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Repetative Injury (RSI)

Repetitive strain injuries  RSI treatment potential for acupuncture and herbal medicine in traditional chinese medicine

on Repetitive Strain Injury: A holistic Approach

(Organ names in Chinese medicine differ from Western medicine's understanding).

Repetitive Strain Injury (RSI) is a condition that affects millions of people worldwide. It is a type of musculoskeletal disorder caused by repetitive movements or prolonged periods of awkward positions, leading to damage of soft tissues, tendons, muscles, and nerves. In Western biomedical understanding, RSI is commonly treated with rest, pain relief medications, physical therapy, and in severe cases, surgery. 

 

in Chinese medicine, RSI is viewed as a result of imbalances in the body's energy flow and can be managed through a holistic approach that stems from the Chinese Medicine theory.

Chinese Medicine has a unique understanding of the body and its functions. According to TCM (Traditional Chinese Medicine), the body has a network of channels or meridians through which Qi, the body's vital energy, flows. Qi provides nourishment to the organs and tissues and is responsible for maintaining balance and harmony in the body. Imbalances in the flow of Qi can cause pain, inflammation, and other health problems, including RSI.

One of the core principles of TCM is the concept of Zang Fu, which refers to the organs and their functions. The organs are seen as interconnected and interdependent, and each has a specific role in maintaining the body's health. In the case of RSI, the affected organs are the Liver, Spleen, and Kidney. The Liver is responsible for the smooth flow of Qi and blood, and imbalances can lead to pain and inflammation. The Spleen is responsible for nourishing the muscles and tendons, and imbalances can cause weakness and stiffness. The Kidney is responsible for nourishing the bones and joints, and imbalances can cause degeneration and pain.

In TCM, RSI is also viewed as a result of external factors, such as Wind, Cold, and Dampness, which can invade the body and cause blockages in the flow of Qi and blood, leading to pain and inflammation. Heat and Fire are also considered external factors that can cause inflammation and pain. Phlegm, which is a thick and sticky substance that can accumulate in the body, is another factor that can cause RSI.

To manage RSI in TCM, practitioners focus on restoring balance and harmony in the body's energy flow. This is achieved through acupuncture, herbal medicine, and lifestyle modifications. Acupuncture involves the insertion of fine needles at specific points along the meridians to stimulate the flow of Qi and blood, reduce pain and inflammation, and promote healing. Herbal medicine is prescribed to nourish the organs and tissues and alleviate symptoms such as pain and stiffness. Lifestyle modifications such as proper posture, regular exercise, and a healthy diet can also help prevent and manage RSI.

In addition to acupuncture and herbal medicine, TuiNa, remedial massage, GuaSha, and Cupping are also used to manage RSI. TuiNa is a form of therapeutic massage that involves the manipulation of soft tissues, tendons, and muscles to promote healing and restore balance in the body's energy flow. GuaSha involves scraping the skin with a smooth tool to promote blood flow and reduce inflammation. Cupping involves placing cups on the skin to create suction, which promotes blood flow and relieves pain and stiffness.

In conclusion, RSI is a common condition that can be managed through a holistic approach that involves restoring balance and harmony in the body's energy flow. TCM offers a unique perspective on the causes and management of RSI, and a complementary approach using both Western and Eastern modalities can be highly effective. It is important to seek the advice of a qualified healthcare practitioner and to follow their recommendations for the management of RSI.

References:

  1. Haahr JP, Andersen JH. Physical and psychosocial risk factors for lateral epicondylitis: a population based case-referent study. Occupational and Environmental Medicine. 2003 Mar 1;60(3):322-9. doi: 10.1136/oem.60.3.322.

  2. Occupational Safety and Health Administration (OSHA). Computer Workstations eTool: Work-related Musculoskeletal Disorders (WMSDs). https://www.osha.gov/SLTC/etools/computerworkstations/wmsd.html. Accessed 19 Apr 2023.

  3. Lewit K. Manipulative therapy in rehabilitation of the motor system. Butterworth-Heinemann; 1991.

  4. Maciocia G. The Foundations of Chinese Medicine E-Book: A Comprehensive Text for Acupuncturists and Herbalists. Elsevier Health Sciences; 2015.

  5. Deadman P, Al-Khafaji M, Baker K. A Manual of Acupuncture. Journal of Chinese Medicine Publications; 2007.

  6. Yang Y, Liu Z, Liu L, Liu Y, Wu H. Tui Na massage therapy for upper limb repetitive strain injuries: a systematic review and meta-analysis. Journal of Traditional Chinese Medicine. 2019 Dec;39(6):857-68. doi: 10.19852/j.cnki.jtcm.2019.06.010.

  7. Liang Q, Li K, Li Z, Huang C, Lin Z, Liao Q, Ma Y, Wang J, Huang H, Cao H. Evidence-based Chinese Medicine Clinical Practice Guideline for Repetitive Strain Injury of the Upper Extremities. Chinese Journal of Integrative Medicine. 2021 Jan;27(1):1-20. doi: 10.1007/s11655-020-3446-9.

  8. National Institute of Neurological Disorders and Stroke (NINDS). Repetitive Motion Disorders. https://www.ninds.nih.gov/Disorders/All-Disorders/Repetitive-Motion-Disorders-Information-Page. Accessed 19 Apr 2023.

The primary objective of Chinese Medicine is to treat the whole person rather than a specific disease or its given name.  It is an adjunct to Western medicine, with a distinct focus on identifying the underlying cause within Chinese medical  theory and using it's principles in a safe and modern clinical setting.

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