Repetitive Strain Injury (RSI): The Enliven’s Approach

Repetitive strain injury (RSI) (also known as repetitive stress injury, repetitive motion injuries, repetitive motion disorder (RMD), cumulative trauma disorder (CT), occupational overuse syndrome, overuse syndrome, regional musculoskeletal disorder) is an injury of the musculoskeletal and nervous systems that may be caused by repetitive tasks, forceful exertions, vibrations, mechanical compression (pressing against hard surfaces), or sustained or awkward positions.

RSI is not a specific medical diagnosis, but rather a group of disorders. Many people mistakenly equate RSI with carpal tunnel syndrome, even though CTS is only one particular form of RSI. One recent study even reported that frequent computer users are no more likely to develop CTS than non-computer users. Don’t let this mislead you, though. Many other forms of RSI do come on as a result of frequent computer use.

Signs & Symptoms:

Do you experience:

  • Fatigue or lack of endurance?
  • Weakness in the hands or forearms?
  • Tingling, numbness, or loss of sensation?
  • Heaviness: Do your hands feel like dead weight?
  • Clumsiness: Do you keep dropping things?
  • Lack of strength in your hands? Is it harder to open jars? Cut vegetables?
  • Lack of control or coordination?
  • Chronically cold hands?
  • Heightened awareness? Just being slightly more aware of a body part can be a clue that something is wrong.
  • Hypersensitivity?
  • Frequent self-massage (subconsciously)?
  • Sympathy pains? Do your hands hurt when someone else talks about their hand pain?

In addition to these symptoms, RSI can also lead to behavioural changes. You may not even be aware of these changes. For example, do you:

  • Avoid using the injured hand?
  • Use your non dominant hand more frequently?
  • Use your forearm, feet, or shoulder to open doors?
  • Avoid wearing or buying certain kinds of clothing because it is too difficult to put them on?
  • Change shopping habits because you can’t carry as much as he wants could?
  • Keep dropping things?
  • Find you can’t chop food?
  • Not play sports you once enjoyed?
  • Have trouble hooking bras or putting on jewelry?
  • Not wear bracelets because your wrists are tender?
  • Have trouble with keys or brushing teeth?
  • Feel overly protective of your hands?

We strongly believe that effectiveness of treatment will depends on the diagnosis and selection of treatment methods. We Enliven do complete Muculoskeletal Screening and Examination before we plan the treatment sessions.

The Enliven Approach:

Ergonomics & Posture Corrections:

Ergonomics is nothing but fitting the job to the persons need and comfort. In order to work efficiently the work place need to be organized based on the individual anthropometric measurements. E.g., If the person is short either we can reduce the table height or we go for accessory equipments like footrest.

Posture is all about how well is our spine. Good posture is when you are seated in such a way that the effort required to work at your computer is minimized.

The Basic posture for the computer users are:

  • Feet: flat on the floor
  • Knees: directly over feet, bent at right angles (or slightly greater), with a couple inches of space from the chair
  • Lower back: arched in, and possibly supported by your chair or a towel roll.
  • Upper back: naturally rounded
  • Shoulders, arms: relaxed, at side.
  • Neck: arched in, relaxed, supported by spine. Be careful not to hold tension in back or under chin.
  • Head: balancing gently on top of spine

Neuromuscular therapy (NMT):

NMT is a thorough program of recovery from acute and chronic pain syndromes which utilizes specific massage therapy, flexibility stretching, and home care to eliminate the causes of most neuromuscular pain patterns. This specific and scientific approach to muscular pain relief will help to bring about balance between the musculoskeletal system and the nervous system. NMT enhances the function of joints, muscles and biomechanics (movement) and it releases endorphins, the body’s own natural pain killers. It can be part of a comprehensive program, complementing all other health care modalities.

The techniques includes:

  • Positional release therapy
  • Muscle Energy Techniques


Myotherapy is a ‘trigger point’ therapy. It involves pressing on small, constricted, sore points that trigger pain in areas away from the points. For example, a tense, painful know of muscles in the neck might cause pain in the head. In this case, myotherapy would involve pressing on the knotted neck muscles to decrease pain in the head.

Myofascial Release:

Myofascial release is a form of soft tissue therapy used to treat somatic dysfunction and accompanying pain and restriction of motion. This is accomplished by relaxing contracted muscles, increasing circulation, increasing venous and lymphatic drainage, and stimulating the stretch reflex of muscles and overlying fascia.

Physcial Methods:

Contrast Bath:

Contrast Bath therapy, also known as “Hot/Cold Immersion therapy” is a form of treatment where a limb or the entire body is immersed in ice water followed by the immediate immersion of the limb or body in warm water. The theory behind contrast bath therapy is that the warm water causes vasodilation of the blood flow in the limb or body followed by vasoconstriction. The effect is to pump out inflammation — although this has been called into question. Contrast bathing can be used to reduce swelling around injuries or to aid recovery from exercise.

Wax therapy:

Paraffin wax is now being used for aesthetic purposes.

However, that is not just the use of paraffin wax. Paraffin wax heat therapy is a very effective way of applying heat to soothe stiffness or pain in some parts of the body such as muscles and joints.

Interferential therapy:

The basic principle of Interferential Therapy (IFT) is to utilise the significant physiological effects of low frequency (@<250pps) electrical stimulation of nerves without the associated painful and somewhat unpleasant side effects sometimes associated with low frequency stimulation.

There are four main clinical applications for which IFT appears to be used:

  • Pain relief
  • Muscle stimulation
  • Increased local blood flow
  • Reduction of oedema

Taping & Splints:

Strapping and taping techniques are some of the most important and most effective methods in sports injuries, repetitive strain injuries and other musculoskeletal disorders. Strapping and taping techniques can help prevent injury as well as protect the person from re-injury whilst returning to work or sport.


Yoga, the Sanskrit word for “union”, is a practice that uses posture and breathing techniques to induce relaxation and improve strength, and its health benefits may surpass those of any other activity. Whether you practice yoga to relax, stretch, breathe, meditate, or simply because it’s in fashion, you may not realize the numerous health benefits of yoga.

Fitness Programs:

“If I told you that I had a formula that would help you live longer, avoid-and even cure-some diseases, relieve stress, and makes you stronger with virtually no bad side effects, you’d probably be willing to pay a lot of money for it…what if I told you it was free?…The truth is, I do have a formula like that…the formula is physical activity-simple exercise”. – David C. Neiman, Dr PH

If all of the benefits of exercise could be packaged in a single pill, it would be the most widely prescribed medication in the world.

Our Fitness programs are designed on individual needs and their problems. The fitness programs includes free exercises, Stretches, Resistive band exercises, Fitness ball exercises and other weight training programs.

Our success stories on RSI treatment approach will updated soon on our website

If you need to know more about RSI & our approach mail us on or