Five Misconceptions About Repetitive Strain Injuries 

Repetitive strain injuries (RSIs) such as carpal tunnel syndrome, trigger finger, and tennis elbow are some of the most commonly treated orthopedic conditions — and also some of the most misunderstood. RSIs affect office workers, athletes, musicians, healthcare professionals, and anyone whose daily activities involve repeated motions.

Here is the truth behind five common misconceptions about RSIs:

1. RSIs Aren’t Just a “Desk Job” Problem
   While many people associate typing and mouse use with conditions like carpal tunnel syndrome, RSIs can develop from any repetitive activity — from using hand tools to playing instruments to training at the gym. A specific job or hobby isn’t necessarily the cause; it’s the repeated stress placed on the same muscles, tendons, and joints without adequate recovery time.
2. Pain Is Often a Late Warning Sign
   Many patients are surprised to learn that pain is not always the first symptom. Early RSIs often present with stiffness, fatigue, tingling, weakness, or a feeling that the hand or arm “just isn’t working right.” Ignoring these subtle signs can allow inflammation or tendon damage to progress, making recovery longer and more complex.
3. Ergonomics Aren’t the Whole Answer
   Good ergonomics — such as proper workstation setup, tool design, and posture — are critical, but they’re only part of the solution. How often breaks are taken, how the body moves, and how much load is placed on joint tissues are just as important. Even the most ergonomic setup can’t protect joints that are overused without recovery.
4. Chronic Tendon Conditions Aren’t Always Inflammation
   Many chronic RSIs involve tendon degeneration rather than active inflammation. This distinction matters because treatment strategies differ depending on the underlying condition. Rest alone may not be sufficient. Targeted therapy, activity modification, and biomechanical adjustments are often key to effective healing.
5. Treatment Doesn’t Have to Be Invasive
   Seeing a specialist early allows for an accurate diagnosis and a plan tailored to specific activity demands. Most RSIs can be managed successfully without surgery when addressed early. If surgery is required, many procedures can be performed in-office under local anesthesia using minimally invasive techniques.

While repetitive strain injuries are common, understanding these facts can help patients manage them appropriately — or even prevent them altogether. Awareness, early action, and thoughtful use of the hands and arms can make a meaningful difference in long-term function and comfort.