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Ask An Expert

Repetitive Stress Prevention and Treatment

James D. Kelly

James D. Kelly, M.D.

Novato Community Hospital

California Pacific Medical Center

SPMF San Francisco HMO Network

Question:

I sit hunched up at a computer all day, and my shoulders and elbows are really starting to ache. Is there anything I can do, other than just taking a break, to help prevent this pain?

Answer:

This type of pain is usually caused by repetitive use, so called repetitive stress. We don't have a physiologic explanation for it. The location of pain is usually normal on imaging studies. The pain is related, as the name implies, to using the same muscles in the same way, over and over.

The best first step is to address your concern with your employer. They should first try to optimize your work space so that your seat, desk, keyboard and screen work well for you. If that doesn't work, an occupational therapist or ergonomic specialist can be called in and can make additional work space suggestions and design some exercises for you.

If the problem persists, you may be referred to an occupational physician specialist.

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