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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

Typ

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

 

What is Carpal Tunnel Syndrome?

How serious is the Carpal Tunnel Syndrome problem?

Are Working Women more at risk for developing CTS than Male Workers?

Basic 4 Step Procedure for diagnosing CTS and other RSI

What alternative methods are available to treat CTS and other RSI?

Can employers prevent their employees from developing CTS and other RSI?

What forces are preventing Carpal Tunnel Syndrome victims from exercising their right to receive Workers Compensation benefits?

What are the "dangers" of processing Carpal Tunnel Syndrome related medical bills through group health insurance?

Frequently Asked Questions about Carpal Tunnel Syndrome