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Preventing RSI?

conJunk asks: "How do you protect against RSI? I try to practice good typing habits, but without the aid of wrist splints, I tend to get cold wrists. The splints are great, but they slow down my typing by a fair bit. What do you all do?"

128 comments

  1. Gel wrist rest attached to mouse mat by Denyer · · Score: 1

    Or just a wrist rest if you don't use a mat/pad. Honestly, you'll get used to it very quickly and I strongly suspect it's the only reason I don't have crippling RSI by now. A decent natural "split"-style keyboard has also been my preference for years.

    --
    Ph-nglui mglw'nafh Gates M'dna wgah'nagl fhtagn.
    1. Re:Gel wrist rest attached to mouse mat by Xtifr · · Score: 3, Insightful

      I've never understood those gel pads. What good does a pad positioned an inch or so below your wrist do? :)

      The most important thing, in my opinion, is a chair with arms. If your elbows are properly supported, your wrists don't need to be, because they'll be in mid-air. If your wrists are resting on anything, you're doing something wrong.

      I suspect the split-style keyboards are good, but I've never bothered with them. But I can see the attraction.

    2. Re:Gel wrist rest attached to mouse mat by Denyer · · Score: 1

      What good does a pad positioned an inch or so below your wrist do?

      If that's the only portion it's supporting, you're probably not using it as intended or have a small gimmicky one -- the curve of the rest on the one I'm using now is several inches long. Before I'd tend to grip the mouse tightly (and preferred thin mice); the rest prevents that deathlock grip to a certain extent. I'm also a fan of software acceleration, reducing the amount the mouse needs to be moved. Some people find that high acceleration doesn't give them precision, but I've gotten used to it.

      The single most important thing seems to be to have your chair high enough so that you aren't bending wrists back to use peripherals. I do find the rest very comfortable for extended use, though. They're not particularly hygienic, but nor are peripherals in general.

      I suspect the split-style keyboards are good, but I've never bothered with them. But I can see the attraction.

      The nifty thing is that it forces you to learn key positions rather than peck if you want any sort of typing speed. It's an incentive towards good habits. Whilst not a Microsoft fan in many respects, I do like their keyboards and mice and've found them to hold up well over time. Even if I've rubbed the matte finish on the keyboard rest glossy over a few years...

      --
      Ph-nglui mglw'nafh Gates M'dna wgah'nagl fhtagn.
    3. Re:Gel wrist rest attached to mouse mat by klui · · Score: 2, Informative

      I have RSI and I can say definitively that when typing your palms, especially near your wrists, should not be touching anything. Your blood vessels and nerves are especially close to the skin in that area and if they are compressed for an extended period of time RSI will develop due to lack of proper blood flow.

      The parent poster is absolutely correct. A chair with good arm rests (I have one with gliding armrests) will support your arms, wrists, and hands in the correct position. Blood vessels/nerves are not as close to the surface in your arms.

      Bottom line: there is no need for palm rests. Used improperly, palm rests will do more harm than good--they should only be used if you're not typing/mousing.

      Best keyboard is the no-longer-manufacturered IBM Options SelectEase, IMO. Keyboard is physically split far enough your wrists do not angle outwards when your fingers are on the home keys. This separation allows me to put a trackball in-between, enabling left- or right-handed use. I can no longer use mice without my hands hurting after 30 min.

    4. Re:Gel wrist rest attached to mouse mat by rikkards · · Score: 1

      Actually that's the worst thing to do. It isolates movement to your wrist. You should be keeping your wrist immobile and moving the mouse higher in your arm

    5. Re:Gel wrist rest attached to mouse mat by Denyer · · Score: 1

      your palms, especially near your wrists, should not be touching anything

      They aren't -- the mouse is moved with the upper part of the fingers/thumb, and the hand isn't cupped. A few years later and everything's comfortable.

      re: keeping weights by desk, which someone further down the comments mentioned, I've found this pretty good for breaks. I'm not trying to mitigate existing permanent damage, though, so it'd probably be a good idea for people to check with a doctor before trying anything too heavy.

      --
      Ph-nglui mglw'nafh Gates M'dna wgah'nagl fhtagn.
    6. Re:Gel wrist rest attached to mouse mat by Anonymous Coward · · Score: 0

      I totally agree -- never let your wrists and palms rest on anything. A chair with good elbow support is crucial.

  2. Don't type by poeidon1 · · Score: 1, Flamebait

    simply talk and ask your secretary to type it for you :D. For permanent relief, outsource your work.

    --
    They called me mad, and I called them mad, and damn them, they outvoted me. -Nathaniel Lee
    1. Re:Don't type by Anonymous Coward · · Score: 0

      More advice: Don't try to outsource a certain other hand action to the secretary too. They don't seem to like that.

    2. Re:Don't type by aurb · · Score: 1

      Yes, but don't forget to talk very clearly and carefully when saying words like rm / -rf...

    3. Re:Don't type by someone1234 · · Score: 1

      Thanks for your advice. Now, what can you give me for sore throat and dry lips.

      --
      Patents Drive Free Software as Hurricanes Drive Construction Industry
    4. Re:Don't type by poeidon1 · · Score: 1

      leave that to your secretary.

      --
      They called me mad, and I called them mad, and damn them, they outvoted me. -Nathaniel Lee
  3. Workrave by tka · · Score: 2, Informative

    I have workrave running on my computer. It's great!

    1. Re:Workrave by Bromskloss · · Score: 2, Funny

      I have workrave running on my computer. It's great!

      I tend to be sceptical when people recommend some program enthusiastically. I followed your advice, however, and it really is great! I immediately feel better!

      --
      Swedish plasma phys. PhD student; MSc EE; knows maths, programming, electronics; finance interest; seeks opportunities
    2. Re:Workrave by Anonymous Coward · · Score: 0

      I was in the middle of writing a C# application that did exactly that (I started 20 minutes ago). Why reinvent the wheel? I'll just use that!

    3. Re:Workrave by fbjon · · Score: 1

      Yes, actually it's great! I feel so good now!

      --
      True confidence comes not from realising you are as good as your peers, but that your peers are as bad as you are.
    4. Re:Workrave by Bromskloss · · Score: 1

      Ah, I'm glad you understood it was a joke! ;-) I was afraid someone would have to point out to me that it doesn't work that fast.

      --
      Swedish plasma phys. PhD student; MSc EE; knows maths, programming, electronics; finance interest; seeks opportunities
    5. Re:Workrave by Chimera512 · · Score: 1

      I installed this software and i find myself already able to ignore the "take a break every 3 mintues" prompt, i think my ability to tune it out so quickly means it has limited usefulness perhaps...it's an interesting little program. and in case you care it seems to use about 12 megs of ram on my WinXP system.

    6. Re:Workrave by MikeD81 · · Score: 1

      Seriously, how many people can stop completely after four hours? That doesn't cut it when most people work an eight hour shift. The rest breaks I can see, after forty-five minutes I can stand up and go somewhere for a few minutes, but a daily limit of four hours? That's not good.

    7. Re:Workrave by MikeD81 · · Score: 1

      Of course if I had spent about five seconds poking around with the program I would have found all those timers can be set accordingly in preferences. MD

    8. Re:Workrave by Spy+der+Mann · · Score: 1

      I looked at the screenshots, but where's the "Time for slashdot!" prompt?

  4. Get a Pentium IV laptop by Anonymous Coward · · Score: 0

    that should keep your wrists warm...

  5. Rest and exercise by Unipuma · · Score: 2, Interesting

    I have made it a habit to take my hands of the keyboard and mouse whenever I am in a conversation with someone, or whenever I'm not actively typing or using the mouse. Have a pen or pencil to play around with also helps to keep your fingers moving around at that time.
    I'm also a (not very accomplished :) freeclimber, so I tend to exercise the muscles in my arms once a week, and because you can quickly cramp up while climbing, this has taught me to relax my lower arm muscles whenever I'm not actively using them.

    I've been using computers intesively for over 15 years and haven't had any symptoms during all this time.

    1. Re:Rest and exercise by Anonymous Coward · · Score: 0

      A good way to relax the wrists is to take a jerk-off break once in a while.

  6. Outsourcing by Inverted+Intellect · · Score: 2, Funny

    I used to outsource all my typing to India.

    When my boss complained about my spelling and vocabulary, I told him I'd gotten dyslexic.

    atm, I'm an RSI-free full time couch potato. Too bad I can't outsource channel switching...

  7. Change your habits, change anything. by dekaysion · · Score: 3, Informative

    I was lucky to never really develop major RSI related injuries, but I got very close, and I am still very alert when it comes to feeling pain in my hands. Generally I guess you could characterize the means for prevention into hardware and software (which mostly includes changing habits i.e. brainware as well).

