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Repetitive Stress Injuries

Carpal Tunnel Syndrome, while being the most common, is only one type of Repetitive Stress Injury. There are three basic categories of RSI:

  1. Repetitive Stress Injuries involving nerves: Carpal Tunnel Syndrome, thoracic outlet syndrome, ulnar nerve compression at the elbow and wrist

  2. Repetitive Stress Injuries involving tendons, muscles and soft tissues: bursitis, myositis, rotator cuff tendinitis, tendinitis including "tennis elbow" ganglion cysts, DeQuervain's disease and trigger finger.

  3. Repetitive Stress Injuries involving the vascular (blood vessel) system: Raynaud's syndrome and thoracic outlet syndrome.

The following charts summarize the most common types of RSI and their symptoms.

Bursitis

Other Names  
Primary Area Affected Shoulder, Elbow
Type Connective tissue
Symptoms Grinding sensation, Pain or irritation, Restricted motion.

 

Carpal Tunnel Syndrome

Other Names CTS, writer's cramp, occupational neuritis, partial thenar atrophy, median neuritis
Primary Area Affected Wrist & hand
Type Nerve
Symptoms

Tingling, pain or numbness in the area of the hand served by the median nerve-- the thumb, the pointing finger, the middle finger and the half of the ring finger closest to the middle finger. Sensations also occur in the palm and back of the hand. In more advanced CTS, the pain can be excruciating. Symptoms often are more severe during sleep.

Loss of sensation, notably a feeling of clumsiness and loss of sensitivity to hot and cold.

 

Ganglion Cyst

Other Names Bible bump
Primary Area Affected Wrist
Type Connective tissue
Symptoms Bump or concentrated swelling.

 

Golfer's elbow (Medial epicondylitis)

Other Names Tendinitis
Primary Area Affected Inside of the elbow
Type Connective tissue
Symptoms Pain or irritation on the inside of the elbow, often radiating down the arm.

 

Myositis

Other Names Muscle inflammation
Primary Area Affected Arm
Type Muscle
Symptoms Aching, tiredness.

 

Raynaud's syndrome

Other Names Raynaud's phenomenon, Raynaud's disease, Vibration syndrome
Primary Area Affected Hands and fingers
Type Vascular
Symptoms

Unusual sensitivity to cold

Pale white or blue hands, particularly following exposure to cold

Occasional tingling or numbness. Can lead to loss of sensation & control

 

Rotator cuff tendinitis

Other Names Superspinatus, tendinitis, subdeltoid bursitis, subscromial bursitis, partial tear of the rotator cuff
Primary Area Affected Shoulder
Type Connective tissue
Symptoms Pain, sometimes intense, or irritation in the shoulder.

 

Tennis elbow (Lateral epicondylitis)

Other Names Tendinitis, bowler's elbow, pitcher's elbow
Primary Area Affected Outside of the elbow
Type Connective tissue
Symptoms Pain or irritation on the outside of the elbow, often radiating down the forearm.

 

Tenosynovitis

Other Names Tendosynovitis, tendovaginitis, tenovaginitis, peritendinitis
Primary Area Affected Any tendon
Type Connective tissue
Symptoms

Pain or irritation, particularly while using the hand or arm

Swelling can occur.

 

Stenosing tenosynovitis

Other Names  
Primary Area Affected Any tendon
Type Connective tissue
Symptoms

Pain or irritation

Can result in uneven movement of fingers (see Trigger finger).

 

De Quervain's Disease

Other Names De Quervain's syndrome, De Quervain's disorder
Primary Area Affected Side and base of thumb
Type Connective tissue
Symptoms

Aching in affected area.

Weakness in thumb.

Loss of muscle tone (muscle atrophy).

 

Trigger finger

Other Names Stenosing tenosynovitis crepitans
Primary Area Affected Forearm
Type Connective tissue
Symptoms

Pain in the forearm or wrist.

Snapping or jerking movement of one or more fingers.

Rattling or crackling sound in hands or wrists.

 

Tendinitis

Other Names Tendonitis
Primary Area Affected Forearm, elbow, shoulder
Type Connective tissue
Symptoms Pain or irritation, particularly while using the hand or arm.

 

Thoracic outlet syndrome

Other Names Neurovascular compression syndrome, hyperabduction syndrome, cervicobrachial disorder, brachial plexus neuritis, costoclavicular syndrome
Primary Area Affected Shoulder, arm, hand
Type Neurovascular
Symptoms

Tingling and/or numbness in the fingers and hands.

Weak hands.

Atrophying muscles in the hand.

Pale or bluish hands (as in Raynaud's syndrome).

Arm pain.

Chronic tired arms.

 

Ulnar nerve compression at the elbow

Other Names Cubital tunnel syndrome, cubital outlet syndrome, cubital canal syndrome, beer drinker's arm, telephone operator's arm
Primary Area Affected Elbow, forearm, hands
Type Nerve
Symptoms

Tingling, pain or numbness in the area served by the ulnar nerve, particularly the little finger and the half of the ring finger closest to the little finger, as well as on the ulnar side of the hand and forearm. (The ulnar side is where the little finger is.) The sensation can be more severe at night.

Hand weakness.

 

Ulnar nerve entrapment at the wrist

Other Names Guyon's canal syndrome, Guyon's tunnel syndrome
Primary Area Affected Wrist & hand
Type Nerve
Symptoms Decreased hand strength