Treating repetitive strain injury (RSI)

Treatment for repetitive strain injury(RSI) depends on your symptoms and whether a specific condition has been diagnosed.

Workplace health

If your RSI is caused by repetitive activity at work, the first step is to speak to your employer or occupational health representative.

It may be possible to modify your tasks to relieve the symptoms. Small changes to your lifestyle and working environment can often help.

Think about your working environment and what activity may be causing the problem. Take steps to reduce how much time you spend doing this activity or change how you do it.

If you can't stop doing it completely, take regular, short breaks to stretch and move about. Software packages that remind you to take regular breaks from the keyboard can be useful.

It can also be helpful to get advice from an occupational health representative at workon how to set up your work station.

Read moreabout workplace health , including:

• preventing RSI at work includingadvice about using a mouse and keyboard
• how to sit correctly
• common posture mistakes

Exercise

Some people with symptoms of RSI find that including exercise in their daily routine, such as walking or swimming, also eases their symptoms.

Read about:

• the benefits ofexercise
• how to start exercising
• health and fitness

Treatment options

See your GP if your symptoms continue, despite attempts to modify your work activities.A number of treatments are available thatmay help people with the condition.

If your doctor can diagnose a specific medical condition, well-established treatments can often be recommended. These include self-help measures, medication, or even surgery, in some cases.

Some of these treatments may help even if your doctor can't diagnose a specific medical condition from your symptoms. However,in these cases, their effectiveness may be limited.

Possible treatment options for RSI include:

• medication includingshort-term use of anti-inflammatory painkillers (such as Painkillers, ibuprofen ) or pain receptor-blocking medications, such as some forms of antidepressants , if you're getting severe symptoms or interrupted sleep
• cold packs, elastic supports or a splint
• physiotherapy including advice on posture and stretches or exercises to help strengthen or relax your muscles
• steroid injections to reduce inflammation in an affected area (these are only recommended if an area has definite inflammationcaused bya specific condition, such as carpal tunnel syndrome )
• surgery to correctspecific problems with nerves or tendons (for example, if you are diagnosed with carpal tunnel syndrome or Dupuytren's contracture ) if other treatments haven't helped

Physical and complementary therapies

"Hands-on" therapies, including physiotherapy, massage or osteopathy , may be available after a referral from your GP, but in some cases there may be a long wait for an appointment.

If you're thinking about private treatment, make sure your therapist is registered with a professionally recognised organisation.

Many long-term sufferers of RSItry other types of complementary therapies and relaxation techniquesto help relieve the symptoms of RSI, such as:

• yoga
• acupuncture
• the Alexander technique

However, while some people with RSI do find these helpful, there's little scientific evidence to suggest these approaches are consistently effective for RSI.