To Ozben, I wonder if a new thread may be the right way to go if I take issue with the idea of "overuse" for a moment. The notion that the human body is capable of a phenomenon leading to pain on the basis of continued and relentless movements of a limb or joint is a popular one . In my investigations however into pain causing mechanisms and their solutions , the most common unreported and mistreated of all pain causing phenomena is referred pain and its corrollory altered sensations. In paticular that derived by the inflammatory events of spinal Wikipedia reference-linkfacet joints and their adjacent nerves.
It is common for doctors of medicine to acribe seemingly local phenomena ( of the elbow and epicondyles for instance) as the result of "overuse", when in fact the pain is referred from spinal joints. At least in my own approach to the solution of so called "Wikipedia reference-linktennis elbow", if I were not to treat relevant spinal jpoints first, I would never know wether the pain etc are referred or not. Neuralgic pain is the perfect mimic.
I am at a loss to se the logic in ANY treatment that is offered before the prospect of referred events are systematicaly and thouroughly explored. In the course of the past 10 years at least I have not come across a single example of "tennis elbow" or lateral epicondylitis , where referred events did not contribute a significant sourse of all symptoms, 100% in most cases. It could be that your patient population is skewed in a different way.
If the term "overuse" is put forward with the suggestion that continuous use of a limb or joint may lead to its breakdown, then I think it is an invalid term. While injury may certainly occur in athletes when vigorous forces are repeatedly made through a limb( throwing injuries of baseballers etc), this is seen to be by ballistic effects where natural resistance is ignored . This is a different phenomenon from the one suggested in cases where gentle repeated movements are made ( ie moving the computer mouse) and pain results from an entirely different mechanism. Tbe point i wish to make here is that "overuse" suggests breakdown by movement when in most cases this is shown to be not the case.
I welcome your thoughts and experiences on this.
Cheers