HELP PLEASE! RSI injury, minor peripheral NERVE injury?

[james_leo]

Any input would be fab¬!¬


taaaaaaaa

[roycar]

hi james. sorry to hear you're having so much trouble.

its quite a complicated picture you paint and to be honest trying to diagnose and treat you over the internet would probably be futile... however.

the fact that both forearms are affected would lead me to assess you further up the kinetic chain. i would be looking closely at your cervical spine (neck), thoracic spine (your back around your ribs), shoulder, scapular stability.

i just had time for a quick scan of your post but it would seem like you may have some nerve related pain indeed. you can have a situation where for some reason the nerves that supply your hands and arms can become very sensitised, to the point where normal actvities are felt as painful as the nerves threshold for pain is lowered. you could get the burning sensation you describe. you do not necessarily have to have "compression or nerve damage" for this to happen so NCS dont necessarily rule this out.

you probably need to have your C5-T1 spine assessed in detail, you also need to have your shoulder and scapular posture asssessed and muscles length checked to see is there anywhere that your peripheral nerves could be coming under a bit of pressure.

i would hazard a guess that you are fairly well developed in terms of pecs/chest and that you have rounded shoulders and probably weak back and scapular stabiliser muscles relative to the pecs. you probably have a bit of a poking chin too? neck and posture/muscle imbalance is where i would be looking as the source of your problem.

neural provocation tests are a way of assessing if these peripheral nerves are sensitised. basically you tension (stretch!) the nerves out in a particular way, looking to see if it recreates your pain. most decent physiotherapists would be able to do this but i couldnt promise! if it was found that this is an issue there are exercises called sliders and gliders that may help you. again these need to be shown by someone wth experience in this area.