Treatment plans
The RSI treatment that helps everyone affected best does not exist. RSI is too complex, there are different causes and consequences. The severity and duration of the pain can vary enormously.
I have divided the healing process into five phases and created corresponding treatment plans, so each sufferer can pick the most suitable exercises. No matter which stage you have reached, you should consult a doctor and discuss the measures proposed on this website with him.
Phase | Duration of pain | Pain intensity | Swelling of the forearms | |
First phase | Permanently | Very strong | Yes | |
Second phase | Regularly to permanently | Strong | None or slight | |
Third phase | Regularly | Medium to strong | - | |
Fourth phase | Sporadically to regularly | Low to medium | - | |
Fifth phase |
- | - | - |
Most visitors are likely to fit into the fourth phase. "After a few hours of intensive computer work my right wrist often hurts and I need to shake out my arm or apply a massage. When I arrive home after work I usually don't have any complaints. But I'm a bit concerned that the pain eventually won't go away that quickly."
Prevention |
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Treatment / Phase > |
1 |
2 |
3 |
4 |
5 |
Ergonomic workplace | x |
x |
x |
x |
x |
Work habits | x |
x |
x |
x |
x |
Read other personal stories | x |
x |
x |
x |
|
Pain diary | x |
x |
x |
x |
|
x |
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Minimize workload | x |
x |
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Reduce workload | x |
x |
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Erase pain memory | x |
x |
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Stimulate blood flow | x |
x |
x |
x |
|
Relaxation techniques | x |
x |
x |
x |
|
Deep friction massage | x |
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Stretching | x |
x |
x |
x |
|
Trigger point massage | x |
x |
x |
x |
|
Nerve mobilization | x |
x |
x |
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Strengthening | x |
x |
The following treatment plans only list exercises and activities that are not general in nature (e.g. ergonomic workstation, proper work habits).
First phase
If your pain is very strong and you are in the first phase, you should as a first step minimize the strain on the affected body part (often the right forearm). Before proceeding to the exercises of the second phase, an existing swelling should be almost completely subsided.
Second phase
Monday | Tuesday | Wednesday | Thursday | Friday | Saturday | Sunday |
Running (at least 30 minutes) | Running (at least 30 minutes) | Running (at least 30 minutes) | ||||
Stretching | Stretching | Stretching | Stretching | Stretching | Stretching | Stretching |
Trigger point massage | Trigger point massage | Trigger point massage | ||||
Stretching | Stretching | Stretching | Stretching | Stretching | Stretching | Stretching |
Relaxation techniques | Relaxation techniques | Relaxation techniques | Relaxation techniques | Relaxation techniques | Relaxation techniques | Relaxation techniques |
Third phase
Monday | Tuesday | Wednesday | Thursday | Friday | Saturday | Sunday |
Running (at least 30 minutes) | Running (at least 30 minutes) | Swimming | ||||
Stretching | Stretching | Stretching | Stretching | Stretching | Stretching | Stretching |
Trigger point massage | Nerve mobilization | Trigger point massage | Nerve mobilization | Trigger point massage | Nerve mobilization | |
Deep friction massage | Deep friction massage | |||||
Stretching | Stretching | Stretching | Stretching | Stretching | Stretching | Stretching |
Erase pain memory | Erase pain memory | Erase pain memory | Erase pain memory | Erase pain memory | Erase pain memory | Erase pain memory |
Relaxation techniques | Relaxation techniques | Relaxation techniques | Relaxation techniques | Relaxation techniques | Relaxation techniques | Relaxation techniques |
Fourth phase
Monday | Tuesday | Wednesday | Thursday | Friday | Saturday | Sunday |
Running (at least 30 minutes) | Running (at least 30 minutes) | Swimming | ||||
Stretching | Stretching | Stretching | Stretching | Stretching | Stretching | Stretching |
Trigger point massage | Nerve mobilization | Trigger point massage | Nerve mobilization | Trigger point massage | Nerve mobilization | |
Strengthening | Strengthening | |||||
Stretching | Stretching | Stretching | Stretching | Stretching | Stretching | Stretching |
Erase pain memory | Erase pain memory | Erase pain memory | Erase pain memory | Erase pain memory | Erase pain memory | Erase pain memory |
Relaxation techniques | Relaxation techniques | Relaxation techniques | Relaxation techniques | Relaxation techniques | Relaxation techniques | Relaxation techniques |
Fifth phase (please see the summary for further advice)
Monday | Tuesday | Wednesday | Thursday | Friday | Saturday | Sunday |
Running (at least 30 minutes) | Running (at least 30 minutes) | Swimming | ||||
Trigger point massage | Nerve mobilization | |||||
Strengthening | Strengthening | |||||
Stretching | Stretching | Stretching | Stretching | Stretching | Stretching | Stretching |
Relaxation techniques | Relaxation techniques | Relaxation techniques | Relaxation techniques | Relaxation techniques | Relaxation techniques | Relaxation techniques |
Note for TMS-Sufferers
If the cause of your RSI is psychological, then you can largely do without all the advice on this page. But a few stretches won't hurt and might protect you from possible future physical strain.