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Repetitive strain injury - • Splints • Physiotherapy...

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Repetitive strain injury Epidemiology Epidemiological data for RSI is poor. Estimates suggest that it may have a prevalence of between 1 and 24% in susceptible groups, especially those who work clerical and administrative jobs. Diagnosis The diagnosis of RSI may be made by GP's, occupational therapists, orthopaedic surgeons and rheumatologists. The diagnosis rests largely on reported symptoms, and the nature of patient's work. Localised tenderness over the affected area or symptom reproduction on certain movements is usually enough for a diagnosis to be made. There are no specific investigations to confirm diagnosis however a raised CRP and no visible fractures on X-ray help support a diagnosis. Treatment Treatment of localised RSIs is usually successful with well documented strategies such as:- Rest Occupational modifications such as wrist supports and job rotation
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Unformatted text preview: • Splints • Physiotherapy • Non-steroid anti-inflammatories such as ibuprofen or naproxen • Local steroid injections In some circumstances minor surgical procedures, such as a Carpal Tunnel Release, may be appropriate and help treat symptoms. Prognosis Prognosis is usually very good, so long as time is given for the injury to heal and adjustments are made to prevent its recurrence. Often the disorders will resolve spontaneously however if symptoms persist surgery may be of benefit for a few. Prevention Good working postures and the provision of suitable office furniture, for example, may help in the prevention of RSIs. Employment medical services may provide advice, especially in regards to ergonomic design, on providing the optimum work conditions for employees....
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