, possible surgical approaches to treat RSI. There are also multiple other types of surgeries being performed, depending on which type of RSI patient is affected with.

Although surgery is considered the last resort & rarely needed in RSI case, it’s the most aggressive approach that can bring good results.

Meanwhile surgery can cure the underlying conditions that causes inflammation & pain, it is still paramount to modify patients activity & keep proper postures, before & after surgery: To protect tendons, joints & ligaments to prevent further symptoms, or prevent RSI from returning.

Otherwise, if patient keeps repeating the same negative patterns, surgery would be flat out meaningless & rather temporary fix only until RSI condition reoccurs.

Is Surgery a Right Approach for Repetitive Strain Injury?

Don’t Rush

This is the stage where you don’t want to rush, but you also don’t want to overlook this option too easily. Causing a dangerous situation by seeking a quick fix isn’t the most desirable solution. Avoid that if possible.

Some doctors are too hasty, rushing you to surgery, hoping to treat RSI quickly. This isn’t always the best solution, you should consider your options carefully before taking action & consult with several medical professionals.

The biggest questions that you should ask here are:

What type of RSI is it? And how severe your case is?

To have correct answers to these two questions, you want to find a qualified & competent doctor.

This is the first step in the process to conclude & confirm your RSI diagnosis.

Treat Repetitive Strain Injury with stretches and exercises

The trickiest part is diagnosing RSI. It can be difficult in many cases, especially if one of the symptoms of RSI condition is compression to nerves. It can cause symptoms that are deceptive in their nature.

Surgery is typically a last resort & rarely used. Recovery without surgery is possible & you want to always consider nonsurgical options first. Depending on type of RSI, in some cases surgery isn’t an appropriate treatment.

You should always remember, even if you have successful surgery, it’s paramount to modify your activities accordingly. Your symptoms will return if you’re continuing bad habits that caused RSI condition in the first place.

Before You Continue with Exercises You Need an Overview

What Exactly is Repetitive Strain Injury?

Repetitive Strain Injury (RSI) is most commonly defined in medical terms as cumulative trauma disorder. RSI is rather a family of conditions & medical disorders than single condition.

Repetitive Strain Injury is a very common condition, that is treatable by medical professional. Lab tests or imaging are often not required & RSI is usually self-diagnosable. Some types & cases of RSI can be difficult to diagnose.

RSI is affecting more than 3 million people in US per year. The elderly people are most commonly affected. RSI usually affects age groups between 40 to 60 years but can also affect younger age groups, both men & women.

RSI is a medical condition that is causing pain in nerves, muscles, tendons & ligaments due to prolonged & repetitive, as well as forceful & awkward hand movements. Poor posture, improper technique & muscle overuse combined with muscle imbalance can lead to RSI condition.


  • What is Repetitive Strain Injury? RSI is cumulative trauma disorder, caused by overuse & repetitive motions. RSI is rather a family of disorders than a specific diagnosis – It can affect arms, wrists, hands, neck & shoulders. A form of Repetitive Strain Injury can be Carpal Tunnel Syndrome (CTS), or Tendonitis such as Tennis Elbow & Golfer’s Elbow. Also, in rarer cases Thoracic Outlet Syndrome (TOS) & multiple related conditions.

  • What are the symptoms of Repetitive Strain Injury? The common symptoms of RSI are weakness in hands, tingling & pulsing pain. Those who are affected initially feel intermittent pain, that becomes more frequent & intense over time. RSI causes acute pain, but if left untreated, it can lead to chronic pain. Pain associated with RSI can spread to muscles & joints, in hands, wrists, shoulder, neck & also upper back.

  • What causes Repetitive Strain Injury? Overuse, abuse, repetitive motion, poor posture, improper technique, awkward & forceful movements. RSI is caused by cumulative traumas rather than single event. RSI can be associated with occupational injuries – iPod Finger, Blackberry Thumb, Mouse Arm Disease, Play-station Thumb, Rubick Wrist, Stylus Finger.. some of the popularly referred terms.

  • How to diagnose Repetitive Stain Injury? Diagnosing Repetitive Strain Injury starts with physical examination that includes your medical history. It’s usually self-diagnosable, lab tests & imaging are often not required. Additional lab test & imaging such as using X-ray or MRI can be effectively used to spot abnormalities in structure, & more importantly, to rule out other possible conditions to effectively conclude the diagnosis. If doctor suspects infection, blood tests can be useful to help to conclude diagnosis.

  • How to treat Repetitive Strain Injury? Early stage RSI treatment includes rest, using painkillers & modifying affected individual activities as well as using prescribed medicine if necessary. That is usually paired up with physical therapy, & using correct postures as well as using ergonomic modifications to prevent further symptoms. Also several medical treatments are possible, such as  ultrasound therapy, platelet rich plasma & shockwave treatment. As a last resort cortisone steroid injections are possible solution. Most aggressive approach would be surgery, if other forms of treatments are not effective enough.

  • What Happens if Repetitive Strain Injury is Left Untreated? Almost always & in most cases, an acute RSI condition becomes a chronic RSI condition if left untreated. It can lead to constant pain, immobilized joints & in severe cases to completely torn, ruptured tendons. If Repetitive Strain Injury is left untreated, ultimately, some forms of RSI can even lead to Arthritis. If inflammation caused by RSI causes compression on nerves, or has become infectious, it can lead to serious complications. Compressed nerve can cause numbness, tingling, weakness & can lead to permanent nerve damage.

Diagnosing RSI properly & treating it in early acute stage is paramount. Remember, while actively using alternative options, do not postpone seeing a medical professional.

Making a doctor appointment to get precise & conclusive diagnosis can prevent serious complications. Treating a condition in early stages is far better solution than letting it to progress to severe complications.

Excellent Resources that Give You Advice On How to Treat RSI

Gain Valuable Insight

#1 “Dr. Pascarelli’s Complete Guide to RSI”
Dr Pascarellis Complete Guide to Repetitive Strain Injury, book

#2 “It’s Not Carpal Tunnel Syndrome!”
It's Not Carpal Tunnel Syndrome - RSI Theory and Therapy for Computer Professionals, book cover

#3 “RSI – A Computer User’s Guide”
Repetitive Strain Injury - A Computer Users Guide, book cover

#4 “Trigger Point Therapy for RSI”
Trigger Point Therapy for Repetitive Strain Injury book

How Many Different Types of Repetitive Strain Injury (RSI) Are There?

Multiple Types & Related Conditions

  • Tendinitis – Irritation of tissue that connects muscle to bone – Swelling, stiffness, lack of mobility & pain in tendons
  • Ulnar Collateral Ligament injury (ULC) – Gamekeeper’s Thumb, or Skier’s Thumb – Repetitive trauma to the thumb
  • Cubital Tunnel Syndrome (CTS) – Compression on ulnar nerve, causing tingling & numbness in fingers – It’s similar to CTS
  • Carpal Tunnel Syndrome (CTS) – Compression on medial nerve in wrist – It’s a painful & progressive condition
  • Thoracic Outlet Syndrome (TOS) – Compression of nerve or blood vessels in shoulder – Numbness & pain in neck area
  • Tenosynovitis (Tendovaginitis) – DeQuervain’s Syndrome, a condition & RSI where tendon sheath becomes inflamed
  • Dupuyten’s Contracture – A progressive medical condition that causes fingers to stay bent forward palm of the hand
  • Diffuse RSI – It’s considered a non-specific pain syndrome, there’s pain in body but the source is difficult to locate
  • Dystonia (Writers cramp) – A medical condition that causes involuntary muscle contractions, cramping & twitching
  • Bursitis (Bursa Inflammation) – Fluid-filled pads that help to cushion the joints, in shoulders, knees, elbows, hips
  • Ganglion Cyst – Noncancerous cysts caused by repetitive motions in wrists, fingers, shoulders, toes, ankles, knees

Repetitive Strain Injury –

Learn About Different Types of Repetitive Strain Injury

#1 Tendinitis

#1 Tendinitis

Tendonitis, also called tendinitis, is a common medical condition: It is also one of the most common types of Repetitive Strain Injury (RSI) – A medical condition where the soft tissue that’s connecting muscle to bone becomes inflamed.

