How I Cured my RSI Pain

After doing a _lot_ of research into this, I experienced an almost complete short-term recovery. It wasn't just lack of pain... muscles that felt perpetually taut and ropey were suddenly softened, and I became extraordinarily thirsty for a couple of days as healing started again.

Unfortunately, I only have speculation about what's going on here medically. As a seasoned skeptic, Dr. Sarno's explanation of psychological causes is unsatisfying to me. My hypothesis is that RSI is caused by a problem in the autonomic nervous system (i.e. the part that regulates your body). Sympathetic nervous system activity is provoked when your body is in "danger" mode: muscles are tensed, ready to act, etc. Now, what happens in RSI is that your muscles are being stressed through use (typing). This isn't normally a problem: when you stop typing, your muscles heal the tiny amount of damage that was inflicted. But if you are stressed out, then your sympathetic nervous system activity is heightened and your muscles don't get a chance to heal.

Now this is the insidious bit: the pain and injury eventually becomes a danger signal to your body. The injury thus provokes further sympathetic nerve activity. This negative feedback loop can thus perpetuate without the person feeling actively stressed any more, but is obviously exacerbated by feelings of worry about the RSI. Every time you try to be careful, you make the problem worse.

For a more medical take, some pieces are conveyed in this article: http://www.aapb.org/tl_files/AAPB/files/biof_34_2_pain.pdf . Some people speculate that similar issues underlie more serious problems, like RSDS and fibromyalgia

So that's all well and good, but what about the "cure"? Well, it seems that many people have virtually instantly solved their problems by adopting positive beliefs about the nature of the problem, that it is a problem caused by problematic nervous system signals and NOT an insoluble muscular injury. How does that work, exactly? I have no idea. Obviously, some stress is reduced, but that can't explain the magnitude and suddenness of the change. If anyone has ideas, I'd be very interested in hearing them.

If you suffer from RSI, the advice I would have is to think about this explanation while researching the ideas thoroughly to see if you're convinced. In the meantime, the best thing to do is daily exercise that isn't too intense, but gets your blood flowing for 20-30 minutes. Biking, running, yoga all have good benefits. You can do things like lift weights as well, but it is easy to overdo it, so I don't recommend it if your symptoms are severe. It's worth reading Dr. Sarno's book, but keep in mind that he uses words like "freudian unconscious rage", which made it hard to take anything he said seriously. In my mind, he is inaccurately explaining something which isn't true but corresponds to _some_ true phenomenon.

I've wanted to write this up for a while, but while I'm relatively convinced that I have a better explanation for RSI than most doctors, I don't really understand how "the solution" works (nor for how many people it does). I also realize that it sounds exceptionally hokey, which fuels my reticence. We'll see how it goes over here... ask me anything.

* Exercise arms with light weights (~10lbs)

* Adjusted chair height

* Started using a real keyboard (I think typing on a MBP for extended periods was a big contributor to my RSI)

* Drink more water, get better sleep, get some kind of exercise

These days, I don't notice any kind of RSI pains. I think generally, RSI (for a typist) is due to combinations of stress, poor posture, lack of general wellness, etc.

Ice bathes for my arms: I filled a sink with water and ice and submerged my arms up to the elbows; this was obviously useful for short term pain relief, and might have helped reduce inflammation over the longer term. It was important to wait until the arms were warmed up again before going back to typing.

Keeping fingernails well trimmed; surprising, but it made a big difference.

Massage; I think it was through massage that I started realizing that even though my symptoms were in the wrists the problem was probably more systemic, it's amazing how much pain a good massage can discover in surprising places!

Stretching; stretching the wrists felt immediately good, as did standing in a doorway, arms on the door frame, and leaning forward. Working on the hamstrings probably helped longer term.

Weight lifting, particularly exercises that strengthened the back; lots of people have mentioned it here, and I credit this for being the biggest long term help.

Sarno's ideas are a little flakey and a little offputting. But if you have RSI and nothing else seems to help, I recommend swallowing your embarrassment and giving Sarno's approach a real try.