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Repetitive Strain Repetitive strain injury, or RSI, is a condition caused by repeatedly putting your body in positions that cause unnecessary stress. Slouching, improper lifting and poor sleeping positions can all lead to its development. All of these activities cause irritation and damage to tendons, muscles, nerves and other soft tissues. When Daniel Buchmann, three-time world champion of the North American Sport Karate Association, hurt his back and hip in the middle of a tournament nine years ago, he never imagined his recovery would turn out to be so easy. After getting chiropractic treatment, he returned to the ring quickly.