    Hardware:
    • Mouse alternatives (like a tablet, trackball or, better, a combination of as many input devices as necessary)
    • Ergonomic keyboards
    • Ergonomic anything, desk, chair, office. There ARE many ways to get hurt or at least work on your chronic situations, not just RSI but back pain etc.
    • Medicine: In my case whenever I am in a phase where I need to work on a computer exclusively I start developing pain in my right hand, some kind of inflammation - which can be taken care of 3 days with ibuprofen or diclofenac. And which also keeps the thing under control for about another 9 months or so. Talk to your doctor!
    Software:
    • Break Scheduler: Software that enforces breaks, micro breaks; shows stretching tips etc.
    • Habits: change your habits, change your posture, change your input devices - do anything that keeps you from burning into one repetitive posture/gesture/.... (As with all things in life - change is good)
    • Macros, Automation: get a good spell checker, get a good macro software, program your editors to do things for you thereby reducing the repetitive work.
    Some links/Linklists: ;)

    thread at 43folders

    google RSI prevention

    btw: where is markdown formatting in slashdot's comment form?
    1. Re:Change your habits, change anything. by CastrTroy · · Score: 1

      Lots and lots of Advil. Don't you hate those commercials? "My wrists are on fire." Maybe you should treat the problem instead of just masking the pain. If you numb the pain, then how are you supposed to know when there is something wrong. Your wrists hurt because there is something wrong with them.

      --

      Anthropic principle: We see the universe the way it is because if it were different we would not be here to see it.
    2. Re:Change your habits, change anything. by proggoddess · · Score: 1

      I second the rec for a mouse alternative. My right wrist was terrible due to a lot of cut & pasting and general mousework. The keyboards with the numeric keypad push the mouse so far out of natural body alignment, it's no wonder I was in pain. I tried switching my mouse to the lefthand side which worked for awhile, but really, a pen and tablet system has worked wonders for me. Fine pointer work (like for Photoshop) is much easier and more precise, too.

      I also switched to a split/natural keyboard. Now I don't have any pain in either of my wrists. Although I have lost a lot of strength in my hands and in my grip due to my previous injuries. You definitely want to nip this in the bud before you have to constantly ask for help to open jars!

      --
      --The Programming goddess from Gorflaz
    3. Re:Change your habits, change anything. by olego · · Score: 1

      I like how changing posture is classified as Software. But I like your list anyway. :-)

    4. Re:Change your habits, change anything. by Jamori · · Score: 1
      Taking advil for RSI wrist pain is about a lot more than 'masking the pain'. The ibuprofen, most importantly, reduces inflammation.

      If your tendons remain inflamed / irritated, anything you do is going to further aggervate that, making it 1) hurt worse and 2) not heal. If you take some sort of anti-inflammation medicine when you start feeling pain and consciously change your habits, your tendons have a better chance to heal rather than remain inflammed indefinitely, which can lead to more permanent damage.

    5. Re:Change your habits, change anything. by ianmh · · Score: 1

      I totally agree with both of you. ibuprofen is a life saver. It can stop long term damage too, but it is not a permanent solution like the ad makes it seem. Long term use is bad for your liver. I hate this ad. It trivializes the issue and for anyone who has dealt with a severe RSI, knows its anything but trivial.

      --
      www.ianhoar.com My blog about geeking out.
  8. Go by what you feel by baryon351 · · Score: 3, Interesting

    Go by what you feel when you're using a computer. If you feel something hurting, stop. right away. Then look at what you're doing and what could cause it, and try something different.

    12 years ago I worked in a department that insisted on bucketloads of ergonomic tricks to make things easier for people. If we were just using mouse and plain keyboard, we were pushed to try trackballs, wristrests for mouse & keyboard, split keyboards, ergo chairs etc. That made for a culture of workers feeling free to say "this isn't working for me, let me try something different" and most people found their niche setup, using components they didn't know were available to them, or didn't know were an option in the workplace.

    As it turns out I tried trackballs and found them cripplingly painful, and ergo chairs were comfy while I sat on them but locked my knees painfully into place. I'm most comfortable with plain old keyboard and mouse, and have been RSI free with that setup for 22 years. It's the best solution for me, and if that works for you too, don't be in too much hurry to change.

    1. Re:Go by what you feel by The+Fun+Guy · · Score: 2, Funny

      If you feel something hurting, stop. right away. Then look at what you're doing and what could cause it, and try something different.

      The same advice could be given to undergraduates taking CompSci courses.

      --
      The man who does not read good books has no advantage over the man who cannot read them. - Mark Twain
    2. Re:Go by what you feel by CastrTroy · · Score: 1

      This is the solution. Find what works for you. Everyones body is shaped differently, what works for one person may be painful for another. I find that ergo keyboards cause me tons of pain. I can type on an old fashioned keyboard for 10 hours and not have any problems. I also find that trackballs work better for me. Some people like mice, some people like quill mice, some people like joysticks. Use whatever it is feels most comfortable for you.

      --

      Anthropic principle: We see the universe the way it is because if it were different we would not be here to see it.
  9. Things that work for me... by zenmojodaddy · · Score: 2, Interesting

    Wrist rests may work for some, but I find that they place pressure on the wrists and forearms right where I don't want it. My recommendations:

    1) Posture is important. Have a look on Google for guidance on arranging your workspace on ergonomic guidelines. Also, consider seeing a chiropractor - a competent chiropractor will be able to track down areas of weakness and suggest exercises to strengthen muscle groups which are causing problems. Which leads to:

    2) I find that regular light workouts with a set of dumbells help - make sure your arms can support themselves!

    3) If I find my forearms are getting a little sore, contrast bathing is helpful. Bathe your arms for a minute at a time in cold water, then hot water, then cold again, alternating back and forth and always finishing on cold. Do that once a night for a week or so.

    Usual caveats - I'm a geek, not a doctor, dammit; your mileage may vary; if you're really having problems, see a doctor rather than asking Slashdot...

    1. Re:Things that work for me... by hackstraw · · Score: 1


      I have RSI in my right index finger. Basically, from using a scroll-wheel to scroll through webpages, yes, mostly /.

      I stopped using my scroll-wheel in favor of a touchpad on my laptop. I prefer a real mouse. I have never liked scroll-wheels because I knew they would give me RSI because after much scrolling my joints would get soar. Well, the scroll-wheel is very seductive to use, and I have gone to bed with the devil because of it.

      When I first noticed my joint swelling and the aching pain, I looked on the web for advice. Of course, I got everything from bullseye, to bullshit. (bullshit is spellchecked OK, bullseye is not???, I call bullshit!)

      What I saw was the usual BS about "go see a doctor". Fuck doctors. They are usually just pushermen for the drug companies, and I have never known of a medication besides an antibiotic or an immunization or a couple of other things that has ever had any real lasting benefit. All of the medications that are prescribed mask the symptoms and add new ones (side affects), and they don't treat anything. They are "maintenance" drugs, and a BIG cash cow, even in the event of a class action lawsuit when the stuff kills people.

      I will qualify the "fuck doctors" thing. If you know of a doctor that specializes in RSI and knows about things _besides medication_ like exercises or physical therapy or chiropractic therapy (which the latter are not 'doctors'), then go ahead. Other than that, if you want to get well, don't go to a doctor.

      On the web, I saw a couple of people say that RSIs are NOT just an RSI issue, they are a whole body issue. After hearing that a few times online and from real-life people, it started to make sense. Currently, I am seeing a chiropractor, and it is helping me. He did an X-ray, and found out that I had a double curvature of my spine. I have had back surgery before, and many X-rays, and this is new, and I saw the X-ray and know it was me from my piercings being visible :)

      I have gone from weekly chiropractic sessions to 10 days now, and only have a few more to go to. I have altered my workspaces to accommodate my posture better, and am still researching and looking for better alternatives. I do not use the scroll-wheel anymore. I miss the multi-buttons (I use a Mac), but my health is more important than my job or the convenience of using multiple mouse buttons.

      So, to be ontopic, to prevent RSI, get good posture, take breaks, stretch, don't use scroll-wheels, don't code in vi for 12-20 hours straight. My first RSI was in my left wrist from hitting the escape key all the time :) And, most importantly, pay attention to your body. Pain is not normal, and should be paid attention to ASAP.

    2. Re:Things that work for me... by AnotherDaveB · · Score: 1
      1) Posture is important. Have a look on Google for guidance on arranging your workspace on ergonomic guidelines.

      Quote below is taken from Typeonline's "safety first" page.

      Sit with your back straight and your feet, either flat on the floor or on a foot rest. You should be arms length, 12-30 inches (25-75cm), from your computer monitor (VDU). Raise the monitor (VDU) so the your eyes are level with the top of the screen. Make sure the F and J keys of the keyboard are immediately opposite the middle of your body.

      When typing, keep your elbows close to your body, wrists and forearms level. After striking each key return your fingers to their resting position over the home row.

      They also have links to rest reminder software for various platforms.

    3. Re:Things that work for me... by Achromatic1978 · · Score: 1
      With my laptop keyboard, I do this weird thing, which can't be good for me. Often the keyboard is at a very slight angle, and rather than using my fingertip, I actually curl the little finger and use the first joint to press the Shift/Ctrl keys.

