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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 he was eight years old, Anthony Galle heard the haunting drone of the didgeridoo while watching a theater newsreel. The sound never left him.