Different forms of tendinitis are affecting millions of people every single year across the globe. Most common types & typical examples of Tendinitis are:


  • Tennis Elbow (Lateral Epicondylitis)
  • Golfer’s Elbow (Medial Epicondylitis)
  • Patellar Tendinitis (Tendinitis in Knees)
  • Achilles Tendinitis (Tendinitis in Ankles)
  •  Swimmer’s shoulder (Impingement Syndrome)
  • De Quervain’s Tenosynovitis (Tendinitis in Thumb)

Tendinitis can affect multiple tendons in your body, from shoulders to ankles. The most common age groups affected with tendinitis fit between 30 to 60 years. But it may occur in younger & older population as well.


  • What is Tendinitis? Inflamed tendons – Tendinitis is an irritation of tissue that is connecting muscle to bone. It’s a common injury that is usually self-diagnosable & often requires no lab tests or imaging, depending on how severe the case. Most cases usually respond to self-care measures & usually heal with minor treatment.

  • What are the symptoms of Tendinitis? Primary symptom is pain in tendon area. The soft tissue that’s connecting muscle to bone becomes inflamed – Stiffness, pain & lack off mobility due to swelling & inflammation in tendons are typical symptoms of tendinitis. Tendinitis is painful to touch & usually limits activities due to limited mobility.

  • What are the causes of Tendinitis? Tendinitis is often caused by muscle overuse & trauma – Repetitive, awkward & forceful movements are leading to this type of RSI. Including to improper technique, also falling can cause tendinitis since it’s direct trauma that causes tendinitis. Pain is usually produced by activities that places too much stress on tendons. For example gripping & lifting movements.

  • How to diagnose Tendinitis? Diagnosing tendinitis starts with physical examination that includes your medical history. Often, lab tests or imaging is not required. If it’s necessary X-ray imaging, or Magnet Resonance Imaging (MRI) can be used effectively to confirm diagnosis: To spot abnormalities in structure, & more importantly, to rule out other possible medical conditions.

  • How to Treat Tendinitis? Most cases of tendinitis are treated with rest, anti-inflammatory Over-The-Counter (OTC) medicine & physical therapy. To reduce pain & swelling it’s important to give affected tendons rest & use proper anti-inflammatory pain relievers if it’s necessary. Cold & heat therapy can be applied. Resting is important for recovery to reduce swelling in tendonds. Wearing counter-force braces & sleeves are proven & effective to prevent further injury & trauma – Keeping tendon in correct position helps & speeds up recovery. Physical therapy, stretching exercises are beneficial to restore mobility & recover faster. Possible alternative solution to relieve pain is to use cortisone steroid in injections. Surgery is rarely needed, but is a viable option if other forms of treatments are ineffective.

  • What Happens if Tendinitis is Left Untreated? If Tendinitis is left untreated it more than likely leads to Tendinopathy, Tendonosis & in other words, becomes Chronic Tendinitis. Tendonosis occurs from failed treatment, or repetitive trauma to tendon. Chronic condition leads to collagen discontinuity – It means fibers in tissues are no longer aligned properly & fail to link together. As a result, patient loses strength & likely gets injured even further. It can lead to torn & completely ruptured tendons. In chronic state, inflammation is generally not present in tendons & treatment is focused on giving rest to affected area & re-building collagen. Peculiar PT can be included to help with recovery.
#2 Ulnar Collateral Ligament (UCL) injury

#2 Ulnar Collateral Ligament (UCL) injury

UCL injury happens most commonly when person falls. It can happen to anyone, anywhere. Person who gets injured extends hand while blocking a fall – Stress from falling can cause sprain in MCP joint in thumb.

Ulnar Collateral Ligament is important stabilizer of the thumb: Due to tear, rupture, forceful hyper-extentison, repetitive motions & cumulative trauma, thumb can become unstable & impairs overall function of hand.

Instability of thumb is commonly accompanied with pain & weakness in pinch gripping function.

Ulnar Collateral Ligament injury is common medical condition that is affecting gamekeepers, shooters as well as wide variety of athletes – For example, volleyball players or skiers: UCL can affect people who sustain a fall onto outstretched hand.

Skiers can get affected with UCL injury because of forced hyper-abducting movement that is caused by falling against planted ski pole.

Recent studies show that 49% Ulnar Collateral Ligament disruptions were caused by fall onto an outstretched hand.


  • What is Ulnar Collateral Ligament injuryUlnar Collateral Ligament injury, commonly called as Gamekeeper’s Thumb or Skier’s Thumb. It’s a repetitive trauma to the thumb that is usually being built up over the years. UCL can also be acute condition, caused by rupture, forceful hyperextension of thumb that leads to pain & impaired function of hand.

  • What are the symptoms of Ulnar Collateral Ligament injuryThe common symptoms of Ulnar Collateral Ligament injury are swelling & pain in thumb joint. Instability of thumb joint is paired up with weakness in pinch gripping. Symptoms can also include overall weak grasping ability with affected hand & many patients also complain that they experience intense pain in thumb upon catching thumb on an object. The severity of symptoms are also related to the initial tear of Ulnar Collateral Ligament.

  • What are the causes of Ulnar Collateral Ligament injuryThere are two main different types of Ulnar Collateral Ligament injury:
    1. Skier’s Thumb – Acute condition – This type of UCL injury is generally considered as acute condition, that is commonly acquired after fall: Hyperabduction that has caused tear, rupture or pull in UC ligament.
    2. Gamekeepers Thumb – A type of UCL injury that is rather chronic condition & Repetitive Stain Injury: It’s a results of a repeated episodes of lower grade hyperabduction over longer period of time. Due to repetitive movement & overuse UC ligament has lengthened & become thinner as a result of cumulative injury & trauma.
    The chronic version of ULC is result of a gradual injury due to repetitive trauma to thumb.
  • How to diagnose Ulnar Collateral Ligament injuryDiagnosing Ulnar Collateral Ligament injury starts with physical examination that includes patients medical history. Doctor may suggest using X-ray imaging, to ensure that the bone is not broken. Also, imaging from healthy thumb may be required to compare it to the injured thumb to confirm the diagnosis.

  • How to Treat Ulnar Collateral Ligament injuryDepending on how severe the case non-surgical or surgical approach will be taken.
    1. Non-surgical approach involves using counter-force splints to heal injured area. That is paired up with taking OTC medicine, painkillers & using ice packs to relieve pain & reduce swelling.
    To improve function of hand, after few weeks splint can be taken off for exercising – Splint should be reapplied after exercising. Physical therapy is helpful & necessary to strengthen hand & regain functional strength.
    2. If Ulnar Collateral Ligament is nearly torn, or completely torn surgery may be needed to regain normal movement of thumb. In this procedure ligament will be reconnecting to the bone with pins or screws. After surgery, it’s important to wear a splint up to 8 weeks to allow injury to heal faster, meanwhile preventing possible further complications.
  • What happens if Ulnar Collateral Ligament injury is Left Untreated? It’s paramount to properly diagnose & treat UCL in acute state before it turns into chronic condition. Not treating UCL properly may lead to instability & weakness in hands, or in severe cases even to arthritis.
#3 Cubital Tunnel Syndrome (Ulnar Neuropathy)

#3 Cubital Tunnel Syndrome (Ulnar Neuropathy)

Chronic compression of ulnar nerve is known as Cubital Tunnel Syndrome.
If your pinky finger is numb, it can be sign of CTS.

CTS is a common condition that is diagnosable & treatable by medical professional.

Cubital Tunnel Syndrome is a medical condition, that is less known relative of Carpal Tunnel Syndrome, & involves pressure or stretching to ulnar nerve.

Cubital Tunnel is a space on the back of the medial elbow, that allows passage to ulnar nerve around the elbow.

Many people, who are affected, wake up at night because their fingers are numb.
There’s usually numbness in ring finger & pinky.


  • What is Cubital Tunnel Syndrome? Cubital Tunnel Syndrome is a medical condition that involves stretching, & pressure on ulnar nerve. It can cause tingling & numbness sensation in fingers. Those who are affected, can also experience pain in forearms & weakness in hands.

  • What are the symptoms of Cubital Tunnel Syndrome? The common symptoms of Cubital Tunnel Syndrome are numbness & tingling in fingers. CTS causes loss of sensation, muscle weakness, clumsiness & severe pain in arms & hands. The sign of early Cubital Tunnel Syndrome is pain in elbow & numbness in little fingers.

  • What are the causes of Cubital Tunnel Syndrome? CTS can be caused by physical activities that increase pressure to ulnar nerve. For example, baseball players who performing repetitive movements that twist their elbow, are doing it in a way that can damage ligaments.
    Cubital Tunnel Syndrome can also affect a person who is using awkward positions for sustained periods of time. For example bending your elbow while talking to mobile phone, pressing it against table in odd angle, or sleeping your hand crooked under pillow.
    Also, genetic play a role – Inherited, peculiar structure, as well as abnormal growths in elbow can be risk factors that increase the chances to be affected with Cubital Tunnel Syndrome.
  • How to diagnose Cubital Tunnel Syndrome? The diagnosing of Cubital Tunnel Syndrome starts with physical examination that includes patients medical history. Usually physical examination is enough to conclude the diagnosis. Doctor may also request nerve conduct study through test called electromyography. It helps to detect the possible nerve damage to confirm diagnosis. If doctor suspects infection, blood tests may be used. X-ray imaging can be useful to study wrist structure & nerve passage way.

  • How to Treat Cubital Tunnel Syndrome? The biggest priority is to avoid activities that cause pressure to ulnar nerve.
    Cubital Tunnel Syndrome can be treated with non-surgical & surgical approach. CTS is often treated with conservative approach: It includes wearing counter-force brace & sleeves as well as physical therapy. Recovery involves resting & modifying activities to prevent further symptoms.
    Surgery is most aggressive approach to relieve pressure on ulnar nerve. Surgery is effective but may not fully cure underlying conditions. Therapy is likely needed after surgery & recovery time varies for each person. To fully regain functional strength of hand, exercising is helpful.
  • What happens if Cubital Tunnel Syndrome is Left Untreated? In severe cases overall grip strength is decreased, muscle wastes away & hand can develop a claw-like deformity. If Cubital Tunnel Syndrome is left untreated it can also lead to permanent nerve damage.
#4 Carpal Tunnel Syndrome (CTS)

#4 Carpal Tunnel Syndrome (CTS)

Carpal Tunnel Syndrome is a very common condition with more than 3 million cases in US per year. CTS affects population in age groups that fit between 30 to 60 years. Also younger & older generation can be affected.

Some of the leading causes can be obesity combined with peculiar wrist structure, work stress & related diseases as well as some autoimmune diseases.

CTS is painful & progressive condition that causes numbness & tingling in the affected hand & arm. The pain is caused by the pinched nerve in the carpal tunnel.

Carpal Tunnel Syndrome requires medical diagnosis & is treatable by medical professional. If left untreated, it progresses & may lead to muscle atrophy & nerve damage.

Commonly, it’s a medium term disease that resolves within months, depending on how severe the case.


  • What is Carpal Tunnel Syndrome? Carpal Tunnel Syndrome is painful, progressive condition that is compressing medial nerve in the wrist. Carpal Tunnel is a narrow passage way on the palm side of wrist – If it gets pinched & compressed it causes numbness, pain & tingling.

  • What are the symptoms of Carpal Tunnel Syndrome? The most common symptoms of Carpal Tunnel Syndrome are numbness & tingling sensation in fingers & hand. It is common & possible to first notice symptoms at night. These symptoms affect thumb, middle, index & half of the ring finger but pinky finger is not affected by carpal tunnel nerve.

  • What are the causes of Carpal Tunnel SyndromeCarpal Tunnel Syndrome can be caused by traumas, such as wrist dislocation & fractures. Also work stress, overuse, repetitive injuries. One of the biggest causes can be obesity combined with peculiar wrist structure. Structural problems & tumors can also be contributing factors towards developing CTS. Autoimmune diseases, hypothyroidism, diabetes, osteoarthritis as well as inflammation can trigger CTS.

  • How to diagnose Carpal Tunnel SyndromeDiagnosing Carpal Tunnel Syndrome starts with physical examination that includes patients medical history. Lab tests or imaging are often not required. If necessary, doctor may use X-ray imaging to confirm diagnosis. Imaging can be useful to spot structural abnormalities, fractures in wrist, & more importantly, helps to out rule other possible related conditions.

  • How to Treat Carpal Tunnel SyndromeTreatment of Carpal Tunnel Syndrome includes rest & modifying activity that causes CTS in the first place. Ergonomically re-designing patients workspace helps to prevent further symptoms & helps hand to heal. This should be paired up with pain relievers & anti-inflammatory medicine if necessary. Yet another main component should be wearing a counter-force splint for wrist – It’s effective & scientifically proven to hold wrist in correct position, helps to prevent further pressure on medial nerve & promotes faster healing. An alternative option would be using cortisone injections to reduce swelling & relieve pain. If conservative options are not effective enough & won’t bring desired results, more aggressive approach can be taken – Surgery. It’s proven to be effective to relieve pressure on medial nerve. Proper postures should be used before & after surgery to avoid further symptoms & prevent CTS from re-occurring.

  • What Happens if Carpal Tunnel Syndrome is Left Untreated? If left untreated, Carpal Tunnel Syndrome progresses & can lead to permanent nerve damage as well as muscle atrophy in hand, especially near the thumb area. Proper postures should be used at all the times, regardless of having a successful surgery, effective cortisone injections or physical therapy, or CTS can likely re-occur.
#5 Thoracic Outlet Syndrome (TOS)

#5 Thoracic Outlet Syndrome (TOS)

Thoracic Outlet Syndrome is a rare condition that affects less than 200 000 people in us per year. It commonly affects population in age groups of 20 to 50 years. But it can affect all ages regardless.

Typical symptoms of Thoracic Outlet Syndrome are pain & numbness in shoulder & neck.

TOS happens due to trauma & repetitive shoulder movements that causes nerve compression while playing certain sports. Strain on the shoulders can lead to inflammation in tendons.

TOS requires medical diagnosis, lab tests or imaging & is treatable by medical professional. It’s considered as medium term condition that resolves within months.


  • What is Thoracic Outlet SyndromeIn many cases, Thoracic Outlet Syndrome is likely an example of Repetitive Strain Injury – It’s caused by forceful, repetitive, awkward shoulder movements that compresses nerves in neck & shoulder area. That results in pain & numbness in these areas.

  • What are the symptoms of Thoracic Outlet SyndromeThe most common symptoms of Thoracic Outlet Syndrome are numbness & pain in neck & shoulder. If nerves or blood vessels in thoracic outlet are compressed, patient may feel burning sensation along the arm & hand. Due to nerve compression, the affected person may be sensitive to cold, turn blueish or pale. Arm might swell up, tire easily & experience weakness.

  • What are the causes of Thoracic Outlet SyndromeAnatomical defects, structural abnormalities can be cause of Thoracic Outlet Syndrome, such as having an extra rib. It can be hereditary in that way. But more common causes are poor posture, trauma & repetitive strain injury. Typically, muscle overuse, abuse, cumulative trauma caused in certain sports due to forceful, repetitive shoulder movements. Also other medical conditions can trigger TOS such as pregnancy. Including to hereditary structural abnormalities, tumors & large lymph nodes can be yet another possible cause to trigger Thoracic Outlet Syndrome.

  • How to diagnose Thoracic Outlet SyndromeDiagnosing Thoracic Outlet Syndrome starts with physical examination that includes patients medical history. Doctor often requires lab test & imaging to confirm diagnosis. X-ray imaging is useful to spot structural abnormalities that can possibly trigger the condition & also helps to out rule other possible conditions. Blood tests are important to see if there’s infection in body & helps to conclude the diagnosis.

  • How to Treat Thoracic Outlet SyndromeThe treatment of Thoracic Outlet Syndrome vary – Common treatment includes rest, pain relievers & physical therapy. OTC medicine as well as prescribed muscle relaxants can be used to relieve pain & inflammation in affected area. Depending on what kind of TOS patient is affected with, surgery may be needed. About 10 to 20 % of patients with TOS need surgical approach. Most patients with Venous or Arterial Thoracic Outlet Syndrome need surgery. Some patients with Neurogenic TOS need surgery – Individuals who have structural abnormalities, such as having extra rib, to release the excess compression from nerve that causes TOS condition. For long-term recovery, physical therapy can be effective to regain functional strength & shoulder mobility.

  • What Happens if Thoracic Outlet Syndrome is Left Untreated? Depending on which type of TOS it is & how severe, if Thoracic Outlet Syndrome is left untreated properly it can lead to constant pain, weakened arm & even blood clots if blood vessels in shoulder area are being compressed. Blood clots can become life threatening if released into blood stream & in worst case, cause a stroke. If nerves are being compressed it can eventually lead to weakened arm functions & permanent nerve damage.
#6 Tenosynovitis (Tendovaginitis)

#6 Tenosynovitis

Tenosynovitis is common medical condition that is affecting more than 200 000 people in US per year. It’s a common amongst factory line workers & computer users.

It’s an inflammation in tendon sheath that connects muscle to the bone.
Hands, wrist & feet are affected. It’s a painful condition caused by Repetitive Strain Injury, trauma or infection.

Tenosynovitis affects population in age groups that fit between 30-60 years. But any age group can be affected regardless.

Diagnosing Tenosynovitis requires medical diagnosis & may require lab tests & imaging. It’s treatable by medical professional.

It’s usually considered a short term condition that resolves within days or weeks.


  • What is TenosynovitisTenosynovitis, also called tendovaginitis, is a medical condition where tendon sheath that connects muscle to bone becomes inflamed. It’s a painful condition that affects wrists, hands & feet. Tenosynovitis is usually short term, acute condition that resolves within days or weeks, depending on case.

  • What are the symptoms of Tenosynovitis? The typical symptoms of Tenosynovitis are pain, swelling as well as stiffness in joints. It’s usually difficult to move joints that are affected with Tenosynovitis. Joints become stiff, immobilized & this is paired with creaking tendons & sharp pain.

  • What are the causes of Tenosynovitis? Tenosynovitis can likely be a Repetitive Strain Injury. Awkward movements, bad posture, muscle overuse as well as forceful activities can lead to Tenosynovitis. On some occasion, Tenosynovitis can also be caused by infection. Tenosynovitis is considered a common injury among factory line workers, where manual labor are performing repetitive movements that eventually leads to muscle & tendons overuse & abuse.

  • How to diagnose Tenosynovitis? Diagnosing Tenosynovitis starts with physical examination that includes patients medical history. Lab test or imaging are rarely required. X-ray imaging may prove useful to conclude & confirm diagnosis. It helps to spot abnormalities in bone structure of targeted area & reveal possible tumors. Blood tests may be helpful to see if there’s infection in body. Test can be used effectively to outrule other possible medical conditions.

  • How to Treat Tenosynovitis? Treating Tenosynovitis depends on underlying conditions & how severe the case is – Is it common Repetitive Strain Injury, or infection, is patients tendon slightly pulled, lengthenend or completely ruptured. Common treatment for Tenosynovitis include rest, pain medicine & joint immobilization: Main priority should be on rest & immobilizing joint with counter-force brace that helps to heal & keeps correct posture to prevent further symptoms. This should be paired with OTC medicine to reduce swelling & relieve pain in tendons. To restore strength & mobility of joint & tendon physical therapy can be very useful. In rare cases cortisone steroid injections are used to relieve pain. In severe cases, & as a last resort, surgery can be effective solution to treat Tenosynovitis. In most cases, conservative treatment is enough.

  • What Happens if Tenosynovitis is Left Untreated? If Tenosynovitis is left untreated, it can lead to Chronic Tendonitis. Chronic Tendonitis will interfere with daily activities, cause difficulties for sleeping & causes constant pain. Untreated Tenosynovitis can lead to weakening of tendon, which is called Tendinopathy or Tendonosis. If not treated properly, it can lead to complete rupture of tendon & permanent damage of affected tissues.
#7 Dupuyten's Contracture (Palmar Fibromatosis)

#7 Dupuyten’s Contracture (Palmar Fibromatosis)

Dupuyten’s Contracture is common condition that affects more than 200 000 people in US per year.
It’s tightening & thickening of the tissue under the skin in the patients hand – Patient can’t fully extend fingers.

Palmar Fibromatosis generally affects population over 40 years old.
It’s considered as idiopathic condition, although the exact causes are not entirely known but doctors suspect it can be genetic.

Dupuyten’s Contracture is usually self-diagnosable & treatable by medical professional. Lab tests or imaging are usually not required. Dupuyten’s Contracture is considered as a chronic-condition that can last years or be lifelong.

This condition tends to occur as a consequence of accumulation of scar tissue underneath the skin, at the base of the fingers. Over time, scar tissue grows & forms a lump in the palm of the hand near the base of the fingers.

It’s a progressive cumulative, progressive condition – Eventually, affected person can’t straighten their fingers at all.


  • What is Dupuyten’s Contracture? Dupuyten’s Contracture, also called Palmar Fibromatosis, is a progressive medical condition that commonly affects pinky & ring finger tissue. Over extended period of time, it causes fingers to stay bent forward palm. Thickened tissue under skin immobilizes fingers, weakens grip & complicates everyday activities.

  • What are the symptoms of Dupuyten’s ContractureInitially, Dupuyten’s Contracture can be painless. There likely is a thickening or nodule in palm of hand. Thickening starts at palm & moves towards fingers – Generally, pinky & ring finger are affected, in rare cases also thumb & middle finger can be affected. As Dupuyten’s Contracture progresses it can still stay in painless state but fingers are starting to lose range of motion. One of the earliest symptoms is puckered or wrinkled skin on hand of palm in triangular way. It passes over the flexor tendon, near the MCP joint. Cords of contractures are in most cases painless, but in rare cases they can produce pain. Over time, patients grip & ability to hold onto objects weakens.

  • What are the causes of Dupuyten’s ContractureThe causes of Dupuyten’s Contracture are not entirely known yet. Many studies indicate & are pointing out that Dupuyten’s Contracture can be genetic. It’s a non-specific affliction, but statistic show that it primary affects people in Scandinavia, North Europeans – It’s also called Vikings Disease. Although, Dupuyten’s Contracture is also widespread on Mediterranean countries. More men are usually affected than women. Heightened risk to contract with Dupuyten’s Contracture is for smokers, alcoholics, thinner people & manual labor. Also people with previous hand injury, diabetics, epilepsy or HIV can be affected.

  • How to diagnose Dupuyten’s ContractureDiagnosing Dupuyten’s Contracture starts with physical examination that includes patients medical history. A mild form of Dupuyten’s Contracture is common among people with epilepsy & diabetes due to using certain medicine such as the anti-convulsant. To confirm diagnosis “table top” test is applied – A patient places their hand on table & if hand manages to lay flat on table then the test is considered negative. If patents hand can’t be placed flat on the table, leaving a space between palm & table then the test is considered positive. Imaging or lab tests are usually not required.

  • How to Treat Dupuyten’s ContractureCurrently there is no cure, however this condition is not dangerous. Treatment depends on which type of Dupuyten’s Contracture patient is affected with: type 1, type 2 or type 3 (aggressive, normal, or mild). There are surgical & non-surgical treatments. Non-surgical approaches are anti-inflammatory steroid injections & splinting. The main treatments for Dupuyten’s Contracture involve radiation therapy, needle aponeurotomy & collagenase injections. At later stages hand surgery can be effective solution. In very rare, extreme cases amputation of finger may be needed for severe or recurrent cases. In surgery case, most common approach is limited fasciectomy – It’s a medical procedure for removing pathological tissue. After surgery hand is wrapped in compressive package for a week. Recovery takes approximately 6 weeks to completely use hand again. Physical therapy is likely recommended & helps to regain movement & functional strength.

  • What Happens is Dupuyten’s Contracture is Left Untreated? If Dupuyten’s Contracture is left untreated, affected fingers will eventually lose their ability to fully straighten, the grip & ability to hold onto objects weakens considerably. As condition progresses it will interfere with every day activities. In most cases the affected area remain painless, but in severe cases it can become painful & immobilize fingers. It’s also frequently recurring condition, with average recurrence rate of 39% after a fasciotomy procedure, in about 4 year interval.
#8 Diffuse Repetitive Strain Injury (Diffuse RSI)

#8 Diffuse Repetetive Strain Injury (Diffuse RSI)

It’s noted that Diffuse Repetitive Strain Injury is common medical condition amongst keyboard workers, or anyone who has been involved with ergonomically unsound working environment for extended periods of time.

It’s a relatively new terminology for Repetitive Strain Injury, & is related to repetitive office based work, lack of movement to medial nerve & nerve damage caused by bad posture, overuse & awkward movements.

Diffuse RSI can be tricky & very difficult to diagnose – It’s a non-specific condition by its nature.

Diffuse Repetitive Strain Injury is somewhat catch phrase to describe different types of RSI conditions all over the body.

Those affected with Diffuse RSI, often can’t illustrate demonstrable physical signs of injury. Physical signs of injury are often controversial, making diagnosing usually very difficult.


  • What is Diffuse RSI? Diffuse Repetitive Strain Injury is a medical condition where patients complains about pain, but upon physical examination the location of pain remains undetected. In other words, the possible damaged or compressed nerve gives pain signal into one specific part of body, but the actual source is elsewhere. Diffuse RSI relatively new term & it’s also considered as non-specific pain syndrome.

  • What are the symptoms of Diffuse RSIThe common symptoms of Diffuse Repetitive Strain Injury can be pain somewhere in body, change of skin color or temperature changes in affected area. Symptoms are very difficult to catalogue since Diffuse RSI condition has a non-specific nature & symptoms vary for each person.

  • What are the causes of Diffuse RSIThe typical causes of Diffuse Repetitive Strain Injury are ergonomically unsound working environment as well as overuse of keyboard & mouse. Bad posture, awkward, forceful movements, also stressful situations where muscles are too tense. Therefore Diffuse RSI is very common amongst keyboard workers. Some theories suggest that Diffuse RSI is caused by lack of movement & it’s related to nerve damage. As a non-specific pain syndrome, it’s controversial condition & medical research has not yet found the exact cause.

  • How to diagnose Diffuse RSIDiagnosing Diffuse RSI starts with physical examination that includes patients medical history. Since the location of pain is very hard to find in Diffuse RSI case, diagnosing this condition can be tricky & very difficult. Depending on patients complaints & descriptions, doctor usually requests blood tests & possibly X-ray imaging if necessary. Since Diffuse RSI is difficult to diagnose, out ruling other possible medical conditions can be effective way to conclude diagnosis.

  • How to Treat Diffuse RSITreatment of Diffuse RSI varies & depends on the diagnosis. The diagnosis is the most difficult part, once the exact source of pain & affected areas are found, more specific treatment measures can be applied. For most cases of RSI, good old fashioned RICE tactics are almost always effective & pertinent – Rest, Ice, Compression & Elevation. Pairing these activities with having good posture usually help to relieve inflammation & overall stress in body to recover.

  • What Happens if Diffuse RSI is Left Untreated? Repetitive Strain Injury is cumulative trauma disorder that usually start as acute condition. If left untreated, over time acute condition becomes chronic condition. This is why it’s paramount to start diagnosing Repetitive Strain Injury as soon as possible to avoid possible further complication & recover faster.
#9 Dystonia (Writers Cramp)

#9 Dystonia (Writers Cramp)

Dystonia is common medical condition that affects more than 200 000 people in US per year. It’s considered a prevalent & common condition among writers, computer workers, office workers & musicians.

The main population affected tends to be 60 years old & above. But younger population can be affected as well.

Dystonia is a medical condition that causes involuntary muscle contractions – Commonly, it causes twitching & repetitive movements. Treatment helps but there is currently no cure for this condition.

Dystonia requires medical diagnosis, but lab tests & imaging are often not required. Dystonia is a chronic condition that can last years or be lifelong.

Treatment usually involves drugs, injections as well as physical therapy.


  • What is Dystonia? Dystonia is a medical condition that causes repetitive movements, cramping & twitching – Involuntary muscle contractions. This can happen in hands, fingers & in other parts of body. Dystonia can cause unnecessarily strong grip, involuntarely tremors & muscle spasms. It’s also considered as industrial injury.

  • What are the symptoms of DystoniaIt’s malfunction of central nervous system – The typical symptoms of Dystonia are involuntary muscle spasms & twitching movements. Not only fingers can be affected, Dystonia can affect certain parts of body or entire body.

  • What are the causes of DystoniaDystonia is caused by brain sending wrong signals & incorrect information to the muscles – It’s rather considered as neurological disorder than Repetitive Strain Injury – It’s a malfunction of central nervous system but it’s been noted that repetitive tasks can trigger Dystonia. Cramps in forearms are considered as industrial injuries & these types of symptoms are usually associated with repetitive hand movements. In addition, many drugs have been reported to cause dystonic reactions such as anti-depressants, calcium antagonist & some anesthetics.

  • How to diagnose DystoniaTo diagnose Dystonia, there is no single test to confirm diagnosis. It’s rather a complex process & observation of symptoms that helps to lead to concluded diagnosis. Diagnosing Dystonia involves patients medical history as well as family history. To correctly diagnose Dystonia, doctors must be able to recognize the physical signs of Dystonia & in some cases also use various tests to out rule other possible medical conditions. Dystonia diagnostics can include blood & urine tests as well as EMG or EEG electrical recording techniques.

  • How to Treat DystoniaTreating Dystonia involves using drugs, injections & physical therapy. Depending on case & how severe the condition, treatment varies for each patient. Meanwhile there is no cure for Dystonia, multiple treatment options are available & multiple strategies to fight this condition. Main focus will be to help to lessen the symptoms of muscle spasms, tremors, pain & bad posture.

  • What Happens if Dystonia is Left Untreated? Currently, there is no cure to Dystonia, but treating it can alleviate symptoms. Seeking help is necessary, but this condition keeps progressing. Dystonia can cause violent cramps & twitching that is not pleasant. It can cause dystonic writer’s cramp, uncomfortable tension, muscle spasms & tremors. Since Dystonia is likely progressive, it can become either generalized or multifocal. Patients with parkinsonism & dystonia can develop severe, life-threatening complications. According to medical research, Dystonia itself doesn’t shorten life span.
#10 Bursitis (Bursa Inflammation)

#10 Bursitis (Bursa Inflammation)

Bursitis, also known as “beat” condition, is a common medical condition that affects more than 200 000 people in US per year. Continual friction of bursa areas can lead to Bursitis.

It’s an inflammation of bursae, a sac that is containing fluid which helps two bone surfaces to move without friction. These sacs are located in body parts where muscle tendons glide over joints such as elbow, shoulder, knee & hips.

It’s a common condition that affects construction industry workers. It’s also common among cleaners who are affected by “Housemaids Knee” type of Bursitis, or musicians & painters who usually suffer from Bursitis in elbows.

Bursitis is commonly affecting population around 40-60 years old, it requires medical diagnosis & is treatable by medical professional. Bursitis is considered to be medium-term condition that usually resolves within months.

Lab tests or imaging are usually not required to diagnose Bursitis.

Conservative treatment of Bursitis includes good old RICE strategy – Rest, Ice, Compression, Elevation. Physical therapy is helpful. Surgery is rarely needed.


  • What is Bursitis? Bursitis, also called Bursa Inflammation, is a medical condition that causes inflammation of the fluid-filled pads that helps to cushion the joints. It can affect joints all over the body – Shoulders, knees, elbows or hips. Bursitis causes swelling as well as stiffness & is a painful condition.

  • What are the symptoms of Bursitis ? The most common symptoms of Bursitis are pain, swelling & stiffness in affected area. Bursitis usually affects knees, elbows, hips or shoulders. In general, symptoms of Bursitis are very similar to Tendonitis – This condition causes mobility issues, stiffness & is painful in the affected area. Bursitis likely interrupts every day activities & can also affect sleeping patterns depending what part of the body is being affected.

  • What are the causes of Bursitis? Bursitis is caused by overloading joints & using repetitive motions. Bursitis is a good example of classic Repetitive Strain Injury – It occurs most often in joints that perform frequent repetitive movements. Forceful movements, awkward positions, repetitive movements, overuse as well as bad posture are factors that increase the chance to be affected with Bursitis. It is known & can be associated with diseases like diabetes & rheumatoid arthritis.

  • How to diagnose Bursitis? Diagnosing Bursitis starts with physical examination that includes patients medical history. Lab test or imaging is often not required. If doctor suspects infection in body, blood tests may be required. X-ray imaging can be useful to spot abnormalities in structure, tumors or rule out other possible conditions that helps to conclude diagnosis.

  • How to Treat  Bursitis? To treat Bursitis classical RICE strategy can be applied & used effective – Rest, Ice, Compression, Elevation. The main focus should be on giving the affected area rest & modifying activity. This should be paired with anti-inflammatory medicine to reduce swelling & relieve pain. Keeping good posture is very important, using a counter-force brace is highly recommended to keep correct posture, recover faster & prevent further symptoms or additional traumas. Joint protection & physical exercise helps to recover from Bursitis. In rare cases surgery is needed.

  • What Happens if Bursitis is Left Untreated? If Bursitis is left untreated it causes swelling & pain in tendon. Inflamed bursa can become infected. Meanwhile the condition itself is not dangerous, if left untreated, it can lead to serious complications. In long term, untreated Bursitis can lead to permanent joint damage.
#11 Ganglion Cyst (Bible Cyst)

#11 Ganglion Cyst

Ganglion Cyst, also called Bible Cyst, is a common medical condition that affects more than 200 000 people in
US per year.

