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JWZ on Dealing with Wrist Pain

Kodi writes "Jamie Zawinski has put an interesting page on his site describing his fight with wrist pain. The most important thing is that you don't ignore it. Also check out the Typing Injury FAQ, which he links to. " Having had a scare a couple weeks ago, I can testify to the truth behind this - we've done some AskSlashdots about this before as well. Don't assume it'll fix itself.

186 comments

  1. Wrist Pain by mr_gerbik · · Score: 1

    I'm getting wrist pain from checking what VA Linux is trading at every 2 minutes. :)

    1. Re:Wrist Pain by Capt.+DrunkenBum · · Score: 1

      I have found that I got the worst wrist pain using a mouse... At one point I had pain in not only my right wrist, but the elbow and shoulder as well. I checked my mouse, and bought a trackball... Problem solved.

      --

      Not everyone deserves a 320i

    2. Re:Wrist pain by CrayDrygu · · Score: 4
      The other wrist pain incident was just after Microsoft came out with their "middle-button wheel" mouse. I made heavy use of the wheel when I first got one of these things, and found that it led to wrist pain (perhaps because rapidly spinning the wheel with the middle finger is a rather unnatural motion).

      I got one of the wheelmice, and now I don't know what I'd do without the wheel. You're right, though -- using your middle finger to scroll the wheel is rather uncomfortable.

      I found a position (without even trying, it just kinda happened) to hold the mouse that makes it a lot more comfortable. You need to hold it at an angle, like shown here:

      http://silverlight.org/cray/wheelmouse.g if
      I drew this in MS Paint, gimme a break =P

      It may seem a little awkward to get used to at first -- and it probably is -- but once you get used to it, it's realy easy. Up and down motion can be achieved just by pushing and pulling with your fingertips, side-to-side with your thumb and ring finger, and scrolling can be done comfortably with your index finger.

      If anybody else tries this and likes it (or already does this) I'd be interested in hearing about it. My email's cray@[domainGivenInURLAbove].org

      --

      --
      "I personal[ly] think Unix is "superior" because on LSD it tastes like Blue." -- jbarnett

    3. Re:Wrist Pain by seaportcasino · · Score: 1

      I agree. I think using my mouse bothers me more than using my "Natural keyboard". I guess the wrist pain doesn't bother me that much. I would expect that kind of pain from anything that I abuse so much. I am a programmer by day for 10 hours pounding the keys. Then I go home and after my wife falls asleap I usually work on my own projects to 3-4 AM in the morning. In fact, that's why I'm typing this now. I'm just about to go to bed, and let me tell you, my right wrist is really sore. Oh well, I will have 5 hours to let it recover!

    4. Re:Wrist pain by Trencher · · Score: 1
      Mendax Veritas writes:
      The other wrist pain incident was just after Microsoft came out with their "middle-button wheel" mouse. I made heavy use of the wheel when I first got one of these things, and found that it led to wrist pain (perhaps because rapidly spinning the wheel with the middle finger is a rather unnatural motion). So I stopped rotating the wheel (back to scroll bars, alas!) and the pain went away.

      I don't think anyone I know uses their middle finger for the wheel. I tried after reading your message and it is incredibly uncomfortable.

      I've used a wheel mouse at work since we got in our last shipment of new PC's and I've always used my index finger for the wheel. I can't think of any time I would need to use the wheel while simultaneously clicking on the left button. Scrolling with the index finger feels much more natural, as well.

      Thumb on left side, middle finger on right side, index finger moving between left button and wheel, and middle finger on right button seems to work out best for me. The tip of my pinky finger and the heel of my hand rest lightly on my mouse surface to the right of and just below, respectively, of my mouse.

      Don't forget, you can click the wheel like a button and then move the mouse forward and backward to control vertical scroll direction and speed in most (Windows) applications.

    5. Re:Wrist pain by ai · · Score: 2
      It may seem a little awkward to get used to at first -- and it probably is -- but once you get used to it, it's realy easy. Up and down motion can be achieved just by pushing and pulling with your fingertips, side-to-side with your thumb an ring finger, and scrolling can be done comfortably with your index finger.

      As a lefty, this is exactly how I hold my mouse, since the buttons are on the wrong side. I've found that reversing the buttons and holding the mouse as a right-handed person would causes fatigue much faster.

      Now if only I could find a keyboard with the numeric pad on the left side...

      -ai
      "..and the stains on my boots show my life is going well."

    6. Re:Wrist pain by CrayDrygu · · Score: 1
      As a lefty, this is exactly how I hold my mouse

      I'm actually a lefty, too, but I use the mouse with my right hand. Like so many other things in this world, mice tend to be contoured for righties, and placed on the right-hand side... so I always used 'em that way.

      Same with scissors. Partly due to the fact that lefty scissors aren't too common, and partly due to lefty scissors at every school I've gone to being crap, I cut things with my right hand.

      --

      --
      "I personal[ly] think Unix is "superior" because on LSD it tastes like Blue." -- jbarnett

  2. RSI by albalbo · · Score: 1

    Wrist pain is more commonly called 'RSI' in the UK, short for 'Repetitive Strain Injury'. It's basically an injury you get from stuff other than just typing: tennis elbow is related to RSI, for instance.

    It's all down to posture at the end of the day. I keep thinking about getting one of those posture braces?! They're good for your back and all (I'm well over 6 foot!), but you don't half look a nancy wearing one.. although, health comes before looks I suppose. Anyone got any links to Alexander Technique?!!!

    --
    "Elmo knows where you live!" - The Simpsons
    1. Re:RSI by Esjion · · Score: 1

      I am not sure if this is what you were looking for, but a quick search on "Alexander Technique" brings up this link , which appears to be a rather helpful list of links to information about the Alexander Technique.

