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Tackling the Rise of RSIs


Tackling the Rise of RSIs


Ms ME, a 33-year-old executive

assistant in the City, presented

with a 9-month history of bilateral

wrist pain (right worse than left).

An MRI scan confirmed clinical

diagnosis of severe DeQuervain’s

Tenosynovitis (Figures 1 and 2).

Prompt treatment involved a focal

steroid injection, splinting (Figure

3) and hand therapy. The patient

had fully recovered within 6-8

weeks and has had no recurrence

at 9 months.

The RSI Clinic at London Bridge

Hospital has been set up with

the specific aim of providing a

comprehensive approach to

treating RSIs. We believe in

providing patients a seamless

service across all specialties.

Notes are shared and cases

are commented on by all our

specialists, with the aim of

minimising the number of wasted

appointments and maximising

information sharing and

effectiveness of treatment.

Fig. 2

Fig. 3


• Take regular breaks from repetitive tasks

• Stretch regularly – stand up to stretch if you can

• Try not to slouch and hold a good posture. Ideally, your

head and back should form a straight line from your

ears to your pelvis

• Reduce hot desking

• Use a laptop backpack not a satchel

• Make sure the height of your chair is correct and your

desk is set up so that you do not have to repeatedly

reach over

•When typing, try to keep your fingers pointing forwards

– touch-type if you can to avoid using the same fingers

over and over again

• If your job involves a lot of phone usage, try not to hold

the handset between your ear and shoulder – use a

headset if possible

Fig. 1

Fig. 1 & Fig. 2 –

Coronal (1) and Axial (2) MRI images

demonstrate severe swelling and surrounding inflammation of the

extensor tendons confirming DeQuervain’s Tenosynovitis.

Fig. 3 –

Thermoplastic splint fitted by our specialist Hand Therapist

at London Bridge Hospital.