Repetitive Strain Injury
Physiotherapy, hand therapy and deep tissue release
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Repetitive Strain Injury, often abbreviated as RSI, is called by
other names such as cumulative trauma disorders (CTD), overuse syndrome
or repetitive stress injury, is really injuries to the physical and
neurological body or body parts by repetitive actions, tasks, or by
repeated exposure to forces that are compressive or vibration in nature.
Common causes of RSI
describes the causes of RSI to be primarily be lifestyle or worklife
without ergonomic concerns or care, e.g. using a poorly handled knife,
or blunt knife, everyday, over time causes RSI. Or simply by placing the
monitor too much to the right, or to the bottom, causes our necks to
stiffen and muscles to shorten in a particular fashion, inducing
repetitive strain injury, over time. If you're a budding or veteran musician, you're likely to have one already.
A list of typical actions or habits that lead to RSI
- Reading or doing tasks for extended periods of time while looking down e.g. phones, tablets, books etc.
- Sleeping on an inadequate bed/mattress or sitting in a bad armchair and/or in an uncomfortable position.
- Carrying heavy loads.
- Clamping phone between neck and shoulder for a phone conversation
- Watching TV in a prolonged position.
- Sleeping with head to the side, or forwards.
- Prolonged use of the hands, wrists, back, neck on a specific task.
Symptoms of repetitive strain injury
- Short bursts of severe cramping and/or excruciating pain over a widespread area of the body
- Pain worsens with activities or exercises
- Noticeably weakness in limbs
Frequency And Occurrence
55-70% of workers
in US and UK suffer from some kind of RSI, the most common RSI problems
are the back and neck, wrists and the hands.
Physiotherapy Examinations And Tests
examinations includes primarily clinical palpations, and if any
tenderness or weakness are detected on mobility-related tests e.g. pinch
or pinch strength weaknesses, with no other obvious signs of
abnormalities. The patient will present with a healthy body or body part
that has pain.
what we know theoretically and clinically experienced in ourselves and
in our patients, most of the time, most of the RSI that is sustained
will resolve on their own, given that the affected area is sufficiently
rested when the RSI started. I myself have intermittent trigger finger
and de Quervain's tenosynovitis, which, with rest, splinting, and gentle active and passive exercises and stretches, will heal.
on the other hand, it can escalate in pain experienced in terms of
intensity, frequency and duration painful moments, and I've managed
patients who had their repetitive strain injury for years, some chose to
live with it and come to me periodically for pain relief and mobility
exercises, some opt for surgical interventions.
The most commonly prescribed physiotherapy intervention for repetitive strain injury in our clinics are a clinical mix of rest, icing therapy, exercise therapy, gentle stretches, splinting and clinical massage therapy. Sometimes we also provide ultrasound to speed up the healing process.
Ergonomics And Workstation Consultancy
computer and workstation is often blamed for the development and
aggravation of repetitive strain injury in workers, especially for the
back and neck, hands and wrist ones, so ergonomic and environmental
modifications and adjustments of the workstation or work site are often
required. For this, we modify the layout of the worker in relation to
his or her working environment, and whenever possible, the equipment and
Alternatives to help
- Adaptive RSI prevention software such as speech-type, break timers and auto-mouse-click.
- Adaptive hardware such as ergonomical keyboards, tablets, touch screens, roller mouse
- Splinting to provide the rest the body part requires.
- Physiotherapy or hand therapy for pain relief, exercise therapy
- Office exercises to keep active and fit
- Activity modification to minimize damage caused as opposed to non-work at all
- Stress Management relaxation techniques
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Our Physio & Rehab Expertise
Specialist Rehab Group works with specialist physiotherapists and specialist rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.
Areas of specialization
- physiotherapy: back and neck (spine), sports, shoulder, hip, knee, ankle
- hand therapy: forearm, wrist, hand and fingers
- podiatrist: leg, calf, ankle, foot and toes
- read more on our specializations here
All our therapists are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCM). See our entire team here by location and specialization.
Initially, our specialist physiotherapists will carry out a thorough
assessment, helping them to select the most appropriate treatment to
help you recover. They then provide
expert treatment for your pain as well as prescribing specific
exercises to reduce your risk of re-injury and giving you a long term
To call for inquiries or appointments, please contact us at:
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SPECIALIST REHAB APPOINTMENTS & ENQUIRIES
Please Call/SMS/WhatsApp to xx, thanks!
We are a wholly Singapore Private Limited group of licensed physiotherapists, hand therapists, podiatrists, chiropractors, sports massage therapists, clinical pilates practitioners and TCM physicians practicing in our scope of rehabilitation and its areas of specializations. As listed in our website are the list of services we provide our clients as referred by their medical doctors or by self referrals/word of mouth.
The range of rehabilitation results vary from patients to patients, depending on a variety of factors and reasons such as severity of condition, genetics, gender and age. However, we will still deliver the best evidence-based-practice of physiotherapy, hand therapy, TCM, sports training and deep tissue release therapy that we can deliver.
The information available on this site is for educational purposes only, if you need a full professional advise on physiotherapy, hand therapy and occupational therapy, please schedule an appointment with us by contacting our staff by Call/SMS/WhatsApp at xx, thanks!