    2. Re:RSI by albalbo · · Score: 1

      Yep, that's what I was on about. This link was particularly good: http://www.life.uiuc.edu/jeff/at_ description.html - it's a short description of Alexander Technique. All about posture & stuff, basically..

      --
      "Elmo knows where you live!" - The Simpsons
  3. I lost my Wrist for three months by DrSkwid · · Score: 2

    Yeah my friends don't ignore it. I did and couldn't use my mouse for three months.
    I'm now permanently affected with aches and pains most days.
    The worst thing I did (and soemtimes still do) is to rest the weight of my arm on my wrist while mousing using the ball of my wrist as a kind of pivot (obviously for hours at a time).
    Take care of yourselves now my friends. The day you start getting pins and needles in your face is the day to take a look at the way you position yourself! ('cos it's pretty scary)

    --
    There are places where the networks are not touching,and there are places where they are-Boeing's Lori Gunter
    1. Re:I lost my Wrist for three months by humphrm · · Score: 2

      I dealt with RSI with some simple steps; I found that the worst of my RSI was caused not by computer work but by my poor driving habits. A few minor computer tools helped also.

      First, I arranged my driver's seat so that I could comfortably grip the steering wheel without bending my wrists. I keep my hands at 10 and 2, wrists strait (but not rigid) and that helped a LOT.

      Next, I added one of the afformentioned keyboard strips and had a great deal of response.

      I did the wrist splint for a while, it might have helped but I stopped after the pain went away and I was doing the above things at the same time too.

      My pain went away about seven years ago, and has not been back (I was diagnosed in 1980 or so, maybe '82 or '83...)

      On the other hand, my mom (who works as an Op) had the surgury and complained a lot about it -- out of work for many weeks, couldn't drive for months, still had pain, etc.

      We often attribute our wrist pain immediately to computers, without looking at what other wrist-related bad habits might be contributing as well. Essentially, you need to keep pressure off the wrist tunnel as much as possible; whether you're at the computer, driving, golfing, or channel-surfing!

      --
      -- "In order to have power, I must be taken seriously." -Mojo Jojo
    2. Re:I lost my Wrist for three months by DonkPunch · · Score: 1

      Me too, but I found it behind the couch.

      --

      Save the whales. Feed the hungry. Free the mallocs.
    3. Re:I lost my Wrist for three months by Anonymous Coward · · Score: 0

      While I don't have RSI specifically, I do have a damaged wrist. I found that a trackball such as a logitech trackman marble was much more usable than a mouse, for me, since you don't have to move your whole hand

  4. That "FAQ" doesn't appear to have any questions, frequently asked or otherwise.
    ---

    --
    Linux MAPI Server!
    http://www.openone.com/software/MailOne/
    (Exchange Migration HOWTO coming soon)
    1. Re:FAQ? by EricWright · · Score: 1

      Nope, just links to FAQs on different topics... Just a bit confusing is all.

      Eric

  5. Carpal Tunnel by Meridun · · Score: 1
    I may be completely wrong, but there seems to be two different types of wrist pain in my experience.

    1) Wrist pain from not having enough experience with large amount of typing, mousing, and other similar types of activity.

    2) Wrist pain from typing, etc AFTER you have built up the wrist and finger muscles over month or years.

    If you have the first problem, from starting a computer-related job after never really doing large amounts of typing before, you can normally just continue with intermittent breaks and will find the pain to diminish as your hands toughen up. Otherwise, if you type 5+ hours a day (like a secretary or heavy programmer) and start experiencing recurring pain, you probably need to see a doctor and think about ergonomic improvements.

  6. The best way... by DanJose52 · · Score: 2

    ...is to get a girlfriend.

    (Will it be funny, offtopic, or flamebait? vote now! vote early!)


    Dan

    1. Re:The best way... by freddie · · Score: 1

      duh, I get it.

      You only really need this however, if your hands are totally destroyed or crippled.

    2. Re:The best way... by blogan · · Score: 2

      Ever had your palms, fingers, and wrists massaged? It actually feels quite good. Perhaps there's a FAQ out there on how to properly massage the hands and wrists.

    3. Re:The best way... by Kyrrin · · Score: 2

      > Perhaps there's a FAQ out there on how to
      > properly massage the hands and wrists.

      I haven't found one, perhaps because it's very tough to write about this rather than demonstrate it, but here's what I've learned from watching and talking with my massage therapist. =)

      First, a lot of hand/wrist pain can be, and often is, caused by tension in the upper and arms. I begin with the biceps and work my way all the way down to the fingertips, and that seems to work well.

      The best to use is a light touch, just enough to work the muscles, without causing undue pain; the most common technique is a small circular motion, which should be (if you're doing it on yourself) clockwise on the right arm, and counterclockwise on the left arm, so that the force of the pressure is directed towards one's heart.

      With the lower arm, one should go along the muscles on both the top and the underside of the arm, beginning at the wrist and working one's way down to the elbow, with the fingers that are doing the massaging creating a sort of spiral motion. You should be able to feel the tendons and the muscles, and feel where the worst tension is -- avoid the temptation to just stay there massaging the part that feels most tense! It might make it feel better in the short term, but it will hurt the next day. Besides, if one place is tense, that's usually a result of tension elsewhere.

      The hands are probably where it's going to feel the best, and the best thing to do there is to start at the base of the fingers and (again using that tiny circular motion) work down to the base of the thumb/edge of the palm. For hand pain caused by typing, the places that will feel best are along the edge of the palm, from the webbing where the thumb meets the hand all the way around to the opposite edge of the wrist.

