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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. As many women know, menstruation can be painful and uncomfortable. Painful menstruation, or dysmenorrhea, is considered one of the most common gynecological disorders, as it afflicts over half of all women of childbearing age.