Repetitive Stress Injuries (RSI)

Vikalp Physiotherapy / Facilities / Repetitive Stress Injuries (RSI)

The IT industry is victim to a fast growing disease manifesting itself in working associates in the form of head aches, pain, discomfort at neck or shoulder, blood pressure variations, carpal tunnel syndrome, tennis elbow, slip disc, lack of vital force and many other bizarre symptoms that remain largely undetected.

These are Work Related Disorders or Repetitive Stress Injuries (RSI) . Its etiology is directly related to work habits, work-station adjustments and work posture. Understanding of the HUMAN FACTOR plays a vital role in providing relief.

However RSI common to executive in sitting job  but it is not uncommon in players, musician or other people working  with same repetitive movements

Till date it is a phenomenon poorly understood even by medical professionals.

According to NIOSH (national institute of safety and hazard) price of pain company pay in form of work loss is.

2% people go for 10 day leave due to chronic pain

10% people go for 2 day leave due to acute pain

20%people go for 1 hour productivity loss due to discomfort.

At Vikalp, Dr. Rakesh Tyagi and his team have devised tools to prevent, detect and treat this elusive gamut of widespread physical dysfunctions that adversely affect work and organizational productivity.

Research in this field supports the fact that a RSI Clinic at premise increases the efficiency and work output and decreases the number of sick leaves taken in any organization.

A few FAQ’S have been prepared for your convenience and attached herewith to help you understand the concept of RSI better.

At Vikalp we are dedicated to bring about a positive change in the work environment of this industry and the outlook of corporate towards employee health and well-being.

 The RSI Clinic for Employee Health


What is RSI?

Repetitive Stress Injury is an umbrella term used to denote a variety of disorders caused due to faulty ergonomics at the work place. It ranges from simple muscle spasms to neuritis and discogenic derangements. Small amounts of “stress” or micro trauma at the work place on a few select areas, over a period of time, cause pain, numbness, tingling, dizziness, apathy, insomnia, calf pain, low back and neck pain, vertigo, slipped disc, change of color or swelling over an area and a range of other symptoms.

RSI is also known as “cumulative stress disorder”.

What implications does RSI pose for my organization?

The incidence of RSI according to the American Ergonomics Association is estimated “around 30% affected individuals doing the same repetitive work for > 1 year.”- meaning around 30% individuals in any company at any given point of time will be affected with RSI.

In fact, in our experience at “Perot Systems” (a software company with employee strength >1000) in the last six months we found that around 45% individuals were suffering with RSI.

And these figures will keep rising unless steps are taken to prevent it.

Is RSI a new concept?

No. Most organizations in the west have physical therapists and ergonometrists on site to deal with RSI cases affecting their employees. Large scale prevention drives are undertaken and its prevalence is being curtailed.

Yet in our country, sadly, RSI is poorly understood by both medical professionals and by organizations.

RSI mimics other illness and due to its diverse range of vague symptoms its diagnosis is difficult. Thus most cases of RSI go ignored, undetected and if bought to medical notice then mis-diagnosed and ineffectively treated.

 So is RSI curable?

Of course! RSI, like any cancer is difficult to detect, but once correctly diagnosed and if caught in its early stages, is simple to treat by correcting the work place ergonomics and posture of the employee early RSI can be alleviated. . If detected in the later stages, treatment becomes a long drawn complicated process.

What is the solution?

The key lies in prevention, early detection and treatment. Education plays a vital role in prevention of RSI from developing and in arresting its progress in cases already affected by it.

How is this beneficial to my organization?

The advantages of an RSI clinic on premises are many:-

  • The employee has a qualified medical professional on premises who can effectively deal with his problem.
  • Any nagging pain / discomfort is alleviated and the employee can work better increasing his efficiency and work output.
  • Treatment is quick and given on premises (unless severe) and thus the employee need not sacrifice work time in seeking medical consultations/ treatments outside. His absences due to sickness also decrease.
  • Cost effective to the employee who may have to spend any amount of money outside on investigations, consultations, treatments and medications.
  • The goodwill of the company and its image is boosted.
  • Decreases attrition directly as it is a “grade a” HR practice.

What are the clinic requirements? What are the costs involved?

The RSI clinic needs only a well-ventilated room with a table-chair and a treatment plinth/ bed to function. The beauty of the clinic is that it can be tailor made to suit the type of organization in terms of no of consulting hours required according to the no of employees.

The modus operandi of the clinic will be to educate the employees via seminars and talks, detecting and treating RSI, either within the premises or outside (based on our advice) in event of a severe case.

And the team at Vikalp physiotherapy clinic is going to do all this?

The Vikalp team comprises of DR Rakesh Tyagi (physiotherapist)a veteran in this field and proprietor of Vikalp Physiotherapy clinic, Noida.  He has been taking seminars and delivering lectures to companies like ONGC, NTPC, for the last 25 yrs on work ergonomics.


We had worked for two and half years at RSI Clinic at Perot Systems, now dell/….. Noida and have treated 1150 associates out of 2250 of total employment.