      I'd suggest teaming up with another geek in the office who has hand pain; that's what I did for a while, and man, did it feel good. ^_^

  7. Ganglioneuroma by Crambone · · Score: 1

    I had a Ganglioneuroma develop last year because of typing. Probally from IRC, but work related stuff as well. It is a bunch of nerve cells that is caused by the tendons in the wrist moving too fast for too long. It felt like a gumball size lump in the base of my hand on the top of the wrist. Not very painfull, but causes my left hand to type a little slower.

    --
    c7five
    1. Re:Ganglioneuroma by Mryll · · Score: 1

      I know it sounds gross, but if you push on it really hard with the palm of your other hand, most likely it will sort of squish and your body will reabsorb everything from it. I had one of those develop about ten years ago when I was working a ton of hours correcting OCR'ed text files. My mother told me how her doctor had squashed one on her wrist, so I tried it. It took a few tries, but worked. :)

      Mryll

    2. Re:Ganglioneuroma by jumpinin · · Score: 1

      This is all fairly common stuff for professional musicians. I had a ganglioneuroma last summer and my doctor said the traditional treatment is to whack it with a bible (Traditionally the biggest book in the house). I was going to get mine surgically removed but fortunately the surgeon was on vacation and by the time he got back it went away, A piano player I played with last weekend said he had a very large ganglioneuroma broken up with ultrasonics. Sounds better than the bible!

      --
      Verbing wierds language --Calvin
    3. Re:Ganglioneuroma by Crambone · · Score: 1

      Actually, I am also a musician. I play sax. So , I guess, it was most likely caused by a combination of things.

      --
      c7five
  8. pain by duder · · Score: 1

    I had wrist pain for most of high school. It turns out that I had a whole bunch of torn cartilage in my wrist. Had a surgey and the recovery time was a bear but it is pretty good now. I have had wrist pain since then but because of my job (shoveling). I saw a thing on television about computers and posture and they suggested that the little legs on the keyboard not be used- it seems to actually help a lot!

    1. Re:pain by Anonymous Coward · · Score: 0

      In fact, one of the reasons I loved my v. 1 Microsoft Natural Keyboard was that the little legs on that version were backwards...it was possible to type with the keyboard sloping away from me, which reduces RSI due to typing on keys far from the home row.

      Unfortunately, it seems that most people simply wouldn't accept that, so they've gone back to the standard "little legs to bend your wrists back and hurt them" design in more recent versions. Grr.

    2. Re:pain by mezzo · · Score: 1

      The little legs are actually bad for you? *confused*
      Is this true? Links to any studies?

    3. Re:pain by Reid · · Score: 1

      I noticed that new ones have moved the legs to the back, too. Fortunately, I found a cheapo ergo keyboard with three legs in the front. Feels good, and I managed to save a bundle. I don't remember the maker, but I think I picked it up in Office Max....

  9. Wrist Pain sometimes caused by your spine! by Brew+Bird · · Score: 1

    Remeber, your body has a network of nerves, and your spine is the main 'backbone' (DOH!)...

    If the backbone is congested (pinched nerve), the rest of the network doesn't work quite right.

    Get your back looked at before you spend big bucks on surgery or pain killers.

    1. Re:Wrist Pain sometimes caused by your spine! by BigZaphod · · Score: 1

      Yes! I will second that. I've had back problems my whole life. Only recently have I started to go to a chiropracter(sp?) about it. The change is immense. Simply getting things back into order on a regular basis has imporved everything from backpain to regular sickness. (I haven't been really sick since I started going (about 4 years now) That might not say much, but if you knew me before that time I was sick ALL THE TIME (especially in winter months)). I think there's a much larger connection between your spine and overall health than most people think.

      l8r
      Sean

    2. Re:Wrist Pain sometimes caused by your spine! by Anonymous Coward · · Score: 0

      I already spend big bucks on pain killers :)

      Morphine...it's what's for breakfast :)

    3. Re:Wrist Pain sometimes caused by your spine! by fornix · · Score: 2
      Yup, the spine can cause similar symptoms. A herniated disc can pinch a nerve as it exits the spine. Also, the muscles of your neck and the first rib can pinch nerves as they traverse the neck on the way to the arm. This is called "Thoracic Outlet Syndrome", and it is actually pretty uncommon. It used to be "common" because doctors did not yet realize that the symptoms were related to a problem in the wrist, so they frequently misdiagnosed (and operated upon) the problem as thoracic outlet syndrome. Needless to say, the results were less than good. Carpal Tunnel Syndrome was not yet on the map at the time. With a modern understanding of these entities, and with tools such as EMG/NCV, these etiologies should rarely be confused.

      If you have Carpal Tunnel Syndrome, Chiropractic (spine popping) is very unlikely to help at all, since the problem lies in the wrist. If you have certain types of neck pain, then it can sometimes help, but you must also consider that, like any other medical procedure, it is not without risk. I have personally treated people who have suffered paralysis (fracture) and stroke (vertebral and carotid artery dissection) after chiropractic manipulation of the neck. Just make sure that you are formally diagnosed (including EMG/NCV) with a specific problem before you undergo any medical procedure that carries risk. Chiropractic has a place where appropriate, but I do not recommend using it for carpal tunnel syndrome since it will be all risk and no benefit.

      The stuff below is one of my posts from a previous slashdot thread:

      Is there a doctor out there (or anyone, for that matter) who can describe the symptoms of CTS?

      Yes, as a neurosurgeon, I see a fair number of patients who suffer from carpal tunnel syndrome, some of which eventually have surgery.