      Am I the only one that does this?

  10. Don't take medical advice from me... by mwvdlee · · Score: 4, Insightful

    ...but I have typed/moused daily for the past 12 years of my life and have never had any RSI problems. I'm a fulltime programmer and program as a hobby too, so you can imagine the amount of time I spend behind a keyboard.

    My secret; don't use wristsupport of ANY kind. The majority of RSI problems stem from straining your wrists, so don't strain them. My wrists are usually floating because I support my arms at my elbows if needed; the area of motion allowed just by skin flexibility (not even adding flexibility in clothing layers) around the elbows alone is enough to reach the entire keyboard and mouse physical space.

    At home I have a custom-built desk which lowers the keyboard and mouse to a comfortable position (just above my lap) where I don't even need to support anything; now I'm able to use all the muscles in my arms for the required motion; which is far easier.

    Often I see colleagues using wrist supports for their keyboards, where they quite literally push their wrists into the support and produce all motion from flexing the wrists; a sure way of getting RSI.

    Just try keeping the wrist afloat and everything will go much smoother. Perhaps even try raising the keyboard from your desk a bit if that makes it easier.

    --
    Slashdot social media options: AIM, ICQ, Yahoo, Jabber and Mobile Text. Why no MySpace?
    1. Re:Don't take medical advice from me... by gbjbaanb · · Score: 1

      You're quite right there - you get RSI because people get lazy with today's lghtweight, no-effort required input devices and start using the least amount of effort to use them.

      eg. a mouse, do you move it about by keeping your arm fixed and only moving your hand (ie pivoting at the wrist)? If so.. you'll get RSI. If you move the entire arm and keep your wrist fixed then you'll have no problems. (pretty much).

      The same goes for typing, lift your arms off the table and move the entire arm, you'll be fine. If you move your fingers over the keyboard by moving your wrist only, you'll be in trouble.

      In old days when people used typewriters there was never any RSI - they needed to hit the keys hard so the gentle twist and tap we use today to type wasn't an option. Also, posture helps for back issues - in old days they looked down at the paper, which helped them to keep upright and not slough. Today, if your monitor is not high enough, you will tend to slough to bring your eyes into line with it. Put a couple of reams of paper underneath it and you'll be happier. (or buy a 42" LCD monitor to bring it up to you :-) )

    2. Re:Don't take medical advice from me... by The+Cydonian · · Score: 2, Funny
      In old days when people used typewriters there was never any RSI
      Then again, people in the old days didn't slack off in front of typewriters, trying to be funny in responding to strangers across the world... ;-)
    3. Re:Don't take medical advice from me... by Burdell · · Score: 1

      Exactly. I keep my keyboard about 6-8" from the edge of my desk; the point where my arms rest on the desk edge is then just below the elbow. I've been using computers this way for about 15 years now (the last 10 as an ISP system/network admin/developer/etc.) without any RSI problems.

      You should end up with the plane of your palm in line with your forearm. I pivot my hands from side to side when reaching to the edge keys, but my palms stay flat WRT my forearms. This keeps the wrist from bending up and down (that motion is a problem).

      The problem with all the gel-filled wrist rests is that they encourage you to rest your wrist on them. The last thing you want to do is to put pressure on the wrist; that is what causes problems. The solution is not to make it easier to put pressure on the wrists, the solution is to change your posture so you don't put any pressure on them at all.

      Also, the "natural" keyboards are crap. I've been using old IBM "Model M" keyboards (the clicky kind) for most of that time. Another good thing about the old IBM keyboards is that the labels on the keys are applied right; I wore the letters off several keyboards before I found affordable IBM keyboards (I've worn the texture off several IBM keys but the labels are still solid).

    4. Re:Don't take medical advice from me... by Aceticon · · Score: 3, Informative

      I use the same trick.

      When i was a teenager i actually got into the early stages of RSI (i had loss of feeling in the palm of my hands) due to programing at home while supporting my wrists in the border of the table (ie the keyboard was next to the border of the table).

      Nowadays, 15+ years later, after working as a professional softwared developer for several years, i have no RSI symptoms whatsoever. No special keyboards, plain-ol-style mouse, no wrist support or any other support watsoever other than a table.

      The big secret:
      - Position your keyboard on the table far from you (typically next to the monitor). Your elbows should be supported by the table. When your arms are parallel, with your elbows supported by the table your fingers should reach the second top row of a common QWERTY keyboard (ie not the function keys row, the one below it).

      Typing is a question of moving your hands from side to side (and your fingers up and down :) ) with your elbows fixed in place or just slightly moving. Only pressing function keys ( a comparativelly rare operation) will require your to lift your arms from the table. Most of the time the whole arm (almost up to the wrists) will be supported by the table. With the mouse next to the keyboard, picking the mouse and moving it is also a question of rotating your arm on your elbows and (posssibly) sliding it around a bit when moving the mouse.

      A couple more usefull tip i've picked up:
      - You chair should be to such a height that with your legs bended at an 90 degrees angle, the whole sole of your shoes is on the floor.
      - Your screen should be in such a positions that your chest (and face) are facing the screen. If your position relative to the screen is such that your head is turned you're strining your neck
      - Your back should be fully in contact with the back of your chair and at a 90 degree angle to your legs (thus ||_ ). If your ass is forward (towards the front of the chair, like |\_ ) then your are straining your chest muscules (if you have chest pain it's probably this or a heart problem ;) )

    5. Re:Don't take medical advice from me... by hackstraw · · Score: 1

      Often I see colleagues using wrist supports for their keyboards, where they quite literally push their wrists into the support and produce all motion from flexing the wrists; a sure way of getting RSI.

      FWIW, I first got RSI in my wrists when I used a wrist support. It was first in my left wrist, and then in my right. Mostly, it felt like my hands were numb from the wrists to fingers.

      I don't know if its a coincidence or not, but I believe that wrist guards contributed to the issue, and have not had wrist issues since I've quit using them. Yes, the ones with that space gel in them are comfy, but RSI is not.

    6. Re:Don't take medical advice from me... by stripe42 · · Score: 1

      Nice description. At work my desk is setup the same way and my wrists do great. Coworkers wonder why they get RSI. Look at their setup and their monitors are in the middle of the desk with keyboards all the way to the edge... People are funny -- they'd rather try wrist straps once a problem develops instead of modifying their posture or keyboard location to prevent it.

    7. Re:Don't take medical advice from me... by cerberusss · · Score: 1
      (not even adding flexibility in clothing layers)

      Yep, I didn't want to add flexibility in clothing layers either. So today, I showed up naked at the office. Of course, there were some funny looks, but I think that will pass.

      --
      8 of 13 people found this answer helpful. Did you?
  11. RSI prevention by blackhat.blade · · Score: 1

    I'm personally not affected by RSI but i would suggest that the best way against it and any other injures related to extensive keyboard and mouse usage
    is not use those devices for long time without a break. There are also many devices for muscular developement at the wrists. Maybe you should review your
    typing habits, finger placement, etc.

    --
    tell me your problem and i'll show you the solution tell me your solution and i'll show you the problem.
  12. Sue? by HaydnH · · Score: 2, Funny

    1) Move to America
    2) Get RSI
    3) Sue
    4) PROFIT!!!

    --
    Time is an illusion. Lunchtime doubly so. - Douglas Adams
  13. mod parent insightful! :) by Xtifr · · Score: 1

    Indeed, if your elbows are properly supported, you shouldn't need to try to keep your wrists afloat--it should be difficult to get your wrists down far enough to need support! If your wrists hit the desk, you need to adjust your chair (or get a new one), IMO. Chairs without arms should be kept as far away from keyboards as possible.

  14. Wrist exercises? by lisaparratt · · Score: 3, Funny

    I know I'll probably get the piss taken out of me for this, but I tend to do a lot of glowsticking - often up to an hour a day, in the privacy of my home. It's fun and fairly good exercise, plus it means gonig out clubbing all night doesn't leave me a smouldering wreck the morning after.

    It mostly involves fluidly moving the hands via the wrists faster than the eye can see, along with a fairly hefty dose of arm waving, continuously, for anywhere from an hour to ten hours.

    I've never been able to tell if it's good or bad for me. I don't have RSI, but then I didn't have it before I took up glowsticking, either.

    Anyone know? Us ravers need to know! :D

    1. Re:Wrist exercises? by Anonymous Coward · · Score: 0

      More info on this please!
      Links?
      Urls?

  15. Sitting properly! by MaestroSartori · · Score: 4, Informative

    I know, sounds daft. But setting up your chair for *real* comfort as opposed to slouching, with a view to helping your wrists stay in the proper position.

    Your chair should be high enough so that your feet naturally lay flat on the ground, and your thighs are perpendicular to your shins. If you have one of those annoying spring-backed chairs which let you lean way back, lock it all the way forward for support. Some chairs have adjustable back supports too, move them to the correct place (which I think is supporting the lower back).

