Carpal Tunnel Syndrome

Repetitive Stress Injury - or repetitive strain injury (RSI), injury caused by repeated movement of a particular part of the body. Often seen in workers whose physical routine is unvaried, RSI has become epidemic since computers have entered the workplace in large numbers. Many RSIs develop when the sheaths that cover muscle tendons swell and press on nerves. Constant typing can cause one form of RSI, carpal tunnel syndrome, a sometimes disabling pain and tingling in the thumb and first two fingers. It is caused by swelling and pressure on the median nerve passing through the wrist. Other common problems are rotator cuff injury, from overuse of the shoulder; tennis elbow, inflammation of a tendon in the elbow from overuse of the forearm; and back injuries from repeated heavy lifting. A 1998 report by the National Academy of Sciences in the United States called RSI a serious national problem, with financial costs ranging up to $20 billion annually.

Treatment of RSI usually begins with attempts to change the conditions that caused the injury. Often, exercises and anti-inflammatory drugs are prescribed; in some cases surgery is necessary. Many workers' compensation cases and lawsuits relating to RSI have been brought against employers and product manufacturers. To avoid the high costs of RSI, some businesses have introduced ergonomic workstations and enforced rest periods.

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