(MSD) has eluded injury prevention professionals, government agencies and researchers for decades. To further confuse the matter, many names are used when speaking about injuries and disorders affecting the musculoskeletal system. Some of them include: Repetitive Motion Injury Several of these terms implicate a singular cause for damage to the musculoskeletal system, repetitive motion and stress. This is confusing, inaccurate and creates a barrier for injury prevention strategies. For example, if repetitive motion were the only cause of MSD, how do we explain that not everyone doing the same job under identical conditions develops a MSD, while others do Repetitive motion and stress is certainly a risk factor in the development of MSD, but to limit ourselves with this definition is a barrier to developing effective injury prevention programs and instilling a true prevention and wellness culture at your company.