How We Treat RSI and OOS Pain At Featherston Street Pain Clinic

Our 3 Step Treatment Process

Successful management and relief of stubborn RSI/OOS pain can be surprisingly straight forward. Yet in other instances a highly systematic, focused, and persistent approach may be required to get your pain under control. 

We specialise in providing flexible multidisciplinary pain relief – using a wide range of tools and techniques. This ensures we have the best possible chance that we can help everyone: from the most easy straightforward cases right through to the most stubborn treatment resistant forms of neck pain.

Step One

Find The Cause

Step Two

Hands On Pain Relief

Step Three

Rehabilitation And Prevention

Step One - Find the Cause

Getting to the bottom of your RSI/OOS pain means finding out where exactly the pain is coming from – and exactly what is causing it.

We have a wide range of technologies and tests at our disposal, in order to identify the sources of pain.The first thing we want to know is which tissues are generating your pain. 

RSI/OOS pain can come from muscle, tendons, joints, nerves, bones or fascia (connective tissue). Establishing clearly which tissue is creating the pain is the first step towards relief. But we don’t stop there because we want to know WHY you are suffering.

Some RSI/OOS pains are caused by damaged or degenerated tissue. Some RSI/OOS pains are caused by psychological stress. Some RSI/OOS pains are caused by scar tissue from old injuries. Some RSI/OOS pains are caused by muscle clenching. Some RSI/OOS pains are caused by the nature of a person’s job. Some RSI/OOS pains can even be caused by having flat feet or a rotated pelvis. 

Finding out why you have RSI/OOS pain is essential if you want longer term relief from pain. Which is why we place great importance on this step. In the unlikely event that you need an X Ray or MRI to diagnose your pain we can organise a referral for the relevant imaging for you on the spot.

Step Two - Hands On Pain Relief

In most cases of RSI/OOS pain, it’s necessary to work with people who combine a variety of technologies and hands-on methods to ease your pain. So that’s exactly what we do.

Most people who require treatment for stubborn RSI/OOS pain don’t respond particularly well to just being given home exercises. Much in the same way that most people with toothache don’t respond too well to just being sent home with dental floss. 

If you have chronic RSI/OOS pain you almost certainly need hands on treatments with professionals who are trained to physically relieve the pain for you. We use some of the most advanced pain technology available anywhere combined with a wide range of skill based manual techniques.

Step Three - Rehabilitation And Prevention

Successful management of RSI/OOS pain in the longer term often requires more than just the right ‘treatments’. 

For many patients, RSI/OOS pain treatment that brings some blessed relief is often just the start point. Stress management, postural correction, lifestyle tweaks, workstation tweaks and even dietary tweaks are often necessary. Postural weakness can also be a key issue.

Most cases of RSI/OOS pain are either caused by something that we are doing the wrong way, an old injury or something that the body needs help with like strength or alignment. Making necessary  adjustments to your lifestyle and the wellbeing of your body may be necessary for longer term success. Coaching for these important changes in those who wish to make them is a part of what we do

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Treatments And Technologies We Use To Treat RSI / OOS Pain

There are many different ways to treat RSI / OOS pain, and it’s just as well because we don’t all respond to the same stuff. 

The ultimate key to successful treatment of RSI / OOS pain is working with a team who are willing to take a sufficiently flexible approach, and trial a number of different therapies to see what works best on your specific case.

Low Energy Laser Therapy is the application of specific deeply penetrating light waves to a painful area. Light with a wavelength in the red to near infrared region of the spectrum (660nm–905nm) is generally employed because these wavelengths have the ability to penetrate skin, and soft/hard tissues. 

Lasers like these are known to trigger the release of a substance called ATP within cells, this is a sign that tissues receive a metabolic boost as a result of treatment.

A great many clinical trials have shown this type of treatment has a meaningful effect on pain, inflammation and tissue repair. In our experience people with RSI & OOS pain often experience immediate improvements in their pain after laser sessions.

ShockwaveTherapy was originally researched and developed in the 1980s for the non-invasive treatment of kidney stones. Later it was discovered that the same sound soundwaves have a profoundly beneficial effect on injured soft tissues and even bone.

The startling effects of Shockwave Therapy that have been observed in the scientific literature include: blood vessel regeneration – reduction of pain signals – regeneration of bone tissue – prevention of cartilage degeneration – increase in tissue ‘growth factors’ – reversal of chronic inflammation re-absorption of calcification in the tendon – reducing tendinopathies. These effects are a glimpse into how useful shockwave is in the treatment of RSI & OOS type pain.

