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Repetitive Motion Injuries

A repetitive motion injury (or overuse injury) involves doing an action over and over again, as with a baseball pitcher throwing a baseball, a tennis player hitting a tennis ball, typing at a computer keyboard, and most notoriously, typing with your thumbs on the tiny keypad of your phone. It may be reasonably asserted that our musculoskeletal systems were not designed for such repeated motion sequences utilizing small muscle groups, but rather for a wide variety of tasks involving bending, lifting, twisting and turning, and walking and running that confronted early human progenitors a million and more years ago.

The repeated movements implicated in overuse injuries cause inflammatory reactions, which affect muscle-tendon units that move bones and ligaments that hold joints together.1 The short-term result may be achy or sharp pain localized to a specific muscle or joint. Longer-term results of repetitive motion injuries include more frequent pain, possibly experienced throughout the day, and more significant structural damage to muscles, tendons, and ligaments. In the case or carpal tunnel syndrome, repetitive use may permanently damage nerve bundles that supply the muscles and other soft tissues of the hand.2

Overall, it would be optimal to avoid repetitive motions altogether, but for almost all of us this is simply not an option. It would certainly be sensible to restrict typing on the keypad of our phones, but limiting typing on a full-size keyboard would conflict with the work environment in which most of us earn our livelihood. Whether we are writers, healthcare professionals, members of a sales team, data analysts, or human resource administrators at government or nonprofit agencies, working at a computer comprises a substantial portion of our work week, and may even extend into one or both days of what used to be known as a "weekend". Similarly, athletes are not going to stop or limit participation in their sport owing to the possibility of a future repetitive motion injury.

The solution lies in a prevention program that incorporates graduated, comprehensive strength training activities into our regular exercise routines.3 Performing upper and lower body strength training exercises each week trains both large and small muscles groups to adapt to mechanical loads throughout a full range of motion. Beginners start with light weights and gradually increase the number of repetitions and the amount of the weight being lifted. Those who have done strength training in the past may have a shorter learning curve and more quickly re-adapt themselves to this critical and rewarding exercise environment. The key for everyone is to exercise each major muscle group, that is, the chest, back, shoulders, arms, and legs, at least one time per week on a consistent, ongoing basis.

Regular chiropractic care assists all of us in our exercise activities and in achieving our long-term health and wellness goals. By detecting and correcting spinal misalignments and sources of nerve interference, regular chiropractic care enables our bodies to receive and incorporate the full benefits of our healthy lifestyle choices, including healthy nutrition, sufficient restful sleep, and regular vigorous exercise. In this way, regular chiropractic care helps our families and ourselves to live full, healthy lives.

1 Warrender WJ, et al A Seasonal Variation in the Prevalence of Common Orthopaedic Upper Extremity Conditions. J Wrist Surg 7(3):232-236, 2018

2 Inge Petter Kleggetveit IP, Jørum E: Diagnosis of carpal tunnel syndrome Scand J Pain Published Online: 2018-06-12; DOI: https://doi.org/10.1515/sjpain-2018-0089

3 Pogorzelski J, Nonoperative treatment of five common shoulder injuries: A critical analysis. Obere Extrem 13(2):89-97, 2018; doi: 10.1007/s11678-018-0449-1


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Testimonials

  • "Regular visits with Dr. Roeder have significantly reduced the frequency of migraines I have suffered and the amount of neck and shoulder pain I have lived with for years. Because of Dr. Roeder I am able to focus on my busy life again"
    S.L., San Diego
  • "This was my first encounter with a chiropractor and found the experience to be delightful, gratifying and well worth it! Instead of being given a bunch of pills and told to come back next week, the manipulation for my back and side injuries including carpal tunnel syndrome, responded very well to the treatments. Thank you, Dr. Roeder for a job well done"
    W.B., San Diego
  • "I came in originally for neck pain, but getting adjusted helped lower my blood pressure & my insulin levels too.Dr. Roeder is so thorough in her care-I never knew how much better I could feel.I no longer have to take blood pressure medicine now."
    A.W., San Diego
  • "Since meeting Dr. Roeder at a health seminar, she has changed my life, drastically-improving my health 100%. I had a wide range of symptoms, including chronic fatigue, constant and severe headaches, body aches, nausea, difficulty concentrating and I felt extremely tired and weak. She diagnosed me with having Fibromyalgia and Candida. She put me on an anti-inflammatory diet and started me on chiropractic treatment and instructed me on strength exercises. I have lost 40 lbs and feel fantastic! Whenever I eat something that sets off a symptom, I can identify the food source now. I know how to eat well and stay away from foods that cause inflammation. Had it not been for Dr. Roeder's expert care, I believe I would still be suffering from all those symptoms-- instead I feel fantastic!"
    M.O., Spring Valley
  • "My son was diagnosed at a very young age with Hyperkyphosis. The doctor told us that surgery would be his only option but we needed to wait until he got older.My husband and I were heartbroken to think about such a major surgery for our little boy.We wanted to help him anyway we could without doing surgery. We are so thrilled to say that after seeing Dr. Roeder my son's back has made a major improvement.That there is a stronger chance that he may not need surgery after all.My son is three now and he is a very active little boy and you can't even tell that he had ever had a bad back.He is able to do what all little boys do:run, jump and climb!Taking my son to Dr. Roeder was the best decision that me and my husband have made as parents.I am so happy that Dr. Roeder is part of our lives.In fact all of my extended family members are patients of her too!Thank you so much Dr. Roeder for all of your help.You have been such a positive part of our lives.You are part of our family."
    G.C., San Diego
  • "My daughter has been diagnosed with Von Willabrand's and Precocious Puberty at age 7. She had her first period at age 8, and it was for three days. The doctors said that her hormone levels were off and there wasn't any truly safe treatment. After talking to Dr. Roeder, she started chiropractic care to help her body cope better with this disorder and hopefully change her hormones. Now my daughter and I have been told by doctors at Children's Hospital that it looks like she won't be starting her period until two years from now-this will be the normal time when she should start! They told us to keep up the good work of whatever we have been doing because it seems to be working."
    J.H., San Diego
  • "I got treated for a neck and back injury that appeared to be chronic following a major car accident. I had been to chiropractors before but without much success.After seeing Dr. Roeder now though, my mobility and general feeling of well-being has greatly improved."
    C.H., San Diego
  • "Dr. Roeder was recommended by a friend and I am completely satisfied. I was having low back pain also some neck pain. My back feels better than it has in years. I feel Dr. Roeder is complete in recommending exercising and treatment!"
    M.L., San Diego
  • "I just wanted to say thank you for making me 'new' again. Also, for helping us through our tough times. You always have been nice to us and helpful when we were in your office-it was just like a second home! Every time I walked through the door I felt calm and relaxed. You always asked us how we were doing and how we have been. I thought that was very thoughtful and caring of you-especially considering that awful car accident we had been in. None of my doctors before had been as courteous as you. You have really made a bad experience into a great experience in a blink of an eye. I always loved that EVERYONE was always smiling! I wish that when I grow up I can be like you, always making people happy and feel better! Well, I think that you just made another patient happy because of your wonderful 'magic.' Oh and I know I already said this but I think I am speaking for everyone when I say: Thank you Dr. Roeder!"
    J.F., San Diego (pediatric patient)