    At this point, sit up straight and reach your hands out in front of you to a comfortable position. Put the keyboard under them, with the mouse mat next to the keyboard. This should be a decent position for you to work from without straining anything.

    A tip I've had from people who get back pains at work is to buy a really big exercise ball, and sit on that instead of a chair. You'll look stupid and people will mock you, but it really helps build up the lower back with all the unconscious movements you use to keep balanced on it. Of course, if your balance sucks you'll fall off and get mocked even more ;)

    1. Re:Sitting properly! by alta · · Score: 1

      I'm going to sue you for pinky damage!

      I was folowing your instructions, I raised my chair to make my knee's a 90. I reached out and moved my keyboard in a good spot. I didn't think I was close enough to the monitors, so I grabbed the arms of my chair and began to scoot up. SMASH, Pinky crushed between arm of now raised chair and top of desk!!! Owe, it hurts!

      Anyway, nice tips. I think this is more comfortable than the old way, so I'm going to get a few 2*4 blocks and raise the desk so the chair will fit under it. I've also noticed that my 3 monitors are not centered in front of me, but instead put where they maximize the desk space. Probably not the best config.

      While I'm at it, I might move my computer out of my feet area, to the other side of the desk. It's not pretty there, but that will make me more comfortable too (and may be necessary because of the wires that are too short.

      I think I'll get rid of this plastic carpet saver because it lets my chair roll around way to much.

      --
      Do not meddle in the affairs of sysadmins, for they are subtle, and quick to anger.
    2. Re:Sitting properly! by Fished · · Score: 1
      I strongly agree. I had RSI problems for a while, and resolved them by getting a /good/ office chair and setting it up properly. Your chair should be as high as you find comfortable. You should /not/ be leaning back in it--in fact, it's best if you can tilt the seat slightly forward. you should never be "lounging" in your chair. Always sit with your back straight. The back of the chair is there for additional support and reinforcement, you should barely touch it most of the time.

      Wrist pads are useful, but probably not for the reason you think. The purpose of the wrist pad is to prevent you from dropping your wrists. Also, your keyboard should be /flat/ or tilted slightly down, not tilted up. Take regular breaks, and it never hurts to warm up a bit at the start of the day.

      Also, losing weight will help with all sorts of RSI, because excess weight creates unusual pressures on various nerves.

      --
      "He who would learn astronomy, and other recondite arts, let him go elsewhere. " -- John Calvin, commenting on Genesis 1
  16. There's no magic bullet by hcdejong · · Score: 2, Informative

    i.e. no single item can prevent you from getting RSI. You'll have to combine healthy work habits, regular exercise, and good equipment.
    - Work habits: Set up your work area correctly. Desk height, chair height, monitor placement, etc. You should be able to find a relaxed position. Take regular breaks, and do some exercises during those breaks.
    - When you're at home, don't spend the entire evening sitting at your home computer.
    - Exercise: Couch potatoes are more susceptible to RSI (and a host of other problems).
    - equipment: Use a good mouse (optical, low-friction worked for me, YMMV) or trackball, etc. Consider getting an ergonomic keyboard. Lighting, and a good monitor are important too.

    One cause of many RSI complaints is 'static tension': the muscles in your arm and hand are contracting but not moving. The muscles need movement, so every 10 minutes spend 20 seconds to stretch your arms, relax your hands etc.

  17. curved keyboard by dunkelfalke · · Score: 1

    a curved keyboard really helps, even if you already have rsi (as i do). also i switched from a mouse to a digitizer

    --
    Conservatism: The fear that somewhere, somehow, someone you think is your inferior is being treated as your equal.
  18. MASTURBATION IS A SIN by Anonymous Coward · · Score: 0

    You know why you're developing RSI. It's because you engage in daily furious masturbation! Quit defiling yourself and ask our lord Jesus Christ for forgiveness!

  19. RSI - stop it or you'll go blind! by Half+a+dent · · Score: 4, Funny

    Since I stopped visiting "adult" web pages my wrist RSI has greatly improved!

    1. Re:RSI - stop it or you'll go blind! by cerberusss · · Score: 4, Funny
      Since I stopped visiting "adult" web pages my wrist RSI has greatly improved!

      This is slashdot. Of course this gets modded informative...

      --
      8 of 13 people found this answer helpful. Did you?
  20. RSI solutions by Frozen+Void · · Score: 1

    I haven't had RSI but i can think of those in a minute:
    Mouse scrolling(and the autoscroll)
    Healthy lifestyle(no allnight coding!)
    Macros/Automated or sheduled tasks
    scripts and bots
    Slow typing with breaks
    Laconic/condensed writing/language
    custom keyboard layouts/drivers
    voice input,contact-pressure keyboards
    anything that reduces the work tempo

  21. One Word by Elitist_Phoenix · · Score: 1

    Porn. I think you need to relax more, so watch some... Oh! PREVENT rsi... nevermind

    --
    "I'm going to f***ing bury that guy, I have done it before, and I will do it again. I'm going to f***ing kill Google"
  22. 2 things that work for me by Anonymous Coward · · Score: 0

    I've found 2 things that work for me when my arm starts to hurt (from when I get lazy about doing these)
    1) Support your elbow- keep it on your chair's arm or have a tabletop to your side that you rest your elbow on. This way something besides your wrist is supporting your arm.

    2) Wrist stretches- many say wrist strengthening but stretching works for me (maybe both are even better). You can stretch your wrists in 4 directions: up, down, and bend/twist in both directions. As with all stretches they need to be done slowly, held for 20-30 seconds, then slowly release.

  23. Re:Cold wrists? by hcdejong · · Score: 3, Insightful

    Why can't I mod you -1 Moronic?
    IANADoctor, but it seems to me that cold wrists can be a sign of the blood flow being cut off, or nerves being pinched, both real, and possibly dangerous problems. Even if not, cold extremities are annoying and do make typing harder than it needs to be.

  24. Work out regularly by Handyman · · Score: 1

    First of all, work out regularly. This increases the blood flow everywhere, which has a lot of benefits besides preventing RSI. Working out encourages your body to increase the efficiency and capacity of your blood vessels, leading to better endurance when you're sitting behind a desk. Basically, it will allow your hands and arms to recover more during work, because the material supplies required for the recovery are transported there in larger quantities. Also, increased blood flow will decrease recovery time outside working hours. Before, I would come home with pain in my hands and I would go to work the next day still with pain in my hands. After I started working out, I would come home with tired (but not painful) hands, and everything would have recovered completely by the time I got up the next morning. An added advantage of working out is that you're less tired after a day's work, which means that you'll have more energy on weekday evenings.

    Secondly, make sure your upper arms are hanging straight down along the side of your body while you're working. Most typing-related RSI problems, although you feel them in your wrists, actually originate in the outward-facing muscles of your upper arms, which extend into (or at least are strongly connected to the muscles in) your shoulders and into your neck. Even when your elbows are only 15 cm away from your body, the tension in all those muscles will be considerable, and their stress levels will decrease the blood flow to the lower parts of your arm. I've seen many surprised faces of RSI sufferers when I massaged the outward-facing side of their upper arms, which (unexpectedly for them) caused a tingling feeling in their hands (the sign that they were suddenly getting enough blood flow again), followed by the disappearance of the pain in their wrists, lower arms and hands. :-)

  25. My history by ivanandre · · Score: 1

    I´ve lived with RSI for 5 years now. I´m 27. I´ve had therapy, shots, many medical treatments with bad results.

    Now I go to the gym every day... that the only way I can type without hurting myself.

    1. Re:My history by Anonymous Coward · · Score: 0
      I´ve lived with RSI for 5 years now. I´m 27. I´ve
      It's probably all those awkward characters you keep typing...
  26. Take breaks. Change habits. by splutty · · Score: 1

    I've been rather extensively typing on all sorts of keyboards for the last 25 years, and have yet to develop any RSI symptoms. Some of these years were in conditions "less than perfect" (understatement of the century).

    What helps for me is that I simply don't type longer stretches than 15 minutes. I get up to get some tea, coffee, water, whatever, but don't touch a keyboard for the next 5 minutes. Also I try to refrain from using a mouse if not necessary, take intermittent breaks if I do start to feel annoying feelings.

    Getting some water to drink also has the added benefit of actually giving your body some much needed hydration, very important for an alert mind as well.

    Most importantly: Try to develop a work schedule where you can be efficient, yet still take those much needed breaks. Instead of emailing a colleague, call them on the phone, or if your workplace allows it, walk there. It'll give them a break, yourself a break, and generally it's a much easier way of conversing anyway.

    On a cynical sidenote: Take up a bad smoking habit. That'll force you to take a break at least once an hour :)

    Splut.

    ps. An example of "less than perfect" circumstances is having to work on a computer being used by 5 year olds. Typing with my legs pretty much bent up to my ears isn't very ergonomical, I'm sure :)

    --
    Coz eternity my friend, is a long *ing time.
    1. Re:Take breaks. Change habits. by anthony_dipierro · · Score: 1

      What helps for me is that I simply don't type longer stretches than 15 minutes.