      The simplest way to conceptualize carpal tunnel syndrome is to think about it as a problem of proportions: The median nerve must pass through the carpal tunnel in order to reach the hand. If the carpal tunnel is too small (for any number of reasons) or the median nerve is swollen or enlarged (again, many possible causes), then you may develop the symptoms of carpal tunnel syndrome, since the median nerve is essentially being "pinched" as it passes through the carpal tunnel. Nerves really do not like to be pinched!

      There are many possible contributing factors which can lead to such a situation, some of which can be improved with medications of behavior modification, and other which cannot.

      Some Contributing Factors

      • You were born with a small carpal tunnel (congenital) and are predisposed to the syndrome. Sorry!
      • Pregnancy - hormonal changes in the mother lead to widespread changes in the tissues of the bodies, many of which are quite noticeable. CTS often results, but usually improves or resolves after delivery. Some women on oral contraceptives will develop CTS for similar reasons.
      • Hypothyroidism
      • Major Wrist Trauma - i.e. wrist fracture. The geometry of the carpal tunnel can be unfavorably altered by the fracture.
      • Repeated Minor Trauma - also known increasingly as Repetitive Strain Injury (RSI) for those of you who are buzz-word compliant. Repetitive minor trauma to the median nerve/carpal tunnel complex may lead to a swollen nerve and secondary inflammation that causes thickening of tissues. This is a fairly straightforward concept that is really just common sense. Joggers with bad technique will wear out their knees, pitchers with bad techniqe will wear out their shoulders or elbows, etc. Why does hacker X get CTS when he types just like hacker Y, who doesn't get it. Answer: Hacker X may have other factors at play (smaller carpal tunnel, more active inflammatory response to minor injury, etc.) other than the repetitive strain that predispose him to CTS. Hacker Y may type with bad techniqe all his like and never get CTS because he does not have enough other contributing factors to develop a pinched median nerve. Then again, some people smoke like a chimney and never get lung cancer.
      • Rhematoid (and other types of) Arthritis - excessive inflammation leads to thickened tissues and a tight carpal tunnel.
      • Acromegaly (Giantism)- excessive growth hormone leads to thicked tissues.
      • Certain types of tendonitis - inflammation
      • Sarcoidosis - another inflammatory condition
      • Diabetes - nerves are more sensitive than in non-diabetics
      • Renal Failure
      • Others..

      Symptoms

      • Pain
      • Numbness
      • Weakness
      • Clumsy HandSince it is the median nerve that is affected, the pain and numbness will follow the course of the median nerve. Although there is variability, this usually means the "thumb side" of the hand - the thumb, index, and middle finger - and to a variable degree the ring finger. The pain and numbness are usually exacerbated (made worse) by certain activities. Sometimes the pain and numbness are constant. Often, patients will wake up in the middle of the night with pain when their unsupervised wrist gets into a bad position. Weakness in the grip or thumb may occur, especially the abductor pollicus brevis (a thumb muscle). When weakness and numbness are combined, your hand's feedback and execution are off, and you may experience clumsiness. You might find yourself dropping things that you thought you had a good grip on. In advanced cases, the muscles of the hand become atrophied, which can be disabling. Atrophy of the thenar eminence (the "mound" of muscle between the base of your thumb and your wrist) is characteristic of advanced disease. You do not want to let it get to that point, since a full recorvery is unlikely despite any treatment when atrophy exists.

        Diagnosis

        • Examine for weakness, numbness, atrophy
        • Tinel's sign - tap the middle of your wrist a few times. Did you reproduce your pain or get a painful shock in your fingers?
        • Phalen's sign - push the back of your hands together so that your wrists are forcibly flexed. Hold that position for a minute or two. If your pain is reproduced, the sign is positive.
        • EMG/NCV - electrical tests of nerve and muslce. Prolonged motor or sensory latencies are suggestive (delayed transmission due to abnormally slow conduction though the pinched portion of the nerve). In advanced cases, you may see "dennervation potentials".

        Treatments

        • Behavior modification - this is where the RSI stuff fits in. Sometimes this is sufficient to turn the tide, other times not.
        • Anti-inflammatory medications - most causes of CTS lead to at least some degree of inflammation, which can lead to thickened tissues when it goes on in a chronic fashion.
        • Wrist Splints - helps prevent motion of the wrist. Especially helpful for keeping wrists straight at night when you are not awake to supervise them.
        • Surgery

        What does surgery do?

        Surgery entails an incision over your wrist and a portion of the palm of your hand. The transverse ligament, which is the "roof" of the carpal tunnel, is then cut so that the median nerve is no longer trapped inside a tunnel. The tunnel becomes a ditch. The nerve breathes a sigh of relief. The degree of tightness is often quite impressive, and often the nerve is visibly swollen or even discolored. In those unfortunate enough to have waited too long, the nerve is visibly atrophied.

        If pain and intermittant numbness were the only symptoms, then there is a very good chance for an excellent recovery after surgery. If, on the other hand, there is 'round-the-clock numbness or weakness prior to treatment, then this suggests that the nerve may be permanantly damaged, and a complete recover is less likely. In these cases, the pain will usually resolve fairly quickly postoperatively, but the numbness and weakness may take months to recover, and may not recover completely. Recovery in these cases is slow because the median nerve has actually lost some of its fibers (axons), and they must regrow. The axons begin in the spinal cord or a ganglion in the neck and extend all the way down the arm into your fingers. When there has been prolonged CTS and associated inflammation of the median nerve where it was pinched, there may exist scar tissue within the nerve which prevents the axons from crossing that segment as they try to regrow though the wrist to the hand. So the moral of the story is: try conservative measures if you are having pain or intermittant numbness. If the conservative measures do not work, and the CTS is interfering with your life, or if you develop 'round-the-clock numbess or signs of weakness then you should consider surgery. Most cases will not require surgery, but it is a sad thing to see when CTS is allowed to progress to the point at which damage to the nerve is permanant.

