Klarinet Archive - Posting 000096.txt from 1995/04

From: The UWIN Server <uwin@-----.EDU>
Subj: Re: tendonitis
Date: Sat, 8 Apr 1995 00:33:05 -0400

Document 75
Accession No.: 86118040.
Author: Fry-H-J.
Title: Overuse syndrome of the upper limb in musicians.
Source: Med-J-Aust. 1986 Feb 17. 144(4). P 182-3, 185.
Journal Title: MEDICAL JOURNAL OF AUSTRALIA.
Abstract: A series of 379 musicians with painful overuse syndrome
("RSI") were examined and studied. The commonly used diagnosis
for the condition of "tenosynovitis" or "tendinitis" could not
be substantiated as it appeared to be a distinct clinical
entity rather than a collection of unrelated disorders. The
patients in this series showed muscular and joint capsule
overuse. Those with painful hands and wrists showed persisting
tenderness in the intrinsic muscles and joint ligaments,
notable in the carpometacarpal joints of the thumb and the
radial side of the wrist. Tenderness of more proximal muscle
groups was also usually present. Pain generally started in a
particular area, then spread both proximally and distally. The
patients felt depressed. The treatment that evolved from the
study was radical rest of the tender structures by the total
avoidance of pain-inducing activities. The condition did not
appear to be inflammatory in nature. The prevention of overuse
lies in the control of use.
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