RSI Repetitive Strain Injury clinics in Brighton, Edinburgh and London W1 UK.

RSI Clinics Ltd 07890 212076 or 07742 567528
Directors
Anne Cruickshank BA (Hons), CThA, Physical Therapy and Bodywork
Amanda Oswald, BA (Hons), MBA, ITEC Dip, Physical Therapy and Bodywork
London, Harley Street, W1, UK
Brighton, East Sussex, UK
Edinburgh, Scotland

RSI Repetitive Strain Injury treatment for hand and wrist pain at RSI Treatment Clinics in Brighton, Edinburgh, Scotland and London W1, UK
	Specialist treatment for repetitive strain injuries including carpal tunnel syndrome frozen shoulder arm, hand, wrist & finger pain numbness & tingling WRULD neck, shoulder & upper back pain headaches tennis & golfer’s elbow texter’s thumb myofascial pain syndrome What is RSI? RSI is a syndrome, a collection of symptoms, which appear when there has been overuse and repetitive strain on muscles and the fascia and connective tissue surrounding muscles and joints. This produces adhesions - literally "stuck" areas - and trigger points, areas of permanently contracted muscle fibres which cause pain in related areas. Wrist and hand pain, "Carpal Tunnel Syndrome" or WRULD "Work related upper limb disorder" One of the most common forms of RSI is "Carpal Tunnel Syndrome" or WRULD, affecting the arms, wrists and hands. This is prevalent in busy office environments, where prolonged keyboard work is required. It is diagnosed as the impingement or entrapment of the nerves in the wrist, a narrowing of the wrist's "carpal tunnel". The question is "why is the carpal tunnel blocked?" This is most often due to trigger points and fascial restrictions in the neck, the shoulders and across the chest - the problem is therefore not primarily in the carpal tunnel (wrist) itself, but in the areas where there are restrictions which cause the impingement at the carpal tunnel. Your RSI symptoms may even have started with neck stiffness or pain, or headaches, and these symptoms often accompany the arm and hand symptoms. At RSI Clinics Ltd we will treat the problem where it originates, not just where the symptoms are. When a movement has been carried out repetitively, for instance when using a mouse, or when a non-neutral posture has been held for a long time, tensing over a computer screen, RSI can be the result and you may experience some of the symptoms listed below. Symptoms of RSI hand pain and weakness in the arms, wrists and hands include the following: Hand and wrist pain, throbbing and persistent pain down the arms into the wrists, hands and fingers Deep throbbing or dull pain, pain 'like toothache' at rest or when using the arms or hands Shooting pains, 'nerve' pains down the arms, in the wrists, hands or fingers Tingling, 'pins and needles', burning sensations in hands Inflammation Numbness, 'cotton wool' feelings Lack of any feeling in parts of the arms, wrists and hands Dull persistent pain at night Spread of pain across the chest and into the neck on using hands and fingers, as when typing or using a mouse Tightness or stiffness in the shoulders, neck or chest Pain on light massage just underneath the collarbones Weak grip or inability to grip or lift anything for long, e.g. a cup, fork, toothbrush Inability to turn door handles Inability to type or use a keyboard Inability to write or hold a pen Inability to drive, turn a steering wheel, change gear, operate the handbrake, etc. Reduction in range of movement or pain with movement Weakness, lack of strength, sometimes no strength at all Practitioners at RSI Clinics Ltd All our bodywork practitioners at RSI Clinics have trained extensively in clinical massage techniques, myofascial release, trigger point therapy and advanced stretching techniques. They undergo regular developmental training and keep up to date with the most effective forms of manual and mind-body therapy for RSI conditions. Our senior practitioners have, in addition, trained in craniosacral therapy, pilates movement, harmonics technique, visceral manipulation and neuro-muscular re-abilitation. How we work with you Your first visit to RSI Clinics will include an assessment and initial treatment from a lead practitioner. They will discuss with you the ongoing treatment plan best suited to your individual condition. Your plan may include treatment by more than one RSI Clinics practitioner and you will be given aftercare advice, for example self help stretches, to help you manage and maintain progress yourself. Usually, between 2 and 6, 55 minute treatments at the RSI Clinics bring about substantial decrease in symptoms. In the vast majority of cases, significant difference is felt after the first treatment. Treatment Our practitioners at RSI Clinics treat RSI conditions with myofascial release and trigger point therapy, incorporating clinical massage techniques such as soft tissue and positional release. They will also help your nervous system to change its response to sensation in sensitive areas