        There seems to be a lot of talk on the internet lately about carpal tunnel syndrome as a mysterious entity that only a select group of doctors that treat famous musicians understand. Simply untrue. Family physicians see CTS all the time. Any neurosurgeon and most orthopedic surgeons (and some plastic surgeons) will be intimately familiar with CTS, as it is really quite common and is treated by a relatively minor procedure when conservative measures fail. The risks of surgery are small, but they include

        • damage to the median nerve leading to further numbness or weakness
        • infection
        • failure to completely free the nerve from compression (i.e. compression of the nerve beyond the extent of the incision).
        In my own personal biased opinion, I favor the "open" approach with an incision over part of the palm of the hand and wrist over the "endoscopic" approach which allows a smaller incision. I believe that the traditional larger incision provides superior visualization of the nerve, and thus more control over what is and isn't being cut.

        The other popular take on CTS these days on the net is that RSI is somehow being misdiagnosed as CTS. This is actually becoming a very popular misconception. The critical thing to keep in mind is that RSI (repetitive strain injury) is one of many mechanisms that can contribute to carpal tunnel syndrome. We don't tell patients that they have Repetitive Smoking Injury (another RSI!) when they have a stroke, heart attack, or lung cancer, even though smoking can certainly be a cause of those problems. It would be silly to say "You don't have lung cancer, you've got repetitive smoking injury". Similarly for RSI and CTS. If you have the signs and symptoms of carpal tunnel syndrome, then you have carpal tunnel syndrome. Repetitive strain injury may have been an important contributing factor and you may be able to help your symptoms by taking altering your behavior. The increased public awareness of repetitive strain injury (RSI) is, IMHO, a good thing because it can lead to changes in behavior that help to avoid CTS and other problems - just like increased public awareness of the dangers of smoking can lead some people to quit. But let's try not to confuse our terms! RSI is a general mechanism of injury to tissues that contributes to problems thoughout the body. CTS is a specific problem with your wrist in which RSI may or may not be a contributing factor. I hope this has helped to explain RSI and CTS!

  10. my perception by SEAL · · Score: 2
    This is a bit of a rehash but if it helps someone out - what the hell.

    I actually find that my mouse is probably more helpful than harmful. The act of moving my hand from the keyboard to the mouse provides some variety which is important.

    Consider this: the one time I really experienced wrist pain was after an all-nighter, cranking out a 30 page term paper.

    I just don't have the same problem when I'm programming though. I tend to pause and think about things, often taking my hands off the keyboard when I do. I scroll around and browse different files with the mouse. In other words, giving my wrists a break is just part of my work.

    Now, if I were to type in a large amount of source code from a book, verbatim, then I'd probably start feeling pain again.

    For what it's worth, the Microsoft Natural Keyboard really is a pretty good design (aside from the extra "Win" keys... grr). But if you place your hands on it, your fingertips down to your elbows are in a straight line. If you keep this position, and vary your actions like I said above, you'll be alot less likely to have problems.

    Best regards,

    SEAL

    1. Re:my perception by RayChuang · · Score: 1

      Actually, the "Windows" keys on the Microsoft Natural Keyboard actually do have some functions if you're running KDE or GNOME, depending on the theme you set up for these windowing environments.

      What's interesting is that while Linux users naturally hate Microsoft software, they do like the Microsoft Mouse ("Dove Bar" variant and newer) and the Microsoft Natural Keyboard. I use the Natural Keyboard myself and enjoy the fact I can type for long periods comfortably, thanks to the fact on the MS Natural Keyboard the wrists are not "bent" to accommodate home key positions like you do on a normal QWERTY keyboard.

      --
      Raymond in Mountain View, CA
    2. Re:my perception by Anonymous Coward · · Score: 0

      Yes, the Microsoft Natural Keyboard is nice. Whatever is said about their software, they make decent input devices. My only complaint with the keyboard (other than the "windows" keys) is that the arrow keys are microscopic.

      Other than that, I'm pretty happy and it has reduced my wrist pain.

    3. Re:my perception by chromatic · · Score: 1

      Consider this: the one time I really experienced wrist pain was after an all-nighter, cranking out a 30 page term paper.

      I'll second that, but it seems to be more related to stress in general. There's a lot of fluctuation (new CEO, massive reorganizations, and I'm severly bored) at work right now, and my left wrist is sore. In college, writing my own 30 page term paper, my other wrist was sore.

      Excercise and stretches seem to help. Anything to stretch and to relax that spot between the shoulder blades helps.

      What really hurts is Quake -- it's the hunching forward to look at the screen and the rapid finger movements on the numberpad with my left hand and my right hand on the mouse that kills me there. Ugh.

      --

    4. Re:my perception by sporkboy · · Score: 1

      my hands were practically useless for weeks at a time until I bought my first M$ Natural Keyboard. It was almost like magic after the old xt-style kb's (and sharp-edged desks) that I'd been working on.

  11. I heard this strange theory about RSI by NateTG · · Score: 3

    Specifically that RIS I caused by people who use Keyboards and other systems with insufficient resistance. Notably RSI begins to show up at the same time journalists moved away from mechanical typwrites en masse. Something about he lack of resistance ecouraging/allowing bad hand posture?
    Any comments on this? It may also have to do with increased typing speed. However, there have been typing pools since before WWII and RSI seems to be a more modern phenomenon.
    I've had some problems with my hands while digging a long trench, but I think that was just old fashioned wear an tear, since they occured after only a few days of work digging.

