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Occupational & Physical Therapy
Cumulative trauma disorders

Health First Occupational Medicine

The body is susceptible to damage under many conditions, whether at work or play. Joints can suffer injury from performing repetitive motions over long periods of time. This type of "wear and tear" can affect tendons, muscles, and sensitive nerve tissue. These disorders are called "repetitive" or "cumulative" traumas, since they occur over a long period of time. This distinguishes them from "acute" trauma such as cuts, bruises, and falls, which occur immediately.

Disorders in the hands and arms are often categorized as tendonitis and nerve compression. We often think of a back injury as caused by a single event, like lifting a heavy load. However, more than likely, the injury resulted from the cumulative effect of improper bending, twisting, and poor posture.

Risk Prevention
Repetition Reduce the number of motions. Use assistive equipment when available. Eliminate unnecessary lifting.
Force Keep arms low and elbows close to the body. Keep frequently used items "easy to reach." Avoid reaching. Hold loads close to your body when lifting.
Posture Keep the wrists in neutral position. Stand erect, use back support while sitting. Never twist.
Vibration Isolate the hand from vibration.
Cold Provide insulation.
Deconditioned individuals Learn (and practice) flexibility exercises, proper lifting techniques, healthy work and living habits.

Our occupational medicine team provides job site visits and recommendations. Please call (321) 434-8878 to schedule a visit.

Health First Occupational Medicine main page