      15 minutes of straight typing? Does that really happen very often? I suppose if you're a typist it would, but I don't expect there are that many typists on this site right now.

    2. Re:Take breaks. Change habits. by splutty · · Score: 1
      15 minutes of straight typing? Does that really happen very often? I suppose if you're a typist it would, but I don't expect there are that many typists on this site right now


      Generally only with the bane of any /.'er... Namely documentation.. (Erk. The D-word!)

      Splut.
      --
      Coz eternity my friend, is a long *ing time.
    3. Re:Take breaks. Change habits. by Finkbug · · Score: 1

      "What helps for me is that I simply don't type longer stretches than 15 minutes."

      That's the best advice right there. Fifteen minutes with five off isn't terribly practical but twenty-eight/three should work. Wiggle your wrists around on the off time and focus out the window too (might as well take care of eyes at the same time).

      If you're regularly feeling *pain* you're past the warnings and into potentional damage. Tingling or "stretching" sensations are generally the first signs you are doing something wrong.

      [puts on his Oscar hat] I deserve some sort of special dufus technical super nerd award for causing my right wrist RSI playing Moria and first release Angband as a teen. Mom paid for my first wrist brace....

      Nethack boo, Oangband yay!

      --
      Feeling so good natured I could drool
  27. I asked this 'slashdot twice before... by cablepokerface · · Score: 1

    ... both times recently with a really comprehensive blob of text explaining myself.

    Rejected both times. I guess I should rename myself to beatle-beatle or something ...

  28. eyes? by Chimera512 · · Score: 2, Interesting

    this doesn't exactly relate to RSI, but recently I find myself with sore eyes after using either my computer or reading for more then an hour or so at a time; i assume this is just eye strain? will going to an optomitrist or getting glasses help me? My vision is fine, if not good otehrwise, eyedrops don't seem to help so it isn't just dryness.

    1. Re:eyes? by Cyphertube · · Score: 1

      I would check out the refresh rate of the monitor, and possibly the resolution. I myself am light sensitive to begin with, and whenever a CRT is set at 60 Hz (the default), I find myself reacting, even from across the room.

      Also, if it's an old monitor and the resolution is set higher than the pixels will easily show, then it become very tiring trying to pick out what one is seeing.

      --
      Linux - because it doesn't leave that Steve Ballmer aftertaste.
    2. Re:eyes? by hcdejong · · Score: 1

      Yes, I'd go see an optometrist. Your vision may seem fine, but there are several eye problems that aren't obvious without optometric equipment, and will often manifest as headaches or sore eyes.

      Your monitor may also cause problems. Too low a refresh rate, interference between the monitor refresh and the overhead lighting, bad monitor settings giving a fuzzy image, etc.

    3. Re:eyes? by superpenguin · · Score: 1

      Yes, definitely check your monitor refresh...so many people have theirs set at 60Hz, which I find physically painful to look at.

      A visit to an optemetrist would also be a good idea. There are more eye problems than near- or far-sightedness. I am near-sighted, but I also have a relatively significant astigmatism (irregularity in the shape of the lens on my eyes). I stopped getting more nearsighted when I was about 16, but I've had a couple prescription changes since (I'm 23 now) because of my astigmatism. With myopeia, it's easy enough to tell when it's getting worse, as things start getting blurry, but there are no direct indications of worsening astigmatism. The actual effect of astigmatism is distortions in your vision, but it's not the sort of thing you can actually see, as your brain compensates, but it leads to increased eyestrain and consequently headaches. So now when I start getting headaches for no apparent reason, I hie myself to the optometrist.

    4. Re:eyes? by AnotherDaveB · · Score: 1
      this doesn't exactly relate to RSI, but recently I find myself with sore eyes after using either my computer or reading for more then an hour or so at a time

      I developed a problem with my eyes that I put down to spending too long staring at a monitor screen. It wasn't painful as such, but I could feel a nerve in my eyelid twitching very fast, you couldn't see it, but you could feel it. I had to stop using a computer at all for about a month, after that, I started using a rest timer. Now I make sure to take a ten minute break every hour.

      Wikipedia's RSI page, some interesting links.

  29. Dvorak by Anonymous Coward · · Score: 1, Interesting

    Some RSI suffers report that the Dvorak layout (www.mwbrooks.com/dvorak/) is easier. The layout's arguably more efficient, but it does come with a learning curve particularly if you are already very skilled at typing on a qwerty keyboard.

    If you try this, plan to use it for 2-3 weeks before you even begin to feel comfortable. Its absolutely maddening for the first few days, but once you get past that you eventually begin to adjust.

    1. Re:Dvorak by shobadobs · · Score: 1

      Dvorak education comes faster if you play videogames online that require you to communicate with team members quickly and efficiently. That's what finally worked for me.

    2. Re:Dvorak by Chris+Burke · · Score: 1

      Being a dvorak user I would definitely recommend it to anyone seeking to optimize their work space around preventing RSI, but I would subjectively describe the contribution of the dvorak layout to preventing RSI as "minor". It does reduce the amount of finger movement you need to do which reduces the amount your tendons move through the carpal tunnel, which at the very least causes less fatigue... but in general I find overall body position to have a vastly greater impact. A few minutes worth of tying with a bent wrist is worth a day or more of typing with an inferior keyboard layout in terms of pain.

      Which is just to say to anyone considering dvorak: don't expect it to be a panacea. It's better, but not "this is all I need to do to save my wrists" better.

      P.S. I think the learning curve is less the more skilled you are at qwerty. If you are a good touch typist you have most of the pathways formed, you just need to create "alternate" connections. It took about a week before I didn't need my cheat-sheet anymore, and to this day it takes me just a few minutes to switch back and forth (even though i rarely use qwerty).

      --

      The enemies of Democracy are
    3. Re:Dvorak by olego · · Score: 1

      I agree with most of the things you said.

      However, there's an interesting point you're missing: people like me who never had any typing training. My hands were flying all over the place when I was using QWERTY, and would tire out quickly. Using Dvorak ensures that your hands are positioned properly because of the location of the keys: now, I'm much more stationary when I type - allowing me to position my elbows and wrists more comfortably without worrying about moving them around.

      I definitely recommend Dvorak to most typists.

    4. Re:Dvorak by Anonymous Coward · · Score: 0

      Stop using the mouse so much. Ues Keyboard shortcuts. The mouse is probably the biggest culprit. Switch your mouse hand to the other hand half the time. This will cut down much of the problem. The keyboard is not as much of a problem as the mouse. Dvoark will help as well. I stopped having problems when I did both.

  30. May sound daft but.. by Gaewyn+L+Knight · · Score: 3, Interesting

    This may sound stupid... but recent studies are showing that most people that get RSI actually get most of the damage from sleeping on their hands at night.

    So...
    #1 No hands under the pillow/head
    #2 No hands between the legs to keep them warm
    #3 If you ever have numb hands from cuddling your S.O. that's a no-no also

    I changed my sleeping habits just that little bit and now no matter how much I abuse my wrists at work programming or playing Enemy Territory I have no more pain.

    --
    Telcos have alot of dark fibre in the States. Most people assume that's optical fibre...but it's actually moral fibre.
    1. Re:May sound daft but.. by conJunk · · Score: 1

      huh... have you got a link for this?

    2. Re:May sound daft but.. by superpenguin · · Score: 3, Interesting
      This is quite important. I don't know about the claims of "most people" getting their RSI this way, but it is a factor.

      I am a musician, and musicians, especially string players (I play cello) are notorious for wrist problems. Our problems tend to be more in the line of tendonitis than carpal tunnel (that's what the pianists get), but a lot of the general preventative measures are pretty much the same.

      I've had wrist problems on and off for the past several years, and one of the string faculty at my college mentioned this sort of thing when I asked him about my wrist problems. He suggested wearing a brace at night, and it really does help. I actually use two different braces on a fairly regular basis. One is just a wide elastic band that wraps around the wrist. It provides a little support, and keeps me from extending my wrist too far (which is what gives me a lot of problems), but still provides a pretty good range of motion (enough that I can play with it). This one I wear quite frequently. Always when I play and frequently just for a little extra support. The other is more heavy duty and fits more like a fingerless glove with a wrist extension. This one has a metal insert that runs along the underside of the wrist and the palm. I use it whenever my wrist is really bothering me and I need to keep it relatively immobilized and also whenever I'm lifting weights or doing any other kind of heavy lifting. It's okay for mousing, but it limits the range of my thumbs, so it's no good for typing.

      So I often wear one or the other when I sleep, and I have changed my sleeping habits a bit. I actually sleep with my hand under the pillow, but that's because my main concern is keeping that wrist straight, as my problem is tendonitis, not carpal tunnel.

