Pediatric Orthopedic Surgeons treating Fused Toes

REPETITIVE MOTION DISORDERS

The symptoms of repetitive motion disorders comprise the following:

  • Pain is usually experienced as an aching sensation that worsens if the affected limb or joint is shifted or utilized
  • Paresthesias or unusual sensation of tingling, pricking, burning, or “insects crawling under the skin” without an external stimulus
  • Weakness, clumsiness, or absence of coordination

If your child needs surgery or casting, our Fracture Care Clinic opens every day and you do not need an appointment. Surgery rooms get scheduled every morning, so your child receives the care and attention they need right away.

Repetitive Motion Disorders

Golf and Tennis ElbowRepetitive Motion Disorders (RMDs) refer to a group of musculoskeletal conditions that result from repetitive actions. For example, typing, assembly line work, or playing a musical instrument. Additionally, these repetitive actions will sometimes cause discomfort or injury to the muscles, tendons, and nerves. Common RMDs include carpal tunnel syndrome, Golf and Tennis Elbow, and trigger finger. Furthermore, these conditions can lead to chronic pain, decreased range of motion, and reduced functionality if not addressed promptly.

Diagnosing Repetitive Motion Disorders

Diagnosis of Repetitive Motion Disorders (RMDs) typically involves a combination of the following steps:

  1. Medical history review: The doctor will ask about your child’s symptoms, work history, and sports activities to identify potential causes of the RMD.
  2. Physical examination: The doctor will examine your child’s affected limb and check for signs of swelling, tenderness, or weakness.
  3. Imaging tests: X-rays, MRI scans, or ultrasound may be ordered to visualize the bones, muscles, tendons, and nerves to identify any structural abnormalities.
  4. Nerve function tests: Electromyography (EMG) or nerve conduction velocity (NCV) tests may be performed to assess the function of the nerves in the affected limb.
  5. Pain provocation tests: The doctor may ask your child to perform specific movements or actions to reproduce the symptoms and help identify the source of the pain.

Based on the results of these tests, the doctor can diagnose the specific RMD and develop an appropriate treatment plan.

Symptoms of Repetitive Motion Disorders

Normally, the symptoms of Repetitive Motion Disorders (RMDs) can vary depending on the specific condition, but common symptoms include:

  1. Pain: Dull or sharp pain in the affected limb, particularly in the wrist, elbow, or fingers.
  2. Weakness: Decreased strength in the affected limb.
  3. Tingling or numbness: A feeling of pins and needles in the fingers or hand.
  4. Swelling: Inflammation or swelling in the affected limb.
  5. Stiffness: Decreased range of motion or difficulty moving the affected limb.
  6. Clumsiness: Difficulty performing fine motor tasks, such as typing or writing.

Subsequently, it’s important to note that symptoms of RMDs may develop gradually over time and may not always be noticeable at first. If your child engages in repetitive activities and experience any of these symptoms, it’s best to consult a doctor for an evaluation.

QUESTIONS AND ANSWERS

What is the cause of my child's repetitive motion disorder, and are there specific activities we should avoid?

Repetitive motion disorders can have various causes, including overuse of specific muscles or joints, poor ergonomics, or underlying conditions. The doctor will likely discuss the child’s activities, sports, or hobbies to identify potential contributing factors. It’s essential to provide a detailed history of the child’s activities to help pinpoint the cause.

In some cases, modifying or avoiding certain activities, adjusting ergonomics, or incorporating breaks may be recommended to alleviate symptoms and prevent further strain.

What are the treatment options for my child's repetitive motion disorder, and how can we manage symptoms at home?

Treatment for repetitive motion disorders often involves a combination of rest, physical therapy, and lifestyle modifications. The doctor may recommend specific exercises to strengthen or stretch affected muscles and joints. Additionally, they might suggest changes in daily habits or workspaces to reduce strain.

Home management may include practicing proper ergonomics, implementing stretching routines, using ice or heat for pain relief, and ensuring adequate rest between activities. Non-prescription pain relievers may also be recommended for temporary relief.

Is there a risk of long-term damage or complications, and how can we prevent the recurrence of repetitive motion disorders in the future?

The risk of long-term damage or complications depends on the severity of the repetitive motion disorder and how well it responds to treatment. In many cases, with appropriate intervention and lifestyle adjustments, children can recover fully. To prevent recurrence, the doctor may provide guidance on maintaining good ergonomics, incorporating regular breaks during repetitive activities, and ensuring proper conditioning and warm-up exercises. Ongoing communication with the healthcare provider is crucial for monitoring the child’s progress and making adjustments to the treatment plan as needed.

Parents should consult with a healthcare professional to discuss the specific details of their child’s repetitive motion disorder and receive personalized advice. It’s important to address symptoms promptly to prevent potential complications and promote the child’s overall well-being.

If your child has repetitive motion disorders such as Little League elbow, tennis elbow, or overuse injuries, schedule a consultation with the doctors at Medical City Children’s Orthopedics and Spine Specialists today. We can help diagnose the cause of your child’s pain and develop a treatment plan to get them back to the activities they love.

Treatments for Repetitive Motion Disorders

Treatment for Repetitive Motion Disorders (RMDs) can vary depending on the severity and specific condition, but may include:

  1. Rest and modification of activities: Taking breaks from repetitive activities and avoiding movements that cause pain can help reduce symptoms.
  2. Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and swelling. In some cases, corticosteroid injections may be necessary.
  3. Physical therapy: Stretching and strengthening exercises can help improve range of motion and decrease pain.
  4. Assistive devices: Splints, braces, or ergonomic devices can help reduce strain on the affected limb and improve posture.
  5. Surgery: In severe cases, surgery may be necessary to repair damaged tendons or nerves.
  6. Occupational therapy: An occupational therapist can help your child or adolescent learn how to modify their work or sports activities.  By doing this, patients can reduce stress on the affected limb and prevent future injury.

It’s important to work with a doctor or physical therapist to develop an individualized treatment plan that addresses your child’s specific needs and goals. In some cases, a combination of these treatments may be necessary for optimal recovery.

Reasons to Choose Medical City Children’s Orthopedics and Spine Specialists:

  1. Expertise in pediatric orthopedics and spine: The team of specialists at Medical City Children’s Orthopedics and Spine Specialists are experts.  They specialize in the diagnosis and treatment of pediatric orthopedic and spinal conditions, ensuring the best possible care for children.
  2. Cutting-edge technology: Our practice uses the latest technology and techniques to diagnose and treat a wide range of conditions.  In addition, we use minimally invasive procedures that reduce pain and promote faster recovery.
  3. Comprehensive care: Our practice offers a full range of services, from diagnostic imaging and physical therapy to surgery.  Moreover, we ensure that patients receive complete, seamless care for their orthopedic and spinal conditions.
  4. Dedicated pediatric facilities: Medical City Children’s Orthopedics and Spine Specialists is dedicated to providing children with a safe and comfortable environment.

These are just a few of the many reasons why patients might choose Medical City Children’s Orthopedics and Spine Specialists.  However, another is that we have offices in Arlington, Dallas, Flower Mound, Frisco, and McKinney, TX.

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Footnote:

WebMD: Repetitive Motion Injuries

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