    1. Re:I heard this strange theory about RSI by Anonymous Coward · · Score: 1

      Hrm... not so strange.

      I recall using a manual typewriter and maybe getting tired right then and needing to take a break (built in safeguard?) but that was it. No delayed problems sneaking up like with electronic keyboards.

      I wonder if the 'glass arm' telegraphers got is similar. They used 'bugs' (a sort of sideways semi-automatic key) to increase speed.. and the better telegrpahers risked 'glass arm' The rest were more likely to have more time off the keys/bugs.

    2. Re:I heard this strange theory about RSI by Masa · · Score: 1

      Actually this doesn't sound that strange after using this new Key Tronic Ergoforce keyboard. It seems that Ergoforce is designed to be as non-responsive as possible. After 15 minutes of work with it will cause me terrible pains. But with this good oldtimer Key Tronic keyboard with clicking keys (and without those stupid M$ keys) there isn't any problems. I think that there really is a connection between insufficient resistance and wrist pains.

    3. Re:I heard this strange theory about RSI by Kinthelt · · Score: 2
      I think the lack of resistance found on most modern keyboards is the catalyst.

      I get amazed at the number of people I see with poor typing practices, and then they go complaining about wrist pain.

      From my many years of piano playing, I got the "correct" technique for playing piano engrained into my brain. The technique seems to work well with keyboard typing too. Get your wrists UP off the table, and curl your fingers so they look like claws. Don't use armrests for your elbows. Your arms should be dangling loose, not resting on anything.

      If you need a little help getting your wrist off the ground, move your keyboard to the edge of the desk. That way, you're forced to have your wrists up. You may find that your shoulders will get tired, but as they strengthen up it'll pass.

      --

      "Evil will always triumph over good, because good is dumb." - Dark Helmet (Spaceballs)

    4. Re:I heard this strange theory about RSI by Brett+Viren · · Score: 1
      Strangely, I would suggest just the opposite. I get the most pain when using keyboards which are too close to me. I prefer to have from my elbow to my wrist supported by the desk and wrist pad.

      I think that it is more important to just pay attention to yourself. I started getting severe pains in both arms near the wrists (using the above position!). Consiously and slightly altering my exact possition eventually brough relief.

      One thing for sure, however, is it is SCARY when you start getting these pains!

    5. Re:I heard this strange theory about RSI by retep · · Score: 1

      I would disagree. Those old typewriters were hell in a black case. :) I've tried one, nasty! They put huge amounts of pressure on your left pinkie finger. Horrible.

      My grandma was once a typist in the days of manual typewriters. She now has arthritis. It's worst on her left pinkie finger. And she was just diagnosed with Carpal Tunnel Syndrome in addition to her arthritis.

    6. Re:I heard this strange theory about RSI by Lotek · · Score: 1
      I agree. I have used dozens of keyboards, from the curved, smooth MS one, to innumerable cheap plastic gimcracks. The best keyboard I have ever had is the one I bought second hand from a college. One of those old, heavy-duty IBM ps/2 keyboards that they made to go with the spanking new 286 PS/2 machines.. they were designed by engineers to withstand the apocalypse. Metal and insane mil-spec plastics... big, thick springs under each key... a loud, satisfying CLICK when you type down on it.

      I ended up getting five of the things, two to use, three for parts... although I really don't think that I will need em for parts, even though these things are over 8 years old and have been pounded on by legions of students over that time, they are all as responsive as they were the day they were uncrated. This was a keyboard designed by people who made typewriters, and they wanted them to last. Unlike todays keyboard makers, who are just churning out cheap plastic crap.

      I actually felt my hands getting better after I got these things, mainly because they force you to use the correct typing procedures, or your entire hand goes numb with the effort of pressing the key down. heh heh... you won't have a chance to get RSI with these babies, as you will run out of juice long before the damage sets in.

    7. Re:I heard this strange theory about RSI by King+Babar · · Score: 2
      Specifically that RSI is caused by people who use Keyboards and other systems with insufficient resistance. Notably RSI begins to show up at the same time journalists moved away from mechanical typwrites en masse. Something about he lack of resistance ecouraging/allowing bad hand posture?

      First of all, it's pretty unlikely that there is just one cause of typing-related injuries, any more than there is just one way to hyperextend/twist/maim any of your tendons.

      But I do honestly think that a lot of RSI-type problems are caused by crappy hand posture while typing, and those are most certainly somewhat with bad keyboard designs. I learned to type back in the day on a manual (I always used to say "acoustic" :-)) typewriter, and had practice on several electric typewriters as well. Typing on those suckers was a whole different ballgame. You had to hold your wrists a certain way, and you couldn't do some of the stupid keyboard tricks (like pound on the backspace key). And there ain't no such thing as CTRL, ALT, or ESC on a selectric. :-) Heck, even CAPS LOCK had a function back then, since, unless you were a whiz at changing typing balls or daisy wheels, CAPS was the only way to get a distinctive look, and you wouldn't want to do the "shift key bounce" for very many strokes, since it would ruin your speed.

      And let's talk about speed for a moment. I was an okay manual typist, but I couldn't type anything near the speed I can these days on a decent keyboard, which is upwards of 70 words per minute (usually around 75, but often in the vicinity of 100). This just wasn't possible for most people. And if it was possible, it was also the case that you had to take a break, no doutb about it. My guess is that these days that most people are:

      • Typing more
      • Typing faster
      • Typing with worse posture
      • Typing after fatigue has set in
      • Typing on poorly designed keyboards

      It would be miraculous if typing injuries didn't occur. Typing used to be a profession, and one that was best left to the pros. Not anymore! And just as amateur athletes appear to injure themselves more often than you would expect, the same goes with amateur typists.

