REPETITIVE STRAIN INJURY
Repetitive Strain Injury (RSI) is an ill-defined condition which most commonly affects the upper extremity. It is also referred to as Work-Related Upper Limb Disorder.
It is a common occupational disorder caused by chronic overuse of soft tissues of the arm and usually affects the wrist and forearm. Carpal tunnel syndrome sometimes falls into this category of condition when it is work-related.
As a syndrome there is limited evidence to demonstrate effectiveness as the condition is often multifactorial.
Chiropractors treat the components of RSI (which may include carpal tunnel syndrome, chronic extensor tendonitis, lateral epicondylitis and rotator cuff injury to the shoulder) and using a package of care that may include manual therapies, acupuncture, exercise prescription and onward referral when indicated.
Chiropractors are also well qualified to advise on ergonomics and often visit workplaces to conduct display screen equipment (DSE) assessments.
There is evidence to support this approach to care. This includes:
Konijnenberg HS, de Wilde NS, Gerritsen AA, van Tulder MW, de Vet HC. Conservative treatment for repetitive strain injury. Scand J Work Environ Health. 2001 (Oct); 27(5): 299-310.