tag:blogger.com,1999:blog-6193043695356712843.post6613578975060941902..comments2023-09-02T23:55:45.583+10:00Comments on Doctor Skeptic: Lessons from history #4: RSIDr Skeptichttp://www.blogger.com/profile/09376469049519802493noreply@blogger.comBlogger9125tag:blogger.com,1999:blog-6193043695356712843.post-63960651652803422702014-01-04T09:20:17.628+11:002014-01-04T09:20:17.628+11:00I would hope you would all read Dr. John Sarnos bo...I would hope you would all read Dr. John Sarnos books. He explains the basis of psychosomatic pain better than anybody I have read.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6193043695356712843.post-86592957882100032112013-12-19T09:32:32.496+11:002013-12-19T09:32:32.496+11:00If you have pain that limits your ability to perfo...If you have pain that limits your ability to perform your daily activities and it is bothering you, it is reasonable to seek advice from your doctor regarding the possible cause and possible treatment. You could have a treatable condition.<br /><br />However, many conditions, like arthritis for example, cause pain with movement. It is the underlying condition that causes the pain, rather than the movement per se. Therefore, it is not reasonable to attribute pain with movement to a "repetitive movement injury". It just hurts to move, we don't need any new diagnoses or labels to add to our already impressive collection.Dr Skeptichttps://www.blogger.com/profile/09376469049519802493noreply@blogger.comtag:blogger.com,1999:blog-6193043695356712843.post-73182901931133173432013-12-19T01:11:34.133+11:002013-12-19T01:11:34.133+11:00I'm 74, have osteoarthritis - knees, neck, han...I'm 74, have osteoarthritis - knees, neck, hands - with hobbies of crocheting, hand sewing, and polishing old aluminum kitchen collectibles with steel wool (that sometimes for hours.) Pain in my hand and wrist have made me stop these activities for short periods until I just have to get back at it. I've had arthroscopy on one knee about 8 years ago when I was told I was buying time for replacement. It was suggested by three doctors that I try glucosamine-chondroitin. I did - I've been taking Osteo-Biflex ever since then, with almost miraculous results, especially in my neck. Mind over matter? I don't know, the difference is amazing. My knees seem better, although I know my limits and adjust accordingly. But recently I've developed pain up my arm into my shoulder where it's worse after stitching for five minutes or so. I was thinking it's repetitive motion injury, and have decided that only rest will help. The pain subsides or goes away when I'm not moving my arm. Or are my days of using/abusing my hand/arm movement over? Would you call this repetitive motion injury?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6193043695356712843.post-83996282205603503022013-02-09T10:32:06.682+11:002013-02-09T10:32:06.682+11:00Thanks, and there is also a risk involved with lab...Thanks, and there is also a risk involved with labelling (diagnosing) things that we not certain about. Apart from the effect on the patient, we then provide a compartment into which other patients may be fitted.Dr Skeptichttps://www.blogger.com/profile/09376469049519802493noreply@blogger.comtag:blogger.com,1999:blog-6193043695356712843.post-51230139931735233172013-02-09T09:53:33.648+11:002013-02-09T09:53:33.648+11:00Good post. There are quite a few conditions that a...Good post. There are quite a few conditions that are not correlated with anatomical or biochemical abnormalities: low back pain (nothing is found with imaging in up to 70% of patients), chronic fatigue syndrome, chronic pain conditions etc. Finding something to throw a pill at doesn't always work. Eugenehttp://www.allaboutepidural.comnoreply@blogger.comtag:blogger.com,1999:blog-6193043695356712843.post-73897291449971024172013-01-17T11:23:43.568+11:002013-01-17T11:23:43.568+11:00Thanks Plasmon,
Constructing RSI is a good book a...Thanks Plasmon,<br /><br />Constructing RSI is a good book and covers the scene from Australia well. I will look up Moerman's book - sounds like something I might like.Dr Skeptichttps://www.blogger.com/profile/09376469049519802493noreply@blogger.comtag:blogger.com,1999:blog-6193043695356712843.post-23590191375207957952013-01-15T17:15:22.812+11:002013-01-15T17:15:22.812+11:00RSI is in some ways the "railway spine" ...RSI is in some ways the "railway spine" of the 1980s, driven by new technology and social contexts.<br /><br />I've been meaning to read Constructing RSI since Carl Elliott reviewed it in LRB, alongside Moerman's book on placebos that's been a jumping off point for me for a lot of things. Plasmonnoreply@blogger.comtag:blogger.com,1999:blog-6193043695356712843.post-67661591129977771652012-12-07T06:31:52.618+11:002012-12-07T06:31:52.618+11:00Thanks. The role of a person's pre-morbid psyc...Thanks. The role of a person's pre-morbid psychological profile is interesting. DIfficult to measure, but very important. Most would agree that certain "types" of people are more likely to develop these conditions.Dr Skeptichttps://www.blogger.com/profile/09376469049519802493noreply@blogger.comtag:blogger.com,1999:blog-6193043695356712843.post-40069969817024550712012-12-07T06:23:45.740+11:002012-12-07T06:23:45.740+11:00In that last review it stated "Although not o...In that last review it stated "Although not often studied, non-work-related stress was also consistently associated with Upper Extremity Pain." This is consistent with an anxiety disorder pre-dating onset of chronic pain, as shown in Gupta A et al. Rheumatology 2007. This showed that anxiety disorder is present in 95% of new chronic pain patients before they get the pain.<br /><br />If you add to anxiety and chronic pain the known effects of disuse atrophy then you get the clinical picture of RSI. We still have doctors treating it like a medical-only complaint however.<br /><br />Keep up the good work Dr S.<br />Dr JCAnonymousnoreply@blogger.com