Approaches to RSI in the United Kingdom

Abstract

Objectives: To review the factors influencing the current epidemic of work-related upper limb pain in the United Kingdom, and to discuss the role of Medicine and Law in its genesis and perpetuation. Methods: Informed observation. Findings: The epidemic has a multifactorial etiology. It is best viewed as a complex psychosocial phenomenon, with historical precedents in writers' and telegraphists' cramps of the last century. The unhelpful interaction of doctors, lawyers, the media, trade unions and society as a whole has been to the detriment of sufferers. Conclusions: Greater understanding of the complex nature of chronic pain and the avoidance of confrontation and litigation are to be encouraged if the United Kingdom (UK) is not to follow the same ruinous path as Australia a decade ago.

KEYWORDS:

• Overuse syndrome
• cumulative trauma disorder
• occupational neurosis
• upper limb pain
• repetitive strain injury