      As far as general ergonomic guidelines, I've also learned a good bit about that due to hurting myself by playing my instrument (I had a lot of back trouble a couple years back, which is mostly gone at this point, thanks to some changes I made). One of the main things to keep in mind is that any tension, especially in your spine, will spread to the rest of your body. One of the most common places for tension to start is in your lower back. The reason for this is that the human hip is not designed for a 90 degree angle between your torso and your upper leg. If you actually have that angle, it's because the last couple degrees are coming from your lower spine. This sort of static loading will kill your back. Unfortunately, most chairs aren't designed with this in mind. Your best bet for a chair is something with a relatively straight back and either a flat seat or one that tilts slightly forward rather than back. My chair of preference is an old swivel chair that my mom pulled out of a dumpster with the intent of reuphostering the seat. I stole it and used it as my computer chair for several years before college, and I still use it. During my undergrad, it was the only chair on campus that I ever found that was truly comfortable. It has a flat seat and an adjustable back (which I keep low for lumbar support) and can be adjusted to be pretty tall (which is important since I have very long legs).

      Static loading on the lower back basically means that even though you don't look like it, you're actually hunched over forward. Obviously then, that tension travels up to the shoulders and neck, and if your shoulders aren't relaxed, your arms and hands can't be. So reduce static loading on your lower back and you're already helping yourself.

      The other component to my ergonomic computer setup is a desk I built for myself. I designed it with my ugly chair in mind, so that the keyboard tray is just above my lap (although for long typing sessions, I still prefer to just pull the keyboard off and put it on my lap). One thing that departs from conventional wisdom, but that works pretty well for me is the fact that my monitors are fairly high. I built the desk primarily because I needed something that I could have my computer and my

  31. Two very important things: by countach · · Score: 1

    Two very important things:

    1) Take your hand off the mouse/keyboard when you're not using them. Even if it's only for a few seconds, it gives your muscles a break. Put your hands in your lap.

    2) Half the problem is the muscles in your hand are constantly "ready" and tensed ready to push that button. Be aware of this. Relax your muscles. And do (1) often to relax them again.

    1. Re:Two very important things: by fbjon · · Score: 1
      I lean way back in my chair, feet on the table, arms resting on the chair seat and hands on the front of the seat, under my thighs (which are raised now). Wireless MX1000 mouse resting in the palm of my right hand, and a flick of the wheel/press of a button brings the next page for reading. Relaxed muscles and comfort while reading articles! It might look rather unprofessional in the workplace though.

      An added bonus is that I can do basic mousing (OK/Cancel, gestures, moving stuff around) right on the seat, instead of having to place the mouse further away on some table surface.

      Another thing to look at are those teflon stickers you can put on the mouse feet, to make them really slippery. I haven't used a mouse mat in a long time now. Any surface, even rough wood, works fine.

      --
      True confidence comes not from realising you are as good as your peers, but that your peers are as bad as you are.
  32. Meh. Weaklings. by Anonymous Coward · · Score: 0

    All of you. "Aaah, my wrist hurts!". Meh. Been typing for almost 20 years, no pain at all. Go work in a mine, then I'll understand if you start saying it hurts.

  33. Mind Over Matter by Anonymous Coward · · Score: 1, Interesting

    Isaac Asimov typed 90 words per minute for most of 50 years, and he did not get RSI. Why? I distinctly recall reading something to the effect that he actually enjoyed the typing process. Thus the "Subject" of this message. I think it would be interesting for the psychologists to study a large group of typists, to see how many of them don't like typing, and how many of those have RSI. Me, I learned on a manual typewriter approx 1968, and while my speed is only 40wpm or so, I've done lots of typing over the decades since, mostly liking it -- and I don't have RSI.

    1. Re:Mind Over Matter by Denyer · · Score: 1

      RSI is typically more associated with mouse use than keyboards, due to the tighter grip. There's probably something to the logic that enjoyment promotes healthy wrists, though -- in a good mood and/or without a looming deadline, you'll be less tense and more inclined to pay attention to any twinges of discomfort. The trick is forcing muscles and tendons to relax when you're distracted and focusing. Some people can probably do this naturally.

      --
      Ph-nglui mglw'nafh Gates M'dna wgah'nagl fhtagn.
    2. Re:Mind Over Matter by Anonymous Coward · · Score: 0

      Then I guess I should also confess that I much prefer to use a touchpad over a mouse (with the default touch-to-click disabled). And my keyboard is a contoured style, with the touchpad built into it, so I don't have to move my hands very far from the keys to use it. Extremely efficient, in my opinion.

    3. Re:Mind Over Matter by ianmh · · Score: 2, Informative

      Sorry, but this is BS, I had very severe RSI for awhile. It got to the point where I could hardly hold a glass of water without shaking, and it was extremely painful. RSI will also cause depression for obvious reasons. I am a computer enthusiast, I love my job, and I love computers, design and and gaming. I really don't think anyone can understand RSI unless they have had it. It seems too trivial from a non-suffers point of view. I remember having a teacher warn me about it 10 years ago, and I laughed it off with others.

      RSI will not effect everyone, just like many diseases and viruses do not effect everyone, but when it does it can become a very serious situation, and the problem is it is not taken serious by the general public. This is partly why you feel so helpless when you have a severe RSI. Usually you are in a repetitive job, like IT or Design. Your productivity slows down greatly, you are in constant pain, and day to day life becomes a chore. I know I am sounding dramatic, but it can be this bad, and I have total sympathy for anyone suffering from it. There are varying degrees and types or RSI's too.

      The good news is most people can overcome it to a degree. I still get pain now and then, but no where near what I was suffering from two years ago. Stress can be a major factor and was partly to blame in my case, but it is not always the case, many other things, like a cold working environment, or bad posture. Its far easier to get it then get rid of it. I read a lot on RSI's, and most of the stories went like this. (Started feeling a bit of pain one week. Ignored it. Got worse the next week. Felt crippled the third week. Took over a year to get rid of it).

      I used wrist braces which helped a lot, and bought a special keyboard, used a wacom tablet instead of a mouse and paid attention to posture. Now I can use a normal keyboard and mouse too without pain.

      If you have RSI, there is a load of good information on the web, and you can get rid of it slowly but surely.

      --
      www.ianhoar.com My blog about geeking out.
    4. Re:Mind Over Matter by Seraphim1982 · · Score: 1

      RSI is typically more associated with mouse use than keyboards, due to the tighter grip.

      So why don't people who are worried about RSI use trackballs?

    5. Re:Mind Over Matter by Anonymous Coward · · Score: 0

      Your situation sounds a lot like mine. I started using splints, went to physical therapy, took NSAIDs, etc, and after about TWO YEARS I'm hovering at about 90% of normal. The one thing I never tried was the wacom tablet. I tried a touchpad for a while and that helped, but I realized after a while the stress was just moving from one area of my hand to another (instead of thumb and index finger, it was now the middle finger, which is what I used for the touchpad). The position was different, but still bad. If the issue is grip, which I believe it is, why is the wacom tablet recommendable? Isn't it just another type of grip? Thanks. ps - The very best thing is to stretch your fingers and wrists. Here's how to stretch your wrists (my PT gave me these exact instructions): http://www.howtostretch.com/wriststretches.html. Stretching your fingers involves doing what a cartoon character does when they sit down at a piano. In the cartoons (e.g. Bugs Bunny, Tom & Jerry), the character usually holds their hands outward from their body so the palms are parallel to their chest, interlocks the fingers, pushes the fingers outward and until the joints crack. Do this, just don't let them crack. :) But my advice is worth the paper it's printed on. If you're starting to have a problem...see a doctor.

    6. Re:Mind Over Matter by Anonymous Coward · · Score: 0

      RSI will not effect everyone

      "affect".

  34. Become ambidextrous by skinfitz · · Score: 1

    I used to suffer from RSI in my right elbow (mouse arm, mind you this was at a time I used to play UT rather a lot...) My solution is I use the mouse in my left hand at work, and right hand at home. Not as difficult as it sounds - you get used to it quite quickly.

  35. RSI? by lagerbottom · · Score: 1

    It's called Repetative Stress Injury for a reason. Just cut it out! Seriously though, a lot of RSI's come from performing the same task over and over again in the same position (stop it dirty minds!). Vary the activity, take breaks. The problem is aptly named...try to remember that.

    --
    "He was a wise man who invented beer." - Plato
  36. Stop reading Slashdot! [n/t] by Schraegstrichpunkt · · Score: 1

    No text.

  37. Re:Rest and exercise - exercise device by LordEd · · Score: 1

    I just got a powerball about a week ago. Its too early to tell, but my wrist seems to feel a little better.

  38. Relax by GypC · · Score: 1

    Just frickin' relax. People get all tense when they try to type fast, and it just slows them down and causes injury. Seriously, just try to keep your muscles as loose as possible when typing and mousing.

  39. RSI overblown by TheSkepticalOptimist · · Score: 2, Interesting

    I have been programming for over 10 years, 8 - 12 hours a day, 5 - 6 days a week, and have never suffered RSI. I am a touch typist and can type 50 - 80 wpm, never really bothered to measure it.