from “fight or flight” to calm. This combination of bodywork modalities helps the mind-body to release areas which are adhesed or tightening around nerves and other pain sensitive structures. Muscles and connective tissue are rebalanced so that key structures can take further repetitive strain more comfortably. Treatment at RSI Clinics Ltd should bring about the following benefits: Diminishing or elimination of hand pain, pain in arms, wrists and fingers Increased sensitivity to sensations and diminishment of numbness Decrease in sensations of pins and needles, 'cotton wool', tingling, or burning in hands Increased strength in hands, wrists and fingers Improved grip for driving, lifting, and carrying out daily tasks Ability to type, write with a pen and perform fine motor functions with hands and fingers Decrease in autonomic nervous system (ANS) sensations of anxiety and panic associated with inability to use hands Decrease or elimination of pain and stiffness in neck and shoulders Trigger point therapy Trigger points are areas of muscle fibres which are permanently contracted and sometimes painful to touch. They cause the entire muscle to shorten and tighten, and refer pain to other areas. Treatment involves locating and releasing trigger points which are referring pain to the affected areas and causing narrowing and adhesions. Very often we will treat an area which is removed from the area of pain. The result is a significant reduction or elimination of pain in the affected area, although it has not been directly treated. Trigger point therapy is always accompanied by local myofascial release, because if the fascia in the area of a trigger point has not been released, the trigger point is likely to return. Myofascial Release As well as trigger point release we look for areas of fascia which have been adhesed and are restricting normal functioning in their own and other areas. We use specific techniques for releasing fascia and the nerves and other structures it bears down on when restricted. We also use soft tissue release and myofascial stretching to release restricted areas. For more information about Myofascial Release please go to the Myofascial Release Clinic UK website here. Stress-related symptoms Autonomic nervous system responses to physical, emotional or physiological stress or trauma always involve tensing of the connective tissues, either causing or contributing to RSI symptoms. We use Dr. Peter Levine's Somatic Experiencing approach to allow stressful or even traumatic experiences resulting in PTSD to be integrated into the mind-body easily and holistically so that we can get on with life without ANS responses causing pain or restrictions. Movement and re-education When muscles, fascia and trigger points have been released we test again for movement, pain and strength levels and help you develop posture or ways of working which will prevent RSI from recurring. These may include exercises from Pilates or specific stretches. They will all be easily achievable and can usually be carried out discretely during the course of the day, even at the office. We strongly suggest that you seek treatment to eliminate the causes of RSI and Carpal Tunnel Syndrome before you undergo surgery for the symptoms. Venues for RSI Clinics Ltd London W1: 1-7 Harley Street Brighton, East Sussex Edinburgh, Polworth Fees London W1, Harley Street: Ł90 per 55 minute treatment Brighton: Ł70 per 55 minute treatment Edinburgh: Ł70 per 55 minute treatment Email us at info@rsiclinics.co.uk for more details about how we can help you, or telephone Anne Cruickshank on 07890 212076, or Amanda Oswald on 07742 567528. Anne Cruickshank, BA (Hons), CThA, IACT, Amanda Oswald, BA (Hons), MBA, ITEC Dip RSI Clinics Ltd Telephone 07890 212076 or 07742 567528 Brighton, East Sussex, UK London W1: Harley Street Edinburgh, Scotland	Please telephone RSI Clinics Ltd for more information or to book an appointment at any of our clinics. 07890 212076 or 07742 567528 Email us info@rsiclinics.co.uk Home Bookings and Directions RSI Clinics Ltd at London W1 Harley Street, Brighton, East Sussex Edinburgh, Polworth About Anne Cruickshank and Amanda Oswald Training, qualifications and biographies What clients say about the RSI Clinic treatment Rick W, Brighton "For many years I experienced severe RSI in particular in the right arm. Last year this became extreme and made movement in my right shoulder very limited and painful. After two sessions with Anne my shoulder began to improve significantly and the other symptoms of RSI reduced to a manageable level. After six treatments I am well on the road to being free of pain and have regained the majority of my flexibility lost some years ago. I have found this treatment fantastic, especially as I have tried every other treatment - both conventional and complementary - with no particular effect. I have recommended it to many people and would tell anyone to give it a go!"