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Repetitive strain injuries from keyboard use, assembly line work, or sports accumulate in tendons, muscles, and nerves. A combined approach addressing both the local injury and the spinal biomechanics driving it achieves lasting results.
Repetitive strain injury (RSI) is an umbrella term for musculoskeletal conditions caused by repetitive movements, sustained postures, or awkward positions. Common RSIs include carpal tunnel syndrome, cubital tunnel syndrome, medial and lateral epicondylitis, rotator cuff tendinopathy, and cervicobrachial syndrome. The repetitive loading exceeds tissue repair capacity, leading to cumulative microtrauma. Cervical spine subluxation frequently contributes by compressing the nerve roots supplying the affected extremity — increasing nerve susceptibility to compression at distal sites (double crush syndrome).
The 'double crush' concept — where cervical nerve compression proximal to a peripheral entrapment amplifies the peripheral injury — explains why treating the wrist or elbow alone often fails. Dr. Foss evaluates and treats the full kinetic chain: cervical spine, thoracic outlet, elbow, and wrist. Cervical corrections reduce the proximal neural burden. SoftWave therapy accelerates soft tissue healing at the local injury site. Ergonomic modification guidance and activity pacing prevent recurrence. This comprehensive approach resolves RSI where isolated local treatment has failed.
At Pura Vida Chiropractic, Dr. Foss uses Sacro-Occipital Technique (SOT) — a gentle, category-based system that addresses the spine, pelvis, and craniosacral rhythm as one integrated unit. SOT restores proper biomechanics, reduces nerve interference, and creates the neurological environment your body needs to heal itself.
For many patients, combining spinal correction with regenerative therapies produces faster and more lasting results. Depending on your condition, Dr. Foss may incorporate one or more of the following:
Patented unfocused shock waves spread over a broad treatment area to reduce inflammation, increase blood flow, and activate stem cells — promoting cellular regeneration and long-term pain relief.
Photobiomodulation with a 10–15W Class IV laser delivers therapeutic light energy deep into tissue, reducing inflammation, blocking pain signals, and speeding healing at the cellular level.
Pura Vida Chiropractic is a family-friendly, bilingual (English/Spanish) clinic serving San Antonio, TX. Dr. Dan Foss is trained in Sacro-Occipital Technique (SOT), a comprehensive chiropractic system that addresses the whole body — not just the area of pain. We combine hands-on spinal correction with the latest regenerative technology to help patients resolve the root cause of their condition rather than masking symptoms.
We are insurance friendly. Bring your insurance card and ID to the office to verify how your insurance can contribute to your care. New patient appointments are available promptly.
Comparing options? See how to choose a chiropractor near me in San Antonio or read our guide on how to choose the best chiropractor in San Antonio.
Repetitive strain injury (RSI) is a broad category of musculoskeletal disorders that develop from sustained repetitive motion patterns — carpal tunnel syndrome, tennis elbow, De Quervain's, rotator cuff tendinopathy, and forearm pain syndromes are common examples. Office work, manual labor, and certain sports activities all carry RSI risk.
Dr. Foss treats RSI as a kinetic-chain problem rather than just a local one. Cervical and thoracic adjustment restores upstream nerve supply, soft-tissue work addresses the locally strained tissues, and SoftWave therapy supports regenerative healing in chronic tendinopathy. Ergonomic guidance addresses the workplace factors driving the injury.
Most RSI patients see meaningful improvement within 8–14 visits over 5–8 weeks. Chronic cases need 16–24 visits with concurrent SoftWave therapy for the degenerative tendon changes. Recurrence prevention requires ongoing ergonomic and biomechanical management.
Yes. The techniques used are gentle and well-tolerated. SoftWave is FDA-cleared with excellent safety. Dr. Foss screens for alternative diagnoses (cervical radiculopathy, thoracic outlet syndrome, true neurological compression) when symptoms suggest something beyond simple repetitive overload.
Schedule your new patient appointment with Dr. Foss at Pura Vida Chiropractic in San Antonio, TX. We'll identify the root cause and build a personalized care plan.
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