386-788-HAND

(386-788-4263)

Cumulative Trauma Disorder

ASSH Position Statement on Cumulative Trauma Disorder and Repetitive Strain Injury

The American Society for Surgery of the Hand is concerned that patients with upper extremity pain are being assigned specific diagnoses on the basis of subjective complaints without objective physical findings. There is also a tendency to assign a causal relationship to work for this pain when there is a lack of epidemiological evidence. As part of our normal process of providing the best care for our patients, it is important that the diagnosis be accurate and the assignment of causation be correct.

The American Society for Surgery of the Hand feels that the diagnoses of “cumulative trauma disorder” (CTD) and “repetitive strain injury” (RSI) are not appropriate and may actually lead the patient to believe that he or she has a condition that is something more than the ordinary aches and pains of life.

Tendinitis is a term that clearly indicates inflammation of tendons or tendon-muscle attachments, while tenosynovitis indicates inflammation of a tendon sheath. These terms are examples of clearly definable and diagnosable entities with a known histologic appearance. In the absence of edema, erythema, or crepitation, it is inappropriate to assign the provisional diagnosis of conditions such as tendinitis or tenosynovitis to patients with upper extremity pain. If patients are told they have one of these conditions, the oppressive power of these words may lead them to believe they are severely injured. A treating physician would do better to explain to their patients that they have pain or fatigue that may or may not be related to their occupation, but there is no definable diagnosis.

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Orange City Office

2777 Enterprise Road, Suite 1
Orange City, FL 32763
(situated in the Florida Health Care building)
Tel : (386) 218-4920
Friday 8.00am to 3.00pm

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Port Orange Office

3635 S. Clyde Morris Blvd., Ste 900
Port Orange, FL 32129
(situated in the Surgery Center of Volusia Building)
Tel : (386) 788-4263
Fax: (386) 788-0679
Monday to Friday 8.00 am to 5.00 pm
Society Memberships
  • American Society for Surgery of the Hand
  • American Academy of Orthopaedic Surgeons
  • Florida Medical Association

Palm Coast Office

315 Palm Coast Parkway NE, Suite 4,
Palm Coast, FL 32137
(situated in the Florida Health Care Plans building)
Tel : (386) 246-3063

Mondays 8.00 am - 3.15 pm
Society Memberships
  • Florida Orthopaedic Society
  • Volusia County Medical
    Society
  • University of Florida Hand Fellows' Alumni Association

Edgewater Office

239 N. Ridgewood Ave, Suite 1
Edgewater, FL 32132
(situated in the Bert Fish Medical Center - Edgewater building)
Tel : (386) 410-4972

Wednesdays 8.00 am - 3.00 pm
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