Repetitive Sprain/Strain Injury (RSI)

Repetitive Strain Injury Treatment

Repetitive Strain/Sprain Injury (RSI) Upper East Side Manhattan, NY

Conditions included in this category: edema, tendinosis, carpal tunnel syndrome, cubital tunnel syndrome, De Quervain syndrome, medial epicondylitis (golfer's elbow), lateral epicondylitis (tennis elbow), radial tunnel syndrome, ulnar tunnel syndrome, trigger finger and more.

Causes: RSI is used to describe the pain felt in tendons, muscles and nerves that is caused by repetitive movement and overuse of the arms. The list of pain contributors is long and includes poor posture and body alignment; prolonged use of the computer without enough breaks during the day; stressful, unhealthy, or sedentary lifestyles without routine exercise program; and working in a high-pressure environment. Patients may also have arthritis, diabetes, or another serious medical condition. Patients are often not open to changing these dangerous work-related habits.

My treatment approach:  I carefully analyze the general pattern of movement, posture and motions executed at work or in other stressful situations. For example, I evaluate whether the way your specific work settings (body biomechanics) may contribute to the development of carpal tunnel syndrome, trigger finger or neck strain. To make this evaluation, I ask my patients to imitate the work situation or the repetitive motions they are doing. Then we analyze the components of the motions and how they can be modified to protect the joints and tendons alignments.

It is of great importance to follow a program at home consisting of exercises and tips, on a trial basis, to carefully design a modified form of handling the body without injuring it. This would be in addition to a hands-on treatment lasting 30-40 minutes, where the segments above and below the painful area would be mobilized gently and stretched appropriately and strengthened.

Why the RiVision method?  One-on-one, prolonged hands-on treatment by Dr. Rivi, tailored to each person's physical and mental wellness. We also emphasize the patient's education on self-treatment and how to cope with the disorder and the pain in the long run.

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