      And how are my wrists doing? Pretty damned well, thank you, and I'm an EMACS user to boot. :-)

      --

      Babar

    8. Re:I heard this strange theory about RSI by Kinthelt · · Score: 2
      I guess the moral of the story is: Whatever works for you. :)

      I suppose when your body starts talking, you better listen before it starts shouting. :)

      --

      "Evil will always triumph over good, because good is dumb." - Dark Helmet (Spaceballs)

    9. Re:I heard this strange theory about RSI by arcade · · Score: 1

      Get your wrists UP off the table, and curl your fingers so they look like claws. Don't use armrests for your elbows. Your arms should be dangling loose, not resting on anything.

      Actually, I've never experienced pain in my arms except from using the mouse over extended periods of time. I remember that my wrist hurt a bit when I played civilization for weeks in a row. But that's a LONG time ago.

      Keyboards don't bother me. I type at a rate of 550chars/min, and I've been typing touch for the last .. 5-6 years or something, but I've never experienced any pain when typing, except when someone forced one of those "wrist-support" thingomajigs on me. After I removed it (and threw it away) my wrists got better again.

      My typing-technique is to let the palms rest at the table, when my fingers type. My thumbs are both placed over the spcacebar. It gives me access to all keys, at the same time that my hands are supported. Then you just relax your arms and start typing. Just make sure your hands positions feel 'natural'. If they feel 'wrong' -- then you'll get pain (I think). If it feels 'perfect' then everything is ok.

      --
      "Rune Kristian Viken" - http://www.nwo.no - arca
  12. plug for my favourite new keyboard by elbobo · · Score: 2

    ok so I probably over evangelise these keyboards, but I just love them :) the Kinesis Contour (kinesis-ergo.com). I've done a quick review of mine at base.yi.org which is maybe worth a read.

    Anyway, they're superb for people with wrist injuries. Infact most of the manual is dedicated to how to reduce wrist injuries, and even has a section at the back with an intro written by Herman Miller Inc (those really comfy chairs that Rob and co have from hmstore.com) that goes indepth into workspace ergonomics and risk reduction etc.


    1. Re:plug for my favourite new keyboard by seebs · · Score: 2

      I have a couple of 'em too. I think the URL for my comments is still http://www.plethora.net/~seebs/kinesis.html but I'm not sure. :)

      FWIW, NetBSD makes these awesomely useful - you can get a USBPS/2 adapter, and you have a *hot pluggable* Kinesis.

      --
      My blog: http://www.seebs.net/log/ --- My iPhone/iPad app: http://www.seebs.net/seebsfrac/
  13. Wrist pains.. by VWswing · · Score: 2

    I read a good article on repetitive motion
    injury in bass player magazine a couple of
    years back (They might have it archived @ www.bassplayer.com, but don't take my word for it). It just had a few points in general.. some of the things I picked up were, I bought a pair of
    these elastic/molded gloves for $30 and I type with them when i get the pains.. i have to wear them for a while but they start to help.. apparently lower body temperature to the wrist because of bad circulation causes a lot of pains.

    I cut down on my caffeine intake about 90%, started wearing the gloves, and regularly take breaks to flex my wrists & fingers.. sometimes dupping them in warm water for a few minutes..

    it's helped a lot.. 2 years ago I got so bad that i couldn't type for more than a half hour @ a time.. now i'm great.

    --
    "And how can this be? For he is the ..."
    1. Re:Wrist pains.. by sjames · · Score: 2

      Cayenne pepper (taken internally or externally) will also help circulation to the extremities. I don't know about helping wrist pain (fortunatly, I don't have that), but it does help with back pain.

    2. Re:Wrist pains.. by Esjion · · Score: 1

      There is definitely something to the lower body temperature thing. I didn't start having wrist problems until a few years ago, during the summer. I sat directly under an air vent, and my hands were always cold. A friend of mine pointed me to the MouseMitt website, I purchased some of their Keyboarders , and the pain/ numbness decreased significantly.

      I don't sit under the AC any more, but I do still use the Keyboarders when my wrists are being particulary bothersome. I find they also come in handy when using a laptop because they are much more portable than a standard wrist rest.

    3. Re:Wrist pains.. by VWswing · · Score: 1

      I have been contemplating one of those weird keyboards. Where it just has 2 molds of hands, and a lot of sensing buttons @various positions in the molds. You type normally (it's supposed to take an adjustment time) but can improve your typing speed by like 100wpm, and you're not moving your wrists so it helps the pain.

      For the body temperature thing, stretching is very important. streatching a muscle/region improves circulation for something like four hours.. over the last 6 months (since I moved in with a roommate who was a med major) I make it a point to go through a back, leg, arm, etc streatching routien every hour or 2, and it's done a world of good.

      --
      "And how can this be? For he is the ..."
    4. Re:Wrist pains.. by nakaduct · · Score: 1
      Cayenne pepper (taken internally or externally) ...

      Offtopic, but... What does "taken externally" mean? Putting some in your pockets? Sprinkling it on your face (or back or whatever)? It's just hard to imagine any way to "take" cayenne pepper other than through your mouth.

      Inquiring minds, and all that...

    5. Re:Wrist pains.. by Anonymous Coward · · Score: 0

      rubbed onto the skin. Did you know that yor skin can absorb approx 70% of watery liquids placed in contact with it? This has important ramifications if you're into water sports...

