263 West End Ave. at 72nd St, NYC


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Repetitive Strain Injury

Lang Hand Therapy - Repetitive Strain Injury

Repetitive Strain Injury (RSI) is damage to muscles, tendons, joints, and nerves of the shoulder, elbow, forearm, and/or hand resulting from prolonged repetitive, forceful, or awkward hand movements.

Repetitive hand movements (such as clicking a mouse or typing) don’t seem as if they could cause injury. Surprisingly, repeatedly performing these movements, hour after hour, day after day, thousands upon thousands of times, as most of us do, frequently strains the muscles and tendons of the forearms, elbows, wrists, and fingers, often resulting in the following conditions:

  • Nerve Compressions: Also called “pinched” nerves. May cause pain, numbness, and weakness. Carpal Tunnel Syndrome is a common type of nerve compression.
  • Muscle Strain and Tendonitis: Common conditions such as tennis and golfers’ elbow, trigger finger, and DeQuervains tenosynovitis fall under this category.
  • Joint Inflammation and Pain: Very common in the small joints of the hands, base of the thumb, and in the wrist.

We treat repetitive strain injuries in many ways, all designed to make you feel better, resume function quickly, and prevent future injury:

  • We create custom-molded hand, wrist, forearm and elbow splints that rest and support the affected areas.
  • We soothe and control pain using comforting heat, electric stimulation and/or icing.
  • We use massage and muscle/tendon stretching and nerve gliding to promote optimal function.
  • We instruct you in careful strengthening exercises to avoid re-inflammation from the wear and tear of your daily activities.
  • We modify computer workstations to promote correct positioning, especially ensuring the neutral wrist.
  • We educate in activities modification and assistive devices with the focus to reduce upper extremity strain in daily living tasks.