Repetitive motion disorders (RMDs) are a multitude of muscular conditions that result from repeated motions performed in normal work or daily activities.
RMDs include:
- Carpal tunnel syndrome
- Bursitis
- Tendonitis
- Epicondylitis
- Ganglion cyst
- Tenosynovitis
- Trigger finger
RMDs are caused by too many uninterrupted repetitions of an activity or motion, unnatural or awkward motions such as twisting the arm or wrist, overexertion, incorrect posture, or muscle fatigue.
RMDs occur most commonly in the hands, wrists, elbows, and shoulders, but can also happen in the neck, back, hips, knees, feet, legs, and ankles.
The disorders are characterized by
- Pain
- Tingling
- Numbness
- Visible swelling or redness of the affected area
- Loss of flexibility and strength.
For some individuals, there may be no visible sign of injury, although they may find it hard to perform easy tasks. Over time, RMDs can cause temporary or permanent damage to the soft tissues in the body, such as the muscles, nerves, tendons, and ligaments and even compression of nerves or tissue.
Treatment of RMDs
Treatment for RMDs usually includes reducing or stopping the motions that cause symptoms. Options include:
- Rest, and stretching and relaxation exercises
- Applying ice to the affected area
- Using medications such as pain relievers, cortisone, and anti-inflammatory drugs that can reduce pain and swelling.
- Splints may be able to relieve pressure on the muscles and nerves.
- Physical therapy may relieve the soreness and pain in the muscles and joints.
- In some cases, surgery may be required to relieve symptoms and prevent permanent damage.
Many companies are now developing ergonomic programs to help workers adjust their pace of work and arrange office equipment to minimize problems, such as chairs, and keyboards.
Recovery
Most individuals with RMDs recover completely and can avoid re-injury by changing the way they perform repetitive movements, reducing frequency and including frequent rest. Without treatment, RMDs may result in permanent injury and complete loss of function in the affected area.
Repetitive motion disorders should always be diagnosed by a physician, as symptoms can be similar, but treatment different, depending upon the disorder. If you are experiencing hand, wrist, elbow or shoulder pain that could be indicative of a RMD, please contact us at Midwest Hand Therapy


