Are Computers Hazardous to your Health?
Nov 21, 2001 11:45 AM
Treating Computer Injuries
Q: I have some symptoms of RSI. How can I find a knowledgeable physician?
A: Many doctors are not familiar with RSIs and the work conditions that can cause them. As a result, RSIs are often misdiagnosed as arthritis.
If possible, see a doctor at an occupational health clinic. If that is not feasible, try a physiatrist (rehabilitation specialist), orthopedist or neurologist. These doctors tend to be more familiar with RSIs.
Q: Where can I find an occupational health clinic?
A: Mount Sinai Hospital maintains clinics in Manhattan, Brooklyn and Westchester County and also has a support group for RSI sufferers (212/987-6043). Other occupational health centers include the New York University/Bellevue Occupational and Environmental Medicine Clinic (212/562-4572), the Long Island Occupational and Environmental Health Center (516/476-2719) and the Occupational and Industrial Orthopaedic Center at the Hospital for Joint Diseases (212/255-6690).
Q: What can I expect the doctor to do?
A: The doctor should ask you detailed questions about your medical history and your work history. This should be followed by a thorough physical examination to identify muscle or nerve damage. Much of the exam can be conducted by the doctor with simple equipment, but sometimes specialized tests such as an EMG (electromyogram) or an MRI (magnetic resonance image) will be ordered.
Generally, the physician will prescribe some combination of rest, application of cold/heat, anti-inflammatory drugs and physical or occupational therapy. Be wary of doctors who recommend only drugs or surgery and make no effort to inquire about your working conditions. The best physicians will help you identify changes in your work environment (including rest breaks and modifications in equipment) that can promote healing and prevent re-injury or will send you to an occupational therapist who can do so. If surgery is recommended, be sure to get a second opinion.
Information about selecting a physician and getting as much as possible out of any treatment prescribed is provided in the books by Pinsky and Pascarelli and Quilter.
