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Wellness from Men's Health Low rank, high stress linked to soldiers' back pain Low rank, high stress, and infrequent aerobic exercise all contribute to a soldier's risk for disabling lower back pain, according to a new report. 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.