The rising use of smartphones, tablets, and laptop computers has led to an increase in the number of patients suffering from hand and wrist pain. Repetitive strain injuries (RSIs) are increasingly common among working adults, students, and even teenagers. These conditions usually develop gradually as a result of poor ergonomics, prolonged device use, and repeated finger movements. Hand surgeons in Singapore are integral in diagnosing, managing, and preventing these strain-related conditions, especially in this urban tech-heavy environment.
Common Tech-Related Repetitive Strain Conditions
Orthopaedic hand surgeons frequently see patients with tech-induced conditions such as carpal tunnel syndrome, De Quervain’s tenosynovitis, trigger finger, and tendinitis. These disorders are typically caused by overuse of specific muscles and tendons during tasks like typing, texting, or prolonged gripping. Carpal tunnel syndrome involves compression of the median nerve in the wrist, resulting in numbness, tingling, and weakness. De Quervain’s tenosynovitis affects the tendons at the base of the thumb, commonly aggravated by smartphone scrolling and texting. Trigger finger occurs when repetitive finger motion causes tendon inflammation, leading to stiffness and painful clicking during finger extension. These conditions, if left untreated, may result in chronic pain and reduced hand function.
Diagnosis and Evaluation by a Hand Surgeon
A hand surgeon will begin with a comprehensive assessment, which includes the patient’s history, a physical examination, and, when necessary, imaging such as ultrasound or MRI. Understanding the specific movements, device habits, and occupational routines of the patient is essential. Orthopaedic hand surgeons are trained to pinpoint the source of discomfort and differentiate between nerve compression, tendon inflammation, and joint pathology. Electromyography (EMG), in some cases, may be used to assess nerve function. Accurate diagnosis is key to designing a targeted treatment strategy that minimises disruption to daily activities.
Non-Surgical Management Options
Most repetitive strain conditions can be managed without surgery, especially when identified early. Orthopaedic hand surgeons offer conservative treatments, including splinting, activity modification, anti-inflammatory medications, and physical therapy. Splints or braces can immobilise the affected area to reduce irritation. Ergonomic education is also integral in the treatment—patients are advised on posture correction, appropriate device positioning, and techniques to reduce hand strain. may assist in guided exercises to strengthen supporting muscles and improve joint flexibility. Corticosteroid injections may be considered in persistent cases to reduce inflammation and pain quickly.
Surgical Intervention for Severe or Chronic Cases
Surgery may be recommended when conservative treatments fail to provide relief or when nerve compression becomes severe. Orthopaedic hand surgeons perform minimally invasive procedures such as carpal tunnel release or tendon sheath release to alleviate pressure and restore function. These procedures are typically done on an outpatient basis with local anaesthesia, allowing most patients to resume light activity within days. Surgical intervention is often followed by rehabilitation to ensure proper healing and recovery of hand strength and motion. The goal is to restore function without compromising the patient’s ability to perform daily or work-related tasks.
Preventive Guidance from Specialists
Orthopaedic hand surgeons not only treat but also guide patients in preventing recurrence. This guidance includes recommending customised ergonomic tools, digital device breaks, and posture training. Patients often benefit from workplace assessments or consultations involving occupational therapists who can suggest changes to keyboard use, chair height, or workstation arrangement. Regular screening and early intervention are particularly beneficial for individuals in high-risk professions such as data entry, graphic design, or mobile app development.
Conclusion
The rising reliance on technological devices has resulted in a large increase in hand-related repetitive strain injuries. Consulting an orthopaedic hand surgeon is critical for correct diagnosis and appropriate treatment, particularly when symptoms continue despite home cures.
Visit National University Hospital (NUH) for early intervention and long-term hand relief.
