Dr. Deepak Sharan repetitive strain injuries
 
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Success Stories

My CRI Recovery Story
By Shil Gajamer

I am a software engineer with a multinational IT firm in Bangalore. I would like my CRI story to be shared on your website. Most of my office people and friends tend to think that pain is to be borne and it signals that the person is a good software engineer! I would do anything to remove such misconceptions.

I was suffering from numbness and tingling of hands, what I assumed was carpal tunnel syndrome. I also had terrible shoulder and hand pains. I was nearly inveigled into a surgery by an orthopaedist in Bangalore (though the nerve conduction test showed no signs of nerve damage). He told me the pain from my wrist was 'spilling up' to my shoulders!! But today I am fine with no pain at all. This has come about by Trigger Point therapy. The book "Trigger point therapy workbook" by Claire Davies, who follows Dr Travell and Simmons' trigger point treatment protocol, has helped me to find various points on my body that were referring pain to other parts. I went in for stretch and spray therapy, and that cured 80% of my pain in 2 weeks. After that, regular self-massage and massage by a professional massuese on weekends has made me totally pain-free after a year. The only medications that I felt were any use were the sleeping pills. I was prescribed that because it helped me to sleep better.

The workstation at our office is not too good. The chairs have a high armrest, and are too far away from the side of the body. They are mostly designed for fat people, I feel! The keyboard rest is just big enough to support the keyboard. The mouse has to sit on the high table. Only a 6 footer and 200-kg person would have any comfort in this workstation. :-) I have taken out the armrest of my chair. Otherwise my shoulder used to be hunched up, and my chair could not go far enough ahead to the keyboard, so I typed holding my arms out in front. I am also using a footrest so that I can raise my chair to the needed height without dangling my feet in air. Another major reason that the pain started was also the A/C vent that was aimed directly at my left shoulder and blew cold air on it all the time. I didn't realise the harm until I could no longer sleep at night due to the pain...I got the AC to be turned off after a some running around. All these workstation changes I did by myself, the compan

I have noted a point, which I would like to share with you: a lot of lower back pain, for many of my colleagues in the software industry and me, seems to be coming from the psoas. In my own case, self-massage to the psoas immediately reduces low back pain. Most doctors who advise the people suffering from Myofascial pain discourage them from taking a massage. But, from what I have read of Trigger point therapy, it would seem the only practical method to help people suffering from myofascial pain syndrome. Stretch and spray is a relatively inaccessible method because it is too involved a method and needs to be learnt; whereas, anyone can apply appropriate pressure on a trigger point for a few minutes daily to get rid of the pain. The only catch here is in knowing where the trigger point is!

I would also like to mention that a big factor in my pain relief has been the knowledge of myofascial pain by my physiotherapist. My friends have been 'treated' by other physiotherapists and have told me how ineffectual they were. He was hampered by the lack of knowledge of the doctors at a famous orthopaedic hospital in Bangalore, the treatment protocol they prescribed were not tailored to the illness of the person concerned, it seems, and no discussion was done with a mere physiotherapist by the doctors! He left his hospital a few months ago and now freelances.

Unfortunately doctors in India seem to be clueless about CRI since they do not seem to have bothered to have read or trained themselves in this new disorder. I hunted for a doctor for a good 6 months before coming to know of myofascial pain thru the net! It was a frustrating 6 months. The worst part is, doctors are unwilling to say, 'I don't know'. In the process, pain goes untreated, or worse, is mistreated. My mother has been suffering since she was in her 20's with body pain (I now realise it was myofascial) and she was 'treated' for spondylitis and arthritis. Last year, I thought I would take her to a good orthopedist here. He told her that she has rheumatoid arthritis! There was no swelling or distortion of the small joints, and the pain had been there since 30 years or more. Obviously, the wax baths did nothing for her but waste time and money. What can one do in the face of such treatment?