    The problem I find with most people that have RSI caused by typing is that they tend to keep their wrists in a rigid locked position and they tend to pound on the keys with their fingers. This WILL cause RSI because you are constantly straining your tendons unnaturally. My brother-in-law types fast, but he does it in short bursts, his wrist and arms go rigid and he types blazingly fast, fingers pounding on the keyboard for about 30 seconds, then he has to stop and rub his wrists because they are sore. RSI is repetitive STRAIN injury, and by keeping your wrist rigid and tendons strained, this is how you cause the condition.

    My typing style is relaxed, and I am not measuring or care how fast I type. By not keeping my wrist rigid and only applying enough pressure on the keys to depress them enough to register a press, I quite honestly that this prevents me from the kind of RSI problems most people suffer from. I find that relatively slow and steady will beat out the productivity and discomfort of trying to type blazingly fast for short bursts. I can maintain a consistent typing rate for hours that will exceed someone typing in quick short bursts and having to stop because the pain becomes unbearable.

    Another thing I believe in is that your company or boss has to give you the right tools to do the job. I will refuse to program if I don't use Microsoft's Natural Keyboard. I have used one almost my entire programming career, and before it, in the early days of using those straight unnatural keyboards, I did feel I was starting to suffer some strain in my wrists. Since then I have found this keyboard layout to cause no undue strain on my wrists. If your boss is too cheap to buy you the right equipment then it will pay in the long run for you to invest in your own equipment. If your not allowed to bring your own keyboard and/or mouse into your office, then quit. You work to live, you don't live to work, and any company that doesn't recognize that they must cater to your personal comfort and safety at work is not a company you should work for. This goes too for the kind of desk and chair you sit in. A chair without adjustable height and adjustable arms so that you can position your arms appropriately to the height of the keyboard is essential to proper typing technique that does not involve RSI.

    Another important factor is to simply take a break, at least 5 minutes every hour. Get up and walk around, get a drink from the water cooler or something, go to the washroom. I rarely spend more then an hour of solid typing without giving my body a break. Even if your boss ties you to your desk, just stop, drop your arms and take a rest for 5 minutes.

    Most people assume that typing causes RSI, that there is no way to avoid it because the motions of striking fingers onto a keyboard is the fundamental definition of RSI. Bullsh*t! If you are suffering from RSI then you significantly underestimated the importance of ergonomics in your work environment. Change that keyboard and change your typing habits, pay attention to how your holding your wrists, if rigid learn to loosen them up, stop trying to go for speed records typing as many words per minute as possible (its not a competition) and realize you don't have to strike your keyboard with a lots of force in order to move those keys. If you can't touch type, then learn to, its more efficient the the 4 fingered speed hunt and peck that most people do when they don't know how to type. Your wrist splints are probably more of a hindrance then they benefit, and the fact you mentioned they slow down your typing suggests you feel quantity is better then quality.

    There is no one single thing you can do to prevent RSI, its a collection of habits and the tools you are using that are causing it. But I can safely say with the right combination of both, you should experience no pain or RSI symptoms, period.

    --
    I haven't thought of anything clever to put here, but then again most of you haven't either.
  40. Get rid of the lazy typing posture by hubie · · Score: 2, Insightful
    Get your forearms and wrists off of the table and sit in a proper manner. This is certainly something that history can teach us. I don't think it is any accident that RSI is a relatively new thing.

    A hundred years of typing pools, and several hundred years of piano playing tell you how to sit and work, and it is no accident that proper typing posture is the same as proper piano posture.

    I just Googled up an interesting site that discusses both issues.

  41. Keyboard with a good click. by Spazmania · · Score: 1

    I use an old IBM keyboard with a solid click to the keys. The tactile feedback lets me know that the key has been pressed so I can release pressure before the key bottoms out.

    Whenever I try to use the more recent el-cheapo keyboards I find that I constantly bottom the keys forcing my fingers to a full stop while the muscle is still taut. The impact on my hands is uncomfortable.

    --
    Moderating "-1, Disagree" is simple censorship. Have the guts to post your opinion.
  42. Agree:Take breaks. by blueZ3 · · Score: 2, Interesting

    I was getting RSI in my hands from too much mousing and typing. After a couple of months of ignoring it, things got bad enough that I was feeling some low-level discomfort all the time, not just when at the PC. It got to the point where my wife would ask me to open jars and I couldn't seem to grip them tight enough to get the lids off. Bad. (Sometimes I'm sure that's the only reason she married me :-> )

    Anyway, I did some research and started taking breaks. I get out of my chair for at least 5-10 minutes every hour. I walk down to the break room and grab a bottle of water, wander over to visit the developers (I'm a writer), or walk around the outside of the building. This has helped immensely, and at this point the pain is pretty much completely gone.

    If you use the mouse a lot and the pain is mostly in your right hand/wrist, you might think about trying to use the keyboard as much as possible. It seems that squeezing the mouse tightly (which is something that's easy to do unconsciously) and holding your arm out of line from your body (since the mouse is too far to the right because of the keyboard) are common causes of RSI in the right hand. Switching to keyboard shortcuts is a way to limit the amount of mousing you have to do.

    YMMV, of course.

    --
    Interested in a Flash-based MAME front end? Visit mame.danzbb.com
    1. Re:Agree:Take breaks. by EZLeeAmused · · Score: 1

      I walk down to the break room and grab a bottle of water, wander over to visit the developers (I'm a writer), or walk around the outside of the building. This has helped immensely, and at this point the pain is pretty much completely gone.

      Or at least it worked until the developers got fired for the unexplained sharp decline in their productivity.

      --
      Some see the vessel as half full; others see it as half-empty; We pour it out on the floor and laugh
  43. Pumping Iron by cerberusss · · Score: 1
    The subject says it all. Every morning when I sit down at the desk, I roll up my sleeves and lift my pencil about 10 times.

    On a more serious note, in my experience it does help to exercise those muscles a bit. You can do it with your own weight. Do a few press ups and sit ups while watching TV. If you don't have the discipline for that, install a break reminder. When it pops up, put your hands flat on the desk and press real hard for about a minute.

    I run Linux and use XWrits as follows:

    xwrits typetime=15 breaktime=1 canceltime=1

    --
    8 of 13 people found this answer helpful. Did you?
  44. decent window manager by falkryn · · Score: 1
    I guess if you're a windows or mac user you'd have a harder time with this, but lately I've been developping a number of signs of badness in my right hand/arm. There may be a number of factors there, but one thing I've identified was mouse usage (one thing is I seem to show signs of problem with the ulnar nerve, I'm thinking in part from my poor posture re mousing, e.g. pressing my wrist on the edge of the desk). As such, I've moved myself (at work, not home) to try to minimize mouse usage, using a window manager that allows me to effectively control stuff as much as possible, and easily, with keystrokes.

    Some folks at my work use ion; I tried it but didn't get into it. So searching around came to this: http://wmii.de/ which for me has done the trick. (really nice wm btw, particularly if like me you live in a bunch of open xterms, most people haven't even heard of it though)

    Still dealing with pain, (I _really_ need to get myself to a doctor...) but I think the above has helped me in improving my habits.

  45. Workrave by Anonymous Coward · · Score: 0
  46. Re:Cold wrists? by billcopc · · Score: 2, Funny

    Well jiminy the man doesn't have RSI, he just hasn't paid his heating bill since the dot com bust!

    --
    -Billco, Fnarg.com
  47. Try exercise by sheddd · · Score: 1

    - Dumbell writ curls
    - Dumbell wrist reverse curls
    - Hangboards are good, too

  48. Learn to type by crmartin · · Score: 1
    ... seriously. Back in the old days, when I was a kid, we learned to type on manual typewriters, which meant that we had to hold our wrists up high and press straight down with our fingers to get enough force to make a good clean mark. Most people on computers type with their wrists on the table, or on a wrist rest, which means the wrist is extended back and the tendons that run through the carpal tunnel (ie, the space between the carpal bones of the wrist and hand) are pressed against the fibrous sheath --- leading to inflammation, swelling, and a vicious circle to RSI and pain. Develop the habit of keeping your wrists up so they stay striaght, and adjust the keyboard height so your shoulders can be relaxed at the same time.

    ... no, the manual typewriters didn't have a bird that chiseled the letters into stone tablets.

  49. eyes?-Reforce by Anonymous Coward · · Score: 0

    Reforce helps with that Windows problem.

    "RefreshForce universally and permanently fixes the Windows 2000/XP refresh rate problem on ANY variation of graphics cards, monitors, or drivers!!! No messing around, no hassle, it WORKS and it's SIMPLE!"

  50. Hind paws + Link to speculation by 2901 · · Score: 1

    I've never had RSI but as a programmer/violinist/pianist I naturally take an interest in how to avoid it. I've got an additional mouse (actually a trackball) that I've put on the floor and work with my toes. This works very well with being a touch typist; I get to keep my hands on the keyboard, in the home position.

