Repetitive Stress Injury (RSI) Massage

A Repetitive Stress Injury (RSI) Massage is a therapeutic approach focusing on soft tissue techniques to relieve pain, reduce inflammation, and restore mobility in muscles, tendons, and fascia affected by repeated or sustained movements. This type of massage addresses both symptoms and underlying factors that contribute to chronic or work-related injuries such as carpal tunnel syndrome, tendinitis, tennis elbow, and more.​

Signs & Symptoms

• Gradual onset of localized pain, tenderness, and soreness in the affected area (often hands, wrists, elbows, forearms, neck, or shoulders)

• Stiffness, swelling, and mild to moderate inflammation

• Numbness, tingling, or weakness with repetitive tasks

• Loss of flexibility, strength, or coordination with daily activities

• Symptoms worsen with repetition, poor ergonomics, or prolonged postures.​

Contraindications

• Avoid deep or direct massage if there’s acute inflammation, severe pain, swelling, or nerve compression

• Contraindicated if infection, open wounds, recent trauma, or suspected fractures are present

• Use caution for clients on blood thinners, with advanced diabetes, vascular disorders, or significant sensory loss—consult a physician as needed

• Do not apply aggressive techniques during flare-ups or in the presence of acute neurological symptoms.​

Assessment

• Detailed history on activity type, duration, onset, aggravating/relieving factors, and occupational demands

• Palpate for muscle tightness, trigger points, swelling, adhesions, and mobility deficits

• Functional tests for strength, range of motion, and pain reproduction during movement

• Evaluate posture, workstation setup, and movement patterns

• Monitor for red flags needing referral (rapid progression, severe neurological signs, systemic symptoms).​

Treatment

• Deep tissue massage, myofascial release, and trigger point therapy to reduce muscle and tendon tightness​

• Gentle mobilization and stretching to restore tissue flexibility and joint range

• Cross-fiber friction to adhesions or scar tissue in chronic stages—never aggressive in acute inflammation​

• Nerve flossing and gentle nerve-directed stretching to relieve symptoms of nerve irritation (carpal tunnel, cubital tunnel)​

• Postural correction, ergonomic guidance, and education on movement break routines

• Active release and muscle energy techniques may be used for persistent restrictions.​

Self Care

• Self-massage (foam roller, ball, or hand) to affected muscles and tendons for relief between sessions​

• Regular gentle stretching of affected and associated muscle groups; incorporate movement breaks

• Modify posture, workstation, or activity to eliminate aggravating movements

• Apply cold packs after overuse to control inflammation, or warm packs for muscle relaxation as needed

• Gradual strengthening, mobility, and ergonomic exercises under professional guidance

• Early intervention, activity pacing, and medical/therapy follow-up for persistent or worsening symptoms