Question: I wonder if the diagnosis of Adverse Neurological Tension or Adverse Mechanical Tension are what you would call diffuse RSI. I was diagnosed with ANT which was causing referred pain in my hands and forearms. Two earlier diagnoses of the same symptoms were CTS and tenosynovitis, the methods of treatment are very different for all these.
Answer 1: Partly – diffuse rsi covers, i think, both ANT/AMT and trigger points. It is the pain that can not be tied down to a particular problem at a particular site. Personal theory coming up: Trigger points could be the cause of the ANT/AMT – muscle spasm causing the nerves to tether where it passes through the muscle. When you press on a trigger point you get referred pain down the arm in a particular pattern for that trigger point. In ANT you get referred pain down the arm for the areas that the nerve ‘covers’.
The treatment is similar – stretching the arms. For trigger points you press on point then stretch the associated muscle. For ANT you stretch the arm in a particular way, which will also stretch the muscles as well as the nerve. I wonder if doing the ANT stretches relieves any trigger points someone might have as well as the nerve.
Answer 2: It might be worth looking into that. I was tested for it but the tests were negative: tenosynovitis, the first diagnosis, remains. (BTW the physio who tested me, who is an expert, told me after the tests, I’d told him before that I was skeptical that he found patients usually knew. He also told me what I’d have done if I had had AMT! So look for someone gentle…) about the diagnoses of tenosynovitis and carpal tunnel: is it possible to have both?
Answer 3: Besides it’s possible to have both at the same time, tennosynovites could be the causal factor of the carpal syndrome. Just to remember, when we say syndrome, we are mentioning a pathology with various causal factors.