  14. Poor man solutions? by blogan · · Score: 2

    Does anyone out there have any preventative measures that don't cost a few hundred dollars? I'm a student right now and can't afford that kind of stuff.

    1. Re:Poor man solutions? by Kerbtier · · Score: 1

      A paperback book called "Repetitive Strain Injury - A Computer User's Guide" by Emil Pascarellie and Deborah Quilter. I got my copy at amazon.com. I forget what I paid, but the back cover of the book says $16.95 (US).

      I too am a poor college student doing part time programming work. My wrists begain to ache badly some time ago, but two things greatly helped: I purchased an ergo-keyboard (split down the middle) and stopped resting my hands on the keyboard and mouse when using them.

      A small investment now will hopefully prevent future problems.

    2. Re:Poor man solutions? by Anonymous Coward · · Score: 0

      The cheapest preventative measure is to not use the same hand all the time! If you start feeling any pain at all in your right hand, start using your left. If the left starts hurting, use the right. Keep doing this, and you should never progress to anything serious.

    3. Re:Poor man solutions? by Esjion · · Score: 1

      I know this is repetative (I posted this info in another place already, but it seems to apply here as well), but if you are looking for a cheap/ portable solution, try MouseMitt Keyboarders . They are $19.95 for a pair, or $10.95 for one (if only your mouse hand bothers you). They are well worth the price, IMHO.

  15. Kinesys keyboards by Jerky+McNaughty · · Score: 2

    Does anyone have any experience with the Kinesis keyboards? I currently use one of the old style Microsoft ergo keyboards, but the control key is killing me and the ESC key is too far away. Emacs likes the CTRL and ESC keys and I need them closer to home. I find myself constantly pivoting my left hand to do common actions like C-x C-f... that's not good.

    Anyone want to comment on the Kinesis keyboards?

    1. Re:Kinesys keyboards by ilkahn · · Score: 2

      I use one... a few months ago (about 6 now) i was the lead engineer in a software development firm. We had a 6 week rush during which I worked between 70-90 hours a week of solid programming. It got to the point where I sincerely believed I was going to have to quit computer science/computer programmng... it was not a "good thing". I approached by boss and I told him about the pain, and I told him that I heard that the Kinesis Ergo was a wonderful keyboard.

      Well, after pitching a slight bitch fit, I got one. I have been using it now for about 6 months, and I can say beyond a shadown of a doubt, that I am eternally endebted to Kinesis for this keyboard. Within 3 weeks ALL of my wrist pain was gone. It does take a while to learn how to type on it (and you had best be a great touch typist) but once you have it down, it is unbeatable. The programmable nature of the keyboard has alowed me to program some very helpful macros and I can say has nearly doubled productivity in some tasks.

      If you can afford the rather hefty pay check I can suncerely suggest that you get it... it might save your wrists...

    2. Re:Kinesys keyboards by Mr+T · · Score: 2
      I feel like a total tool for the man now that I look back at how often I've pimped this keyboard on all the keyboard related articles... but I love the thing. It's one of the few computer hardware products that I truly love and endorse.

      I've never had RSI, never had much more than stiff hands and wrists, usually after doing something stupid like waterskiing all day or landing on my wrists during a bike wreck or something. When it get's cold my wrists fatigue and get a bit stiffer, nothing much though and it goes away with warmth. (for some reason it's like 58 degrees in my office somedays) Never had pain. I'm a touch typist. Raised with a chiropractor and I pay close attention to my body and how I feel; my doc is amazing too, she notices all sorts of little things. I have had parents that have preached the virtues of good ergonomics, I've used wrist rests and generally had decent work areas for my computers. That's my history.

      When I got our of college and got my first good salery job I decided it was time to invest in my health a little since this is my business. I wanted to go top-of-the-line for ergonomics, no reason to screw around anymore and no excuses. I could afford it and the stuff was either good for you or I was going to end up with some nice stuff that wasn't bad for me. I bought a desk, a chair and while I was at the place (KARE products in Boulder Colorado) I noticed the keyboard and became slightly captivated. I thought about it, it's a pretty pricey keyboard and I finally decided I'd give it a whirl, I was still high on the getting-paid-well-for-the-first-time euphoria.

      I believe the model I purchased, the Contour Classic with dual legends and the foot peddle (essentially it's the second best model, they have a better model with more memory for programming it) cost about $600 retail. I got it quite a bit cheaper since I was blowing a good chunk of money with those guys already. It was still more money than I had ever spent on an input device before. I know you can order them for as cheaply as $200-$220 for the basic non-programmable qwerty model. Still a bit pricey for you average geek, but completely reasonable for such a high quality keyboard.

      After having it for about a year, I can say with all honesty that I'd pay $600 for the keyboard again in a second. I never had wrist problems and my hands feel noticably better after long typing sessions. They just feel more relaxed and comfortable. You can notice the difference, it feels better. I was amazed because I always type with my wrists straight and have pretty good form. I can only imagine what it must feel like if you type in pain. This is a very good keyboard, it's a bit pricey but I recommend it if you can afford it. Even if you can't afford it, it's worth thinking about, maybe buy a cheaper video card and a smaller drive this time around so you can get the keyboard, it will last you through multiple computers.

      It was a little odd for about a week but I type faster now than I did before, my hands feel better, you can program it if you want (I've done a few emacs helpers.) It's a high quality keyboard, it's very configurable (you can make it click or not, it beeps when you press capslock or you can turn it off, you can program any key to do whatever you want), it has columnar keys instead of offset ones so it's easy to learn to type on them, the keys are shaped nicely and the action is good. Initially I thought the action was a little weak compared to the IBM keyboards I used to use but I like the action a lot now, