Episode 132- Taking Care of Our Hands(replay of Episode 74- Repetitive Strain Injury revisited....Carpal Tunnel Syndrome (CTS))
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RSI- REPETITIVE STRAIN INJURY
Repetitive strain injury (RSI) and associative trauma orders are umbrella terms used to refer to several discrete conditions that can be associated with repetitive tasks, forceful exertions, vibrations, mechanical compression, or sustained/awkward positions. Examples of conditions that may sometimes be attributed to such causes include edema,tendinosis (or less often tendinitis), carpal tunnel syndrome, cubital tunnel syndrome, De Quervain syndrome, thoracic outlet syndrome, intersection syndrome, golfer's elbow(medial epicondylitis), tennis elbow (lateral epicondylitis), trigger finger (so-called stenosing tenosynovitis), radial tunnel syndrome, and focal dystonia.
Since the 1970s there has been a worldwide increase in RSIs of the arms, hands, neck, and shoulder attributed to the widespread use of typewriters/computers in the workplace that require long periods of repetitive motions in a fixed posture.
Ergonomics: the science of designing the job, equipment, and workplace
The most-often prescribed treatments for early-stage RSIs include analgesics, myofeedback, biofeedback, physical therapy, relaxation, and ultrasound therapy. Low-grade RSIs can sometimes resolve themselves if treatments begin shortly after the onset of symptoms. However, some RSIs may require more aggressive intervention including surgery and can persist for years.
General exercise has been shown to decrease the risk of developing RSI. Doctors sometimes recommend that RSI sufferers engage in specific strengthening exercises, for example to improve sitting posture, reduce excessive kyphosis, and potentially thoracic outlet syndrome. Modifications of posture and arm use (human factors and ergonomics) are often recommended.
From Wikipedia, the free encyclopedia
Finkelstein's test for DeQuervain's tenosynovitis
Eichhoff's test for DeQuervain's tenosynovitis
Finkelstein's test is used to diagnose De Quervain's tenosynovitis in people who have wrist pain. To perform the test, the examining physician or therapist grasps the thumb and ulnar deviates the hand sharply, as shown in the image. If sharp pain occurs along the distal radius (top of forearm, close to wrist; see image), de Quervain's tenosynovitis is likely.
Other practitioners use a modified Eichhoff's test, below, and ask their patients to flex their thumb and clench their fist over the thumb before ulnar deviation, but with ulnar deviation performed by the practitioner. Eichhoff's test is commonly confused with Finkelstein's test. However the Eichhoff's test may produce false positive results, while a Finkelstein's test performed by a skilled practitioner is unlikely to produce a false positive.
Wikipedia info on RSI(Repetitive Strain Injury)
Links mentioned :
Ian Harvey. Massage Therapist
- Operation Pipe Dreams 2.0