Most commonly, Ganglion Cyst occurs in women in age between 20 to 40.
People from all walks of life can contract with Ganglion Cyst. Usually it’s harmless on its own, unless it becomes infected.

It’s considered as a noncancerous cyst that often forms on the tendons & joint of wrists & fingers. Also shoulders, knees & foot can be affected. These cysts are usually small, round & painless.

Ganglion requires medical diagnosis & is treatable by medical professional. Imaging or lab tests are usually not required.

Ganglion is considered to be a medium term condition that resolves within months. It usually resolves on it’s own without treatment.


  • What is Ganglion Cyst? Ganglion Cyst is a condition where noncancerous cyst often forms on joints & tendons, in patients wrists or hands. It’s usually swelling of a localized area. It’s considered as Repetitive Strain Injury & can be often found in fingers. If the tissue gets degenerated that produces synovial fluid, it can start leaking & form a cyst.

  • What are the symptoms of Ganglion CystThe most common symptoms of Ganglion Cyst are localized swelling on wrist or fingers. These cyst can be painful, especially if patient accidentally hits cyst against hard surface. It can also become painful, if cyst is pressing on nerve. In that case it can cause including to pain, tingling, numbness & weakness. Most of the time they’re painless but can interrupt daily activities & be troublesome. Including to fingers & wrists, Ganglion Cysts can affect shoulders, knees, foot & toes.

  • What are the causes of Ganglion CystThe exact cause of Ganglion Cyst is unknown. This condition has been observed in individuals from all walks of life. In many cases, Ganglion Cyst is caused by too heavy & repetitive movements. This is why Ganglion Cyst is considered as Repetitive Strain Injury. Overusing a joint is a risk factor that increases a chance to be affected with Ganglion Cyst. It’s also one of the leading reasons, why Ganglion Cyst are commonly found in wrists & fingers. Another related medical conditions such as Rheumatoid Arthritis or Osteoarthritis are known to trigger Ganglion Cysts. Also previous traumas to joints can heighten the risk to be affected with Ganglion Cysts.

  • How to diagnose Ganglion CystDiagnosing Ganglion Cyst starts with physical examination that includes patients medical history. Imaging or lab tests are often not required. If doctor suspects infection, blood tests may be required. To spot structural abnormalities, possible tumors, & out rule other possible conditions X-ray imaging may prove useful to conclude the diagnosis.

  • How to Treat Ganglion CystOften, Ganglion Cyst clears on its own. Within couple of months, this condition usually disappears without treatment. Depending on how severe the case, these cysts can be monitored for supportive care. If necessary Ganglion Cyst can be drained. If Ganglion Cyst presses on nerve it should be drained in relevant medical procedure, such as Fine-needle aspiration, since it can cause pain as well as tingling, numbness & weakness in affected area.

  • What Happens if Ganglion Cyst is Left Untreated? If Ganglion Cyst is left untreated, it can become painful or stay painless, depending on how severe the case. Usually, Ganglion Cysts clear up on their own & disappear. They may become uncomfortable & somewhat interfere with daily activities. It is usually harmless on its own, unless it’s become infected. If Ganglion Cyst happens to be affecting the area that compresses nerve, including to pain it can cause weakness, numbness & tingling sensation in affected area & should be diagnosed & treated as soon as possible.

Get Rid of Pain & Stiffness by Using Simple Stretches

Start Light & Go From There

Resting is extra important for you, but even more important is not to be lazy & start exercising when you’ve rested enough. You don’t have to take my word for it, any competent rehabilitation doctor can tell you the same thing.

Start light, to relieve pain, meanwhile making sure that you’re not injuring yourself  further. Working for more flexibility can be smart move for you – It helps to reduce stiffness in your muscles, joints & tendons that in addition relieves pain & helps you to heal Repetitive Strain Injury faster. Lack of exercise as well as muscle overuse are both important risk factors that you want to avoid. Stretching helps to fix & improve the overall posture, plus it relaxes overused muscles.

Working on your mobility helps your muscles to be less cramped up. Doing so can be very beneficial, it likely goes a long way, & can save you from world of pain.

 

It’s important to start light & accomodate your body accoridngly – You don’t want to injure yourself further, so be careful. Once you’re familiar with the process, do not be afraid to add intensity. Step up your game, add more exercises. Staying positive & taking action is important. Pairing these two are what helps you to get healed up.

Always keep testing what can you do, & how can you do. Once familiar with warm-up exercises, it’s the point where you can add additional forearm training tools, that can help you in the long run.

I recommend using simple rubber hand-bands, exercise balls & wrist rollers to build well-round built forearms & regain your functional strength as well as mobility. Strengthening weak muscles helps you greatly to prevent RSI in future.

When to Exercise & When to Not Exercise?

I can’t stress enough by saying that your personal diagnosis really outlines your strategies. The things you can do & what you really shouldn’t do, to recover. This is why doctor appointments are extra important for you & you shouldn’t skip any. Why? Repetitive Strain Injury can be deceptive in some particular cases, especially if nerves get compressed.

1When Should You NOT Exercise?


If you don’t know exactly what your condition is & what you’re dealing with.

For example, you might not be aware but, what if you already happen to have nearly torn, ruptured tendon? The initial exercising can make things even worse for you & lead to further complications.

Normally it wouldn’t happen, because most of us who’s currently in world of pain, would not think about exercising.

But then again, it all depends on the severity of case & each case is unique – Not every condition is necessarily that painful, & some of the RSI conditions are more deceptive than others.

Especially those related to compression of nerves – Patients can feel pain in one certain part of body, but the actual source is located entirely elsewhere.

For example, patient feels pain in wrist & forearm but the actual source is the compressed nerve in shoulder. It’s already known that nerves are deceptive in that way, & if you don’t know the exact diagnosis, you might end up treating wrong part of the body.

Using protective counter-force braces, anti-inflammatory medicine & rest are your safest, universal go-to tactics in this stage, including to visiting doctors office.

2When Should You Exercise?


If you know exactly what your condition is
& what you’re dealing with.

After you have consulted with your doctor & received concluded diagnosis from a medical professional, is likely the safest point where you can start with physical exercises, if it’s viable option for your current condition.

Taking out the guess-work from the picture is what gets you the best results. Everything starts with correct information.

Physical exercises are already proven to be a big part to recover from RSI & one the most important factors to regain functional strength as well as increased mobility to treat Repetitive Strain Injury.

The important part is knowing that you’re in that stage & you’re ready to take action.

In this stage, meanwhile you still keep using protective counter-force braces, it’s smart to also include physical therapy into your recovery regime.

Starting with light stretches & later on adding exercises with speciality equipment that helps you to build & regain functional strength.

Regardless of Your Condition.. the #1 Priority is to Use Better Postures

Start Changing Your Patterns..

First & foremost, start changing your routines & modify your activity that is causing Repetitive Strain Injury.

This is already a common modern hazard – Sitting in a chair, behind computer in awkward position. Been there, done that. We all have, to some extent.

It really doesn’t matter how many painkillers you take, OR how many surgeries are doctors going to perform on you.

..these are temporary fixes only, if you won’t modify your activities.

Temporary fixes are excellent, to help you to “buy the time” that you can use to treat the underlying condition.

It’s recommended to use that time wisely to make some long-term changes.

The #1 priority is correcting your posture to be healthy.

Exercise regularly to treat RSI

Repetitive Strain Injury WILL re-occur eventually, if you won’t stop doing what caused the condition in the first place. This is highly relevant & in many, if not most cases a make or break moment for anyone who’s affected with RSI.

It’s good idea to figure out what is breaking your body & start changing things up accordingly a little bit at a time. It’s smart move to start with simple, small adjustments. Make a start to change the patterns to improve your health.

Why Good Posture is Crucial for You?

To Prevent Bad Stuff From Happening

What exactly is a good posture & why should you even bother with it? It’s the key part to be more healthy in general.

Good posture is when you are seated, or standing, in a way that you can perform your tasks, at work or at home, by using minimal energy & effort.

Having a good posture associates with relaxed, more stress free state – It’s paired up with proper techniques & ergonomically sound environment, that helps you to avoid being under continuous, constant strain. How to achieve better posture when seated?

