IMPACTO :: CTD

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Cumulative Trauma Disorder (CTD)

What is it?

Cumulative Trauma disorders are disorders of the musculo-skeletal and nervous systems. CTDs, also referred to as Repetitive Strain Injuries (RSI), can occur in many parts of the body, such as wrists, elbows, shoulders, back, neck, hips, knees and ankles. Tendinitis and Carpal Tunnel Syndrome are commmon CTDs. Other common CTDs include,

Bursitis - an inflammation (swelling) or irritation of the connective tissue surrounding a joint like the shoulder or the knee.

Epicondylitis - elbow pain associated with extreme rotation of the forearm and bending of the wrist. The condition is also called tennis elbow or golfer’s elbow.

Low Back Disorders - include pulled or strained muscles, ligaments, tendons, or ruptured disks. They may be caused by cumulative effects of faulty body mechanics, poor posture, and/or improper lifting techniques.

Causes

Causes of Cumulative Trauma Disorders may be caused or aggravated by impact and vibration from power tools, repetitive motions, forceful exertions, mechanical compression, sustained activities in awkward positions, over extension and over flexion of the wrist and/or use of hands as tools. Factors such as exposure to cold temperatures, genetic predisposition, stress and smoking may cause the discomfort to occur sooner. 

Repetitive Stress Injury (RSI), Repetitive Motion Injuries, Overuse Syndromes, Musculoskeletal Disorders are some of the terms used to describe CTDs.

Symptoms

• Muscle tightness, discomfort, stiffness or pain
• Clumsiness or loss of strength and coordination
• Tingling, coldness or numbness
• Bruising in the affected area

Prevention

There are several things we can do to minimize exposure to cumulative trauma injuries,

• Decreasing vibration and impact to the hand maintaining neutral range of motion for the wrist; keeping hands warm
• Rotating activities and modifying or adjusting workstations
• Maintaining tools and using appropriate tools instead of your hand
• Exercising regularly, avoid smoking and drinking
• Utilizing Personal Protective Equipment to provide support and aid while working as well as to help prevent the onset of CTDs

Treatments

• Initially, splints may be recommended to protect sore areas
• Anti-inflammatory drugs are often used in conjunction with cold packs or electrical stimulation
• Exercises may be suggested to help tissues move safely while healing
• Rest and Relaxation
• Surgery may be recommended in severe cases

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