We specialize in the evaluation and treatment of repetitive strain injuries (RSIs) of the upper extremity, including the hand, wrist, elbow, and shoulder.

What is a Repetitive Strain Injury (RSI)?

A repetitive strain injury (RSI) is a condition caused by repeated movements, sustained positions, or overuse over time, leading to irritation or damage of muscles, tendons, nerves, or other soft tissues. These injuries often develop gradually and are commonly associated with work tasks, technology use, fitness routines, and daily activities.

Common Upper Extremity RSIs We Treat

1. Carpal Tunnel Syndrome (chronic)

2. Tendonitis (Wrist/Forearm/Shoulder)

3. De Quervain’s Tenosynovitis

4. Lateral Epicondylitis (Tennis Elbow)

5. Medial Epicondylitis (Golfer’s Elbow)

6. Cubital Tunnel Syndrome

7. Thoracic Outlet Syndrome

8. Intersection Syndrome

9. Rotator Cuff Tendinopathy

10. Biceps Tendonitis

11. Ulnar Nerve Entrapment (at wrist or elbow)

12. Radial Tunnel Syndrome

13. Myofascial Pain Syndrome (Upper Extremity)

14. Chronic Wrist Instability from Overuse

We take a whole-body, root-cause approach, addressing not only the site of pain, but also contributing factors such as:

• Core and proximal stability

• Movement patterns and biomechanics

• Ergonomics and daily habits

Treatment is highly individualized, combining hands-on therapy, neuromuscular re-education, and targeted exercise to restore optimal function and prevent recurrence.