Bikram Yoga

Repetitve Stress Injuries Due to Needlework




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Doing a lot of needlework can cause repetitive stress injury

(RSI), especially when combined with the large amount of typing

that many people do nowadays. It is caused when the same

movement is done repeatedly. Sports medicine physicians

categorize the levels of injuries based on the symptoms and

impact on the wrists performance. This grading helps guide the

treatment and rehabilitation process. Grade 1 is when there is

no pain while stitching, but there is some discomfort afterward

(either immediately or during the evening or the following

days). Grade 2 is when there is some discomfort while stitching

but it doesnt interfere with performance. Grade 3 is when

theres discomfort while stitching and it does interferes with

performance. And finally, grade 4 is when the discomfort is so

intense that stitching cannot be performed at all. Of course,

none of us want to reach this level!!!



There are various treatments for your wrist, depending on the

grade of the injury. Grade 1 can be treated by stitching 25%

less, and thats all that's required. Stitching can be gradually

increased as the symptoms allow, but be careful not to push it

too much and cause a reinjury. Grade 2 injuries can be cared for

by reducing the duration of your stitching by 50%. In addition

to ice and stretches, consider using nonsteroidal

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anti-inflammatory agents. Physical therapy is not absolutely

necessary at this point, but can be considered. When pain is

gone, the therapist should teach an endurance program and

strengthening exercises. Grade 3 is treated by active" rest

where the stitcher should stop stitching completely but is

allowed to move the affected part for daily activities. Physical

therapy is needed to speed and end to the discomfort, as well as

to strengthen, increase endurance, and restore coordination. In

addition to the oral nonsteroidal anti-inflammatory agents, a

corticosteroid injection may be considered at this time. Grade 4

injuries are treated with complete rest of the affected part,

usually involving the use of a sling or splint (even casting is

considered in severe cases). All of the above options can also

be used. If there is no improvement, or the condition recurs

despite adequate treatment, then surgical intervention may be

required.



Of course, the best situation is to avoid injury completely, and

here are some tips to keep you stitching for years to come.



1. Get an accurate diagnosis from a physician if you suspect you

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have a repetitive stress injury. There are many other conditions

that can cause, mimic, or worsen RSI such as fibromyalgia, Lyme

disease or arthritis.



2. Take frequent stretch and rest breaks while you are stitching

or doing any other kind of repetitive task.



3. Try self massage tools. Self massage can actually be more

effective than getting a full body massage from a masseuse. And

it's cheaper, too! Some of the best tools are the theracane and

the backnobber. They are great for massaging trigger points in

hard to reach places.



4. Try yoga. Even mainstream medical doctors are starting to

recommend yoga for conditions such as carpal tunnel syndrome.

Yoga is something you can do even at your desk at work.



5. Eat a healthy diet. While it does not seem to be well known,

a number of nutritional deficiencies can lead to tight muscles

and joints.



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6. Watch your posture. Poor posture is a major risk factor for

RSI. When your bones are not properly aligned, then your muscles

are forced to work harder to keep your body balanced and erect.

Bad posture also causes stress in your spinal cord, which cuts

nerves and signals to your arms and wrists. There have been

studies that show the connection between hunching and

tendinitis/repetitive stress injuries.



7. Get a good night's sleep. Muscles that are over tired may be

more prone to injury. Caffeine can also interrupt sleep as well

as make muscles twitch and get tight. 8. Walk or exercise as

often as you can fit in (15-45 min.) This increases circulation,

and keeps your body healthier, stronger, and better able to ward

off problems. Include wrist exercises with weights.



9. DO NOT work through pain! Stop immediately if you feel

discomfort/tightness/pain.



About the author:

Katrina Renouf is the founder and owner of the cross stitch

website www.matkailuxstitch.com.



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