Good posture is important to cure repetitive strain injury

  • Keep your head balanced on top of your spine
  • Your neck should be relaxed, without tension under chin or back.. arched in & supported by spine
  • Sit with your shoulders & arms relaxed, straight on the sides, without trying to hunch over
  • Keep your upper back straight but also naturally rounded, without tension
  • Have your lower back supported by chair & slightly arched in
  • Keep your pelvis & hips higher than knees, & sit on you sitz bones, while leaned a bit forward
  • Your knees should be placed directly over feet, slightly bent & also having a small space from chair
  • Keep your feet flat on the floor for most optimal & relaxed support

Remember, the difference between good posture & bad posture can be a very subtle one. This is a general guideline that gives you good results, but can also be hard to actualize.

Your posture can be couple of inches off, it may look completely normal yet it can already bring bad results for you. So, it’s important to continuously keep testing different set-ups, to see what can you use & how can you use to make it effective in your case.

This is also called postural awareness & it’s a good thing if you can teach yourself to do it better & keep improving.

It’s normal, & you should be aware that our bodies are slightly different & each one is unique in their own way – It’s important to accomodate different techniques according to your own needs & options.

Why Ergonomic Solutions are Paramount?

Prevent RSI from Reoccurring

If you’re a typical office worker, someone who has to sit behind the desk all day long it’s highly relevant for you. Whether you’re a dedicated blogger, professional PC gamer, secretary, or someone who’s doing heavy data entry. Achieving a good posture more naturally is what you want to aim for.

Remember, it really doesn’t matter how amazing of a treatment plan your doctor prescribed you, unless you get your posture & ergonomics right. Otherwise you’re just prolonging the inevitable & RSI is likely going to reoccur.

Couple of tiny changes like getting better equipment can have significant impact on you. Swap you regular chair out for adjustable chair to set better height & correct angle specifically meant for you. Use ergonomic mouse keyboard that feel comfortable, meanwhile helping to keep your good posture.

These are recommend upgrades that you should start focusing on to re-designing your work space – Especially getting an adjustable chair, it’s the biggest priority by largest margin.

You’ll notice right away that, in most cases, adjustable chairs aren’t cheap, but you should consider them as long-term investment. A chair determines how well will you feel after many hours of stationary work. Adjustable chair helps you
to set best possible angle, height & support your lower back. The right chair determines your overall posture.

How Can You Minimize the Risk of RSI?

Build Optimized Workstation

#1 Set Up Your Work Station In Most Optimal Way

There are 3 biggest factors when it comes to setting up your workstation as an office worker


  • Keyboard – Your hands & fingers should be able reach keyboard while your elbows are approximately at 90 degree angles. Keyboard should be positioned above your thighs & knees. While typing, your forearms should be almost parallel to the floor, with wrists being straight not bent. This also helps your wrists to hover.
  • Monitor – It has to be directly in front of you: Not on side, not too far, not too close, not too high, not too low. Your eye level should be higher than the center of the monitor. In that way your neck can be in more neutral position with less tension on it. In that way you’re rather looking down at screen than looking up.
  • Mouse – Ideal place would be next to keyboard to avoid repetitive stretching. This is where you can easily reach it without extending your shoulder too much. Many folks have shoulder issues because mouse is placed too far. You can easily fix this problem by bringing mouse closer. You can also be creative – If your mouse doesn’t have enough wire & you can’t bring it closer, swap it out for wireless mouse etc.

Why good posture is important to cure repetitive strain injury

#2 Use Better Techniques to Prevent Strain & Injuries
  • Better Posture – Keep wrists straight – It’s important & effective way avoid putting excessive & unnessecary strain on nerves & tendons in your wrists. It also keeps your flexor & extensor muscles in your forearms in more neutral position. In the long run it helps your muscles to be more relaxed as well.
  • Saving EnergyUse Shortcut Keys – Use simple keyboard shortcut key combinations to use editor tools to save energy & effort. Whether you want to bold, copy, paste or underline the content you’re currently working with. It saves you from unnecessary typing, & also saves you a bunch of time.
  • More Protection – Don’t strain fingers – Don’t pound keyboard with your fingers, be gentle. When using shortcuts, do not use one hand to twist your fingers into awkwards positions: Use 2 hands, especially with difficult 3 key button shortcuts like Ctrl+Alt+Del.
  • Adding Fluency – Engage More Muscles – Don’t be stiff & cramp up by using your fingers only: Be more fluent & loose. Don’t rest your wrists on the keyboard all the time, let them hover occasionally – It’s extra beneficial, makes you faster & allows your other musclegroups to engage, such as your back, to share the overall workload.
#3 Always Use Voice Activated Software If You Can

Using voice activated software can potentially save you from tens of thousands of clicks & key strokes. It helps you to navigate your computer hands-free.

This is an important upgrade that helps you to modify your activity pattern while sitting behind computer.

There are multiple voice activated applications available online that are intented for documentation composition. It also can dramatically increase your productivity both at home & at work, meanwhile you spare yourself from RSI.

A well designed voice recognition helps you to dictate documents technically almost three times as fast as typing.
This is a hands down win-win situation to prevent RSI if you decide to go this route.

#4 Remember to Take Small Breaks Frequently

Don’t worry, your work is not going anywhere, but your health is, IF you’re not taking care of your body.

Taking breaks is an absolute must to stay in better shape.

Take small breaks & take them often – Relax your shoulders & back, arms & fingers. Lift your arms up, flex & yawn if you wish. Shake your arms & legs gently. Apply light stretches. These are very simple, small bits & pieces that help you to relieve strain from overused muscles & also help you to regain a bit your mental focus.

In return, it increases your overall productivity. Little breaks are refreshing you, so you can keep going.
But most importantly, it puts breaks on Repetitive Strain Injury in the long run.

The Best Training Tools to Heal Repetitive Strain Injury

Focus On Creating Muscle Balance

The key is to focus on building more muscle balance – Having more balanced muscles is never a bad thing, whether you feel just fine or need to recover. Leverage from it to get rid of symptoms of RSI & prevent them in future.

In Repetitive Strain Injury case we’re frequently looking at muscle imbalance that has been caused by overuse, abuse, forceful & awkward movements. If this problem is not addressed correctly it usually gets only worse over time.

One could even say that muscle imbalance is one of the possible root causes of Repetitive Strain Injury. Weaker muscles are not strong enough to support the dominant ones. Dominant ones are doing all the hard work, & eventually at some point, they are simply going to wear out.

To fix that problem it’s important to focus on both your extensor & flexor muscles in hand. You want to stretch both of these muscle groups regularly to reduce stiffness & also focus on extensor muscles to work your counter-movements.

This is something a vast majority of people ignore. It’s the key for healthier hands & a great way to prevent RSI.

This is often over-looked aspect, so it gets neglected easily & it’s something most folks never do. Not because they don’t want to, it’s simply because they don’t even know how relevant it actually is. Leverage on that knowledge to get better.

#1 Hand Bands
Extend-Your-Hand bands set, by IronMind

#2 Exercise Balls
Gaiam Restore Hand Therapy Exercise Ball Kit

#3 Wrist Rollers
Sidewinder ProXtreme adjustable wrist roller

#4 Resistance Bars
Flexbar Resistance Bars - Set of 4 resistance levels, by Thera-Band

Remember to Always Wear a Counter-Force Brace

Use Elbow Sleeves & Wrist Braces

Using a brace is considered to be one of the safest conservative solutions & effectively applies to most RSI cases. Doctors tend to say that preventing is better than cure. Many folks still neglect wearing a brace part. Don’t become one of those individuals. Your health is important.

If you want to get well, wearing a brace can be paramount for you. Counter-force brace is designed to prevent further injury & therefore also helping injuries to heal up faster. Using a counter force brace is scientifically proven & effective method to speed up recovery process.

This is an excellent way to keep correct posture & protect your tendons, muscles & joints at the same time against further trauma. Your recovery should be all about avoiding the same repetitive tasks, that are being performed over & over again, until the point it becomes cumulative trauma disorder.

Repetitive Strain Injury –

Revisit Doctors Even if You Already Know Your Condition

RSI Can Be Tricky

#1 Expect RSI to be Extra Deceptive

Monitoring your condition gives you an upper hand, you’ll always know how things are going for you. Knowing about both negative & positive aspects are priceless for recovery.

We know that RSI is a cumulative trauma disorder in its nature – Very often, it literally states in itself that things are gone too far because of the same repetitive patterns.. In worst case, some of them you might not even be aware of.

One of these patterns, that merges into this condition, is not seeking help when you really need it. Many folks don’t want see doctor because they claim that they don’t have time.. or they feel this condition is not that bad. Both excuses are lame & not good at all in the long run.

