Repetitive stress injury usually affects the hands and wrists. Millions of individuals all over the globe suffer from this as a main occupational hazard. In most cases, it is linked to computer use. Due to the increasing use of computers especially typing, dragging and clicking with the mouse, the numbers of cases continues to increase.
The continuous computer use has a cumulative effect on the soft tissues of the elbows, hands, wrists, shoulders, back and neck. Among those with the injury, the initial damage to the tendons and nerves was likely sustained as early as 5-10 years ago, as teenagers.
What are the characteristic indications?
The minor ache and discomfort in the affected areas that are ignored might progress to the following:
- Significant pain
Sensations of soreness, tightness, tingling, numbness, burning or coldness in the wrists, hands, fingers, elbows and/or forearms. - Sensations of soreness, tightness, tingling, numbness, burning or coldness in the wrists, hands, fingers, elbows and/or forearms.
- Loss of hand coordination and strength
How is it diagnosed?
If repetitive stress injury is suspected, the individual is diagnosed with a physical exam and medical history. The usual tests that are required include X-rays and nerve conduction studies.
Management of repetitive stress injury
Immobilization
For mild cases of repetitive stress injury, they usually heal by allowing the affected area to rest. A lightweight splint might be fitted or a rigid brace is worn temporarily. Make sure that it is worn as instructed.
Medications
In severe cases of repetitive stress injury, over-the-counter or prescription non-steroidal anti-inflammatory drugs (NSAIDs) are taken orally to minimize the swelling, specifically ibuprofen and naproxen.
Surgery
Surgical intervention is not usually required in treating tendinitis, bursitis and tenosynovitis. As for carpal tunnel syndrome, it does not always respond to non-surgical measures. If surgery is needed, the procedure involves slicing one of the ligaments in the wrist to relieve the pressure from the median nerve.