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RSI & DISH - Diffuse Idiopathic Skeletal Hyprostosis
Can RSI DISH It
Out?
RSI (repetitive strain injury) is a common condition that typically originates
from performing repetitive activity. RSI can be represented in the form of
tennis elbow, golfers elbow, carpal tunnel and ulnar neuritis. It is now
becoming more accepted that the RSI condition is generated from the neck area.
The idea is that spinal compression of segments of the neck contribute to
referred pain and muscle and nerve pain in the arm. The anatomy of RSI has
recently described in recent articles, and so I will not elaborate on classical
RSI mechanisms.
Although most RSI's seem to have a cervical (neck) component, I have already
reported a definite subgroup that have an RSI that is thoracic (or upper back)
as it's origin. A condition known as DISH or diffuse idiopathic skeletal
hyprostosis is a condition that causes thoracic (upper back) spinal bony
disease. It can be associated with upper thoracic radicular (nerve compression)
that causes referred pain and dysfunction in the arms much like any RSI. I see
similar mechanisms in people who suffer a kyphotic (flexing) upper back. I also
see a similar RSI-picture in those who use key boards and computer games. In
DISH, there is a underlying disease entity that causes this bony overgrowth and
inflammation.
Correction of the
"hump back" with stretching and therapy can help to improve RSI related to the
thoracic spine.
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