  51. Re:Learn to type ... and/or take piano lessons by stanwirth · · Score: 1

    Even banging on an old VT100 or IBM model-M series keyboard -- where you need to keep your wrists up in order to get enough force on each key -- is better. And good luck playing tricky runs on the piano with your wrists down...nowhere to rest your wrists on a piano keyboard...I wonder why that is?

    I still remember our typing teacher walking around with a yardstick keeping an eagle eye out for anyone with poor posture or droopy wrists. She'd only touch it under your wrists (or small of back, or top of head) as a reminder -- but it was pretty intimidating none the less.

    Since when did the old fashioned "keeping proper posture" become the oh-so modern "science of ergonomics"?

  52. SWITCH MOUSE HAND EACH WEEK by ClioCJS · · Score: 1

    You don't have to be ambidextrous. Just switch your mouse to the oppositte hand every week or so. It really, really, really, really helps.

    --
    -Clio
    Karma: Bad (mostly from not giving a fuck)
    Blog: http://clintjcl.wordpress.com
  53. Tips for laptops? by Anonymous Coward · · Score: 0

    As I do most of my typing on a laptop which has a slightly smaller keyboard than normal, does anyone know of any good tips for using a laptop keyboard?

  54. Band-It by BigWhiteGuy_27 · · Score: 0

    I've been using these for about two years. I used to have to ice my wrists every night after work, but after wearing these for about a week, the pain went away. Your milage may vary, but they work great for me!

  55. One other thing to try... Glucosamine by valdis · · Score: 1
    Programmer for a quarter century, 4 guitars... you can see it coming, right? :)

    I've been fighting with RSI for well over a decade now, and I have to agree with the following advice others have mentioned:

    • There is no single magic bullet
    • Proper arm support
    • Split keyboards help. I've got a number of Microsoft Natural keyboards.
    • I found a trackball helps too. Microsoft Trackball Optical is great for the price. In fact, for a sucky software company, Microsoft makes good hardware. ;)
    • Posture while sleeping matters a lot - if things are flaring up, wrist splints at night actually matter more than during the day.

    The one other thing I recommend is taking glucosamine to help rebuild the joint surfaces. If there's any sort of arthritis or gout causing inflammation, the swelling will cause pressure on the nerves in the wrist, leading to trouble. Since I started taking 1000mg of glucosamine every day a few years ago, I haven't needed to get a refill of Naprosyn for use as an anti-inflammatory. Check with your doctor first, and all that....

    1. Re:One other thing to try... Glucosamine by anomalous+cohort · · Score: 1

      In addition to some of these...

      • I switched from using the mouse with my right hand to using it with my left hand.
      • If there is a CLI and a GUI way to perform a task, then I always use the CLI way. I only use the GUI way if there is no easy CLI way to do it (e.g. drawing a diagram).
  56. structure is important by nido · · Score: 1

    Osteopathic Manipulation is my magic bullet. Nothing else worked for me.

    Osteopathy is putting the body's structures back where they're supposed to be. Lets see... This post wasn't too long ago, I know I've mentioned osteopathic medicine a couple times in the last year (buy a subscription?).

    --
    Learn the rules so you know how to break them properly.
    www.teslabox.com
  57. It's all connected by Elbows · · Score: 1

    Even if your symptoms are very localized, the cause probably involves your whole body. Everything in your body is connected, and if one area gets out of whack, the others will try to compensate and the problems will spread outward.

    For example, if your quads are tight they will pull your upper body forward, making you slouch. Your back has to fight against that, but if those muscles aren't strong enough they'll get fatigued and tense up. Tension in your back/shoulders will affect the nerves and blood flow in your arms, until one day you discover you can't feel your fingers.

    At that point, the obvious place to look is your hand and arm, but to really solve the problem you have to start with your legs, where the root of the problem is, and work up from there. (I speak from experience in this case).

    Ergonomics, rest breaks, etc can help, but to really get your body sorted out you need to exercise. Weights can develop the muscles in your back, shoulders, and legs that you need for good posture. You don't need to bulk up as much as tone -- which can be done with lighter weights and high reps (2-3 sets of 40-50 reps). You also need to stretch a lot -- especially your legs and lower back, which are crucial to your posture.

    A good chiropractor, physical therapist, or massage therapist can identify which areas you need to focus on and show you exercises and stretches. My massage therapist actually came to the gym with me and showed me what to do. Failing that, it's probably worthwhile to have a few sessions with a personal trainer so you know what you're doing at the gym.

  58. My solution for RSI by dr_leviathan · · Score: 1

    I do the following to help recover fromu RSI in my fingers (not wrists):

    1) I use a FingerWorks TouchStream keyboard. Unfortunately, they don't make them anymore and they cost $600+ on eBay.

    2) I run 'xwrits' in the background which reminds me to take a break. I also try to remember to take little short 10+ second breaks in between -- I drop my hands to my sides, relax, and take a few deep breaths.

    3) I wear warm clothes (always long sleeves). Typing with cold fingers is teh suck.

    4) I excercise my shoulders and arms when I take a break. I stretch them over my head. I stand up and swing them around in circles to help the blood flow. I also throw darts, do the dishes, or other short activities that are more active.

    5) I take about 200 mg of Vitamin B-6 every day. Someone once told me this trick and I was desperate enough to try anything. It works for me, and I've been battling RSI for about two years now, so I've had my periods where I've forgotten to take the vitamins and have been able to correlate the ups and downs. If you try this out, for best results first overdose on the Vitamin B-6 (~ 600 mg daily -- 200 mg at each meal) for one week. Then drop down to 400 mg daily for another week, then 200 or 100 daily. Prolonged overdose of B-6 causes dry skin for me, but short stints help speed up the recovery phase.

    6) Finally, I gave up caffine and soda because I noticed it made me less likely to take breaks. Instead, I drink lots of water so that I HAVE to take breaks. With more frequent breaks I found I would get less sleepy. If I do get drowsy I just take a break and and am awake when I get back. I'm talking SHORT breaks. Five or ten minutes of walking around is not enough knock me too far from concentration on what I was just working on.

    Ligaments don't get a lot of direct blood flow, so they take longer to heal than skin and muscle. The short breaks throughout the day help the blood flow and can repair and prevent RSI. That's my theory anyway.

    Good luck.

    --
    Religion is poison to rationality, and we lose sight of that at our own peril. -- Lurker2288
  59. Reduce mold exposure, which makes your joints die. by aquadivina · · Score: 1

    Many people who think they have RSI, I suspect, have been having their conditions aggravated by toxic mold exposure, which causes all sorts of aches and pains throughout your body. Molds of the stachybotrys, chaetmonium, aspergillius and penicillium kinds produce many different mycotoxins such as the trichothecenes, aflatoxins, ochratoxins, ergot alkaloids, etc. which can cause, among other things, cell damage and other kinds of apoptopsis. (This information is being suppressed by all sorts of big money interests.) Normally, your body repairs RSI-type damage, creating a sort of equilibrium, but in the presence of high levels of mycotoxins, it cant do so. This may also cause depression, ADD-like symptoms, and a host of other things. Much CFS and MCS may be due to hidden mold sources in home environments. Mycotoxin binders, like activated charcoal, inflammation reducers like omega-3s and antioxidants might help!

    Note, I am not a doctor, no do I play one on TV.

  60. Acetyl-l-carnitine by aquadivina · · Score: 1

    is also good for peripheral neuropathy in some situations.. It promotes nerve repair/regrowth, esp. when taken with arginine..

  61. wrist splints by poker+bonuses · · Score: 1

    My hand after typing too long turns icey cold, i started taking 5 minute breaks every hour and opening and closing my hand, help very little but better then nothing

  62. AntiRSI for Mac OS X by christefano · · Score: 1

    I'd probably be using Workrave if I could but there's no version for OS X. I use AntiRSI instead, which has a smooth, minimalist interface. (It's open source freeware, too, and is a universal binary.)

    AntiRSI keeps its onscreen graphics in TIFF format in /Applications/AntiRSI.app/Contents/Resources/ and I've replaced the small 300x300 images with widescreen versions. Now the AntiRSI overlay "dims" my entire screen and prevents any attempt to click out of it.

  63. Re:Learn to type ... and/or take piano lessons by crmartin · · Score: 1

    Yup, that too --- although the relaxed-wrist hands-dropped posture isn't unknown to pianists either, on the theory that they use the weight of their arms for fortissimo.

  64. Ulnar Nerve At the Elbow by unidyneVII · · Score: 2, Informative

    I'm not a doctor, but do be careful about relying too much on armrests. Actually, even just leaning on your elbows too much. Theres a nerve that goes through your elbow called the ulnar nerve which gives feeling to the pinkie and ring fingers; if you compress it too often, then it can actually develop problems at the elbow (exascerbated by stuff like resting your arm on the window while you drive/depending heavily on armrests/leaning on elbow while sitting at tables). A new type of strain injury? It so happens that this is the same nerve that you hit when you slam your elbow into stuff -- the "funnybone."