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The Haven Healing Centre
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Wii Injuries - Too Much, Too Soon, Too Often

Overuse Injuries Caused by Gaming: Wii, PS4, Nintendo, Xbox

How can something this much fun cause so much pain?

It's gotten so bad, one of the questions on my medical intake form now asks, 'Which gaming system do you use?' I'm regularly seeing things like:

Rotator Cuff Injuries:
In anatomy, the rotator cuff is the group of muscles and their tendons that act to stabilize the shoulder. The four muscles of the rotator cuff, along with the teres major and the deltoid, make up the main muscles of the shoulder. The tendons at the ends of the rotator cuff muscles can become torn, leading to pain and restricted movement of the arm. A torn rotator cuff can occur following a trauma to the shoulder or it can occur through the "wear and tear" of tendons, most commonly that of the supraspinatus under the acromion. It is an injury frequently sustained by athletes whose duties involve making repetitive throws, such as baseball pitchers, American football quarterbacks, volleyball (due to their swinging motions), water polo players, shotput throwers (due to using poor technique), swimmers, boxers, kayaking, fast bowlers in cricket, and tennis players (due to their service motion). This type of injury also commonly affects conductors (music), choral conductor, orchestral conductor, due to the swinging motions and other movements used to lead their ensemble. It is commonly associated with motions that require repeated overhead motions or forceful pulling motions.

Tennis Elbow:
Tennis elbow, also known as "Shooter's elbow" and "Archer's elbow", is a condition where the outer part of the elbow becomes sore and tender. It is a condition that is commonly associated with playing tennis and other racquet sports, though the injury can happen to almost anybody. Symptoms are, Pain on the outer part of elbow (lateral epicondyle). Point tenderness over the lateral epicondyle. Gripping and movements of the wrist hurt, especially wrist extension and lifting movements.

Golfer's Elbow:
Golfer's elbow, or medial epicondylitis, is an inflammatory condition of the elbow which in some ways is similar to tennis elbow. The anterior forearm contains several muscles that are involved with flexing the fingers and thumb, and flexing and pronating the wrist. The tendons of these muscle come together in a common tendinous sheath which is inserted into the medial epicondyle of the humerus at the elbow joint. In response to minor injury, or sometimes for no obvious reason at all, this point of insertion becomes inflamed. (Of course, we know the reason, don't we? Otherwise known as Nintendoitis.)

Carpal Tunnel Syndrome:
In the human body, the carpal tunnel or carpal canal is the fibro-osseous tunnel on the palmar side of the wrist that connects the forearm to the middle compartment of the palm. The canal is narrow and when any of the nine long flexor tendons passing through it swell or degenerate, the narrowing of the canal often results in the median nerve getting entrapped or compressed, a medical condition known as carpal tunnel syndrome. The carpus, the bony elements of the wrist, form an arch which is convex on the dorsal side of the hand and concave on the palmar side. The diagnosis of CTS is often misapplied to patients who have activity-related arm pain, such as RSI, but a tendency toward this condition is aggravated with overuse.

Repetitive Strain Injury:
Repetitive strain injury (RSI) is an injury of the musculoskeletal and nervous systems that may be caused by repetitive tasks, forceful exertions, vibrations, mechanical compression (pressing against hard surfaces), or sustained or awkward positions. Types of RSIs that affect computer users and gamers may include non-specific arm pain or work related upper limb disorder (WRULD). Conditions such as RSI tend to be associated with both physical and psychosocial stressors. The following complaints are typical in patients that might receive a diagnosis of RSI: Pain in the arm (typically diffusei.e. spread over many areas). The pain is always worse with activity, and there may be weakness and lack of endurance. A 2008 study showed that 68% of UK workers suffered from some sort of RSI, with the most common problem areas being the back, shoulders, wrists, and hands.

Nintendo Thumb:
Nintendo thumb, known also as gamer's grip, Nintendinitis, PlayStation thumb and similar names, is a video game-related health problem classified as a form of repetitive strain injury (RSI). The symptoms are the blistering, paraesthesia and swelling of the thumbs, mainly through use of the D-pad, though any finger can be affected. This can lead to stress on tendons, nerves and ligaments in the hands, and further onto lateral epicondylitis ("tennis elbow"), tendinitis, bursitis and carpal tunnel syndrome (CTS). The condition was first highlighted when the Nintendo games consoles were released, leading to reported cases of RSI, primarily in children (being one of the primary audiences of videogames). Later, the controllers for the Sony PlayStation and PlayStation 2/3 were noted as causing the condition. However, due to the shape, size and extended use of game controllers it is not limited to just those specific ones and can occur in users of any gamepad or joystick. Similar problems have also been with the use of mobile phones, and text messaging in particular.

If you do decide to go for one of these games, please play responsibly and remain free from injury.

Treatments at The Haven Healing Centre, Cheddar.
Please call Phil Chave on 01934 740275 to make your appointment.
Don't wait. Make your appointment today. You'll be glad you did!

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To book your Wii Injury (or Nintendoitis) Treatment at a convenient time, call: 01934 740275

Note: DISCLAIMER: This information is not presented by a medical practitioner and is for educational and informational purposes only. The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read.

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