Shockwave Therapy was originally developed for its application as a non-invasive treatment of kidney stones. We use a gentler form of the same technology to break up deep muscle knots, calcified tendons and tracts of scar tissue in the ankle. For more information on shockwave therapy visit our shockwave homepage here.

Acupuncture can be extremely helpful in the management of many cases of RSI & OOS. As opposed to the traditional approach to acupuncture (where needles are placed in a wider set of related locations) we generally focus directly on the area of pain.

Needling aims to promote blood flow, ease painful pressure points in soft tissues and reduce pain signals. Needles are placed very superficially around the area of pain and we generally leave them in for around 10 minutes, depending on your body’s tolerance to them. If acupuncture works for your RSI/OOS pain the benefits are usually felt within the first 2-3 sessions.

A large number of people suffer with stubborn RSI & OOS pain that is caused in part by soft tissue adhesions. A bit like a tiny spider web that creates tissue tension and irritation. These types of adhesions can come from almost any history of physical injury, trauma or overuse. 

Graston Technique is like a form of specialised massage that utilises ‘scraping’ tools to release the connective tissues. Using Graston Technique to release adhesions can bring shockingly fast relief for many RSI & OOS sufferers. Even for those patients who have struggled for years.

In the world of pain management there has been a very decisive move away from ímmobilisation’’ in favour of more active types of rehab in the last 30 or so years. And yet in NZ at least bracing for RSI & OOS is still surprisingly common given that the evidence has led largely away from these types of approach.

 

While bone and soft tissue are healing from major breaks and tears bracing, casts and splints are essential. Beyond that a modern take on pain management broadly indicates that you should be suspicious of managing your pain in a way that favors bracing over intense hands on treatment and exercise prescription.

There is an important nuance to understand about the use of exercises in RSI & OOS pain management. Exercises are a vital part of the longer term rehab of OOS & RSI pain. In the short term however exercises will often either have little effect or slightly aggravate your condition.


If you have a significant build up of muscle knots, soft tissue adhesions or tendinopathies it is way too much to expect that exercises alone will resolve them for you.  Most stubborn cases of  wrist pain and hand pain require hands on treatment before they are truly responsive to exercise prescription.

Trigger point release techniques use the hands, fingers and even elbows to release those painful muscle points that are all too easy to find in and around literally all chronically painful body parts. 

There’s still no full scientific understanding of the role myofascial trigger points play in pain. It’s a very hard thing to study and the truth is we still don’t know much about the body.  Meanwhile, in the front lines where pain is treated day in and day out… treatments that release myofascial trigger points bring dramatic improvements for a great many sufferers of RSI & OOS pain

The Mayo Clinic is one of the world’s foremost medical research institutions, their website lists the following known cortisone side effects: Cartilage damage – death of bone tissue –  joint infection – nerve damage – joint inflammation – tendon weakening and rupture – thinning of bone (osteoporosis) – permanent thinning of skin and soft tissue around the injection site.

Maybe you might consider trying our long list of treatments that carry no long term side effects whatsoever before you consider risking a cortisone injection as treatment for your RSI / OOS pain.

Our 5 Pain Treatment Fundamentals

Hands On Treatments

We are in the business of helping you get out of pain. The beating heart of our clinical process is a committed and very hands on approach to getting you out of pain as quickly, painlessly and safely as possible. We are willing to use a wide range of tools and also to work tirelessly in our efforts to get you out of pain.

Flexible Treatment Approach

Even among professionals there is little agreement on the best ways to treat pain. If there is one thing that we know for certain about pain management though, it’s that a flexible multidisciplinary treatment approach to pain is best. This is why we take such great care to provide the most diverse range of pain relief tools possible under one roof.

Get To The Bottom Of It

The human body seldom if ever generates pain for no reason. Pain is a highly organised and intelligent form of feedback that we have evolved over millions of years. In other words if you have pain it will be for a good reason. We always strive to find the deepest possible explanation for your pain so that you have the best possible chance of preventing it in the longer term.

Excellent Communication

Unlike a one-off filling at the dentist, successfully relieving most RSI & OOS is a process. A process that often requires commitment, trust and clear communication. We believe that clear and open communication combined with genuine rapport is fundamental within our arsenal of pain management tools.

Assume Nothing 

Just because a treatment has worked for us a thousand times before; doesn’t mean it’s guaranteed to work on you! Pain management is not a ‘1 size fits all’ moment in life. We monitor our patients’ response to treatment very closely. This approach enables us to make agile treatment protocols that can be altered in real time should we find that you aren’t responding to the tools and techniques that we expected to work for you.