But why to visit a doctor, especially in RSI case? The same main reason I pointed out before: Repetitive Strain Injury can be extra deceptive, especially if nerves get compressed..

You might experience pain in certain parts of your body such as your forearm & wrist..

..but the actual source that causes pain sensation is located in entirely diferent spot: In your shoulder for example. Diffuse RSI is one of those notorious conditions that can cause symptoms like these, but as each case is unique, your situation might be entirely different.

Nerves in human body are very deceptive that way. That’s why diagnosing RSI can be tricky & difficult in multiple cases. It’s not impossible, but this one of those conditions that just might take a bit more effort.

#2 Always Try to Get Multiple Doctors Advice

If you’ve already visited a doctor & you feel that the treatment you received from medical professional is lacking & not efficient enough, it’s smart idea to seek yet another doctors advice as well.

Many folks I’ve talked to have said something like “hey, I’ve seen a doctor already, he didn’t think much of this condition I have, so why should I even bother..”

I recommend you to give it another go, with different doctor – They all have different experience levels & a bit different skills. In your situation, one doctor may know something that other don’t.

The more, the better, until you get things monitored properly & find an effective recovering method for you.

The more diverse advice you get from multiple different reliable sources, the better for you to determine the underlying conditions more precicely.

Remember, doctors are not gods, they cannot see inside of you. In diagnosing process they rely on precise & proven medical techniques to confirm & conclude the diagnosis, but your own willingness & cooperation is also vital to achieve better result.

It’s realistic, that the diagnostic as well as treatment measures won’t always necessarily apply well, beacuse each & every case is individual & unique.

But by no means does that mean you should stop trying to find better solutions.
The chance to fail is incredibly valuable feat & should not be underestimated – It’s one step closer to be more successful next time. Never forget, that RSI can be tricky & difficult to deal with.

#3 Keep Things Simple & Don't Deny the Situation

The last thing you want to do is to become “ostrich” & “hide your head under sand” – It’s important to be open about your situation, & to keep adjusting to new strategies & better measures if the initial route you took isn’t the one for you.

Diseases are scary, they’re meant to be.. so, it’s only natural to be afraid. But you’re not alone in this, hundreds of thousands of people are going through the similar process you are.

Due to difficulty of obtaining correct diagnosis of RSI, you may be waiting for appointments to visit numerous physicians.
That’s why you should start seeking proper treatment for RSI early & as soon as possible.

Over the time acute RSI condition can become chronic condition & prevention is always better than cure.
Take action immediately, time is at no ones side.

#4 Why Finding a Good Doctor is Important

Finding a good doctor, who is suitable for your case is worth your time. Remember, every doctor is not competent for your case, RSI can be challenging to diagnose & treat. I’ve kept repeating how tricky RSI can be. Expect that & never settle with simple answer. Always question doctors work no matter how good they are. In a respectful & constructive sense of course.


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#1 Doctors Always Tend to Treat Symptoms First:

Not to say anything too bad about doctors, but we must realize that the very first thing doctors do is they start treating the symptoms of your condition.

Is it bad? No. But is it good? It’s effective to some certain extent only. Relieving symptoms should be used as momentum to be able to treat underlying causes. But at the same time, it’s smart for you to realize, treating symptoms often literally means treating symptoms only. That’s all.

This is a big double edged sword, & you shouldn’t rely on treating symptoms only. It’s how big pharmacy companies are making billions. Treating your symptoms forever means infinite profit for them.

Nothing wrong with it & they deliver exactly what you want them to achieve: Treating the symptoms. But this is not going to fix your health in general. In the long run this is not going to complete anything for you except multiple expensive medicine bills. Unless you use it as smart leverage in the process to take care of the root causes of underlying condition.

The goal is to find the actual source & cause behind a condition to treat it. Otherwise you’re looking at temporary fix at best.

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#2 Find the Root Cause for Your Medical Condition:

What you want to achieve is to find the root cause of condition to treat it to the point it becomes cured. This is what fixes the problem & not only address the symptoms.

Your doctor should be one who is focusing on strategies that are rather treating the causes of your symptoms, not merely masking the symptoms. Distinguishing treating symptoms & treating underlying root cause are two very different things. You should also be aware in case of RSI that some doctors are either:

Dismissing the problem – Some doctors don’t see your RSI as problem, doubting its existence & telling you it’s insignificant

Are rushing too much – Some doctors rush you to surgery as soon as possible, causing a dangerous quick-fix type situation.

Again, this may not be & isn’t necessarily doctors fault. It’s yet again the RSI condition itself that gets the blame. As said before it can be challenging to diagnose & treat. We also have to remember & not forget if a root cause is an auto-immune disease, then dealing with the root cause is about managing symptoms only.

In case of auto-immune condition pretty much everything aforementioned goes out of the window. Another treatment plan is required because of the nature of that medical condition.

#5 Remember to Be Selective - Ask for Doctors Experience

Don’t pick just any doctor, always try to find the one who’s more competent for your case. Mainly, you want to aim for physical medicine & rehabilitation. So, your best bets are likely physiatrists.

It’s always good idea to ask for doctors experience. You want to know how knowledgeable the doctor is on the subject. Diagnosing RSI can be challenging, the more competent doctor your find, the better for you.

You should expect that most general practitioners are unable to give you specific advice, but they’re still very valuable to provide you with possible ideas & treatment solutions.

Even better, if they can recommend you a good physical therapist & are willing to write a prescription for you. In this way you get access to most relevant specialist, who can diagnose you & put a treatment plan together for you.

Repetitive Strain Injury –

How to Stay on Track & Keep Recovering From RSI?

Patience Helps

  • Be patient – It takes time to recover from RSI, the more patient you are, the less likely you injure yourself further
  • Rest as much as possible to heal faster – Take breaks from activities that you can’t skip but may cause injuries
  • Do light stretching often – Keep stretching often to get your muscles more loose & flexible to reduce strain
  • Keep exercising – Building more functional strength is excellent, muscles are like cushion that protect your body
  • Develop YOUR pattern – Do things in your way: Work hard & modify your action accordingly to prevent further injury

Repetitive Strain Injury –

References & Additional Valuable Sources of Information

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4 thoughts on “Repetitive Strain Injury and Practical Ways How to Undo it

  1. This is really interesting. My wife is an full-time website designer and shes always complaining about her hands feeling weak and numb. And when I touch them, they be cold as ice. I didn’t take it as anything serious, i just thought it was because shes so busy. I’ve never heard of RSI, but now i Know to take it more seriously. Great article, definitely going to send this to my wife.

    1. Being a full-time computer worker is a high risk factor & likely leads to some form of RSI. It usually takes years to develop debilitating condition but when things are getting bad they will stay that way until it gets properly addressed.

      The symptoms you describe indicate to trapped nerve. Numbness occurs when there’s too much pressure. That in turn causes weakness, since nerve is trapped it shuts down the communication between body parts.

      This pretty much yells for doctors attention, I strongly recommend to get diagnosis from medical professional. Meanwhile, she could start with over the counter anti inflammatory pills if pain is there. Maybe a bit stretching & light exercises but most importantly to set up better working environment egonomics. That’s how you beat RSI, by breaking the habitual cycle that creates it in the first place.

  2. Wow, thank you for such an in-depth explanation of such a common problem. The problem of RSI has especially grown with the usage of computer and mouse.

    I’ve recently started to have uncomfortable sensations in the wrist of my right hand (the one I use for clicking on the mouse). Fortunately I am familiar with RSI so I have immediately bought a spiky rubber ball to squeeze while working on the computer. It has helped me tremendously. Also I roll the screen cleaning cloth and place it under my wrist while working on the mouse. Ok, there are more advanced things, like gelled mouse pads.

    Also, are you familiar with RSI with cyclists? Sometimes I have similar uncomfortable feeling in my knees after cycling. What would be a remedy for that?

    Thank you!

    1. Knees & cycling is well in the area that RSI can affect. In this case we’re focusing on a form of sport that requires repetitive motions & a peculiar posture by its nature.

      The first detail you likely want to determine is your cycling saddle height. Proper & better postures for your body. It’s important to notice if your health problem is in acute or chronic state. Both of these require quite a bit different approach to fix. Resting up & using knee sleeves for additional support can be a good universal approach. Kinesio taping is also an option if you know how to use it.

      We always want to make sure if our body actually supports the activity we regularly perform. Doing different exercises for knees like squatting in gym can help to strengthen tendons around that area, stimulate bloodflow in the area & get muscles firing differenty than what they’re used. This is turn helps to balance things out.

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