Originally Posted by Dreamliner
RSI - Repetitive Strain Injury. Lots of us have them. My Patellofemoral Pain Syndrome would fit the bill. It's a highly technical term for "You have pain in the front of the knee and we don't have any idea what causes it."
Worse still, orthos, chiros and physios don't seem to know how to fix it.
The research is actually a little disturbing. RSI's are commonly thought to involve inflammation. That's not terribly daunting. Just ease up a couple of weeks, pop some NSAID's, etc.
But the research I've seen of late suggests something other than inflammation and something more akin to a dry rot. And the specific term that had a chilling effect:
Almost has the ring of "It ain't necessarily coming back" to it. Sounds like a rupture or tear in the offing for the trainee who can't rein in the competitive instincts.
Here's the thing. There are plenty of good providers out there that know how to treat overuse type injuries. The problem is our needs as clients to want an instant fix. The fact is your "research of late" has been around for, oh about 80 years.
Histopathology is not some recent advance. A big part of our problem is bad information. The newspaper ad about the next biggest modality to help back pain, the article in a running magazine about the 5 best exercises for plantar fasciitis, or the idea that an injection or a pill will cure the root cause of a physical injury all keep us captivated that there is someone that can fix our problems with the snap of their fingers.
The reality is you cant classify everyone into one treatment group or miracle cure with these type injuries. You need to diagnose the cause of the injury and change the stress causing it.
If you have an injury that has been going on for more than a few days to two weeks and going to a provider that wants to give you steroids, ice, NSAIDs, or a few manipulations maybe you should consider going to see someone that is going to examine you a little more thoroughly and determine the real stressor causing your injury and help you change that.
Its just like being overweight. You want to lose weight so you cut carbs out or take some pill that supposedly increases your metabolism or have liposuction. Sure some of these things work in the short term but if you dont change your caloric intake/output your gonna keep gaining or maintaining weight.
And for the point on tissue degeneration. The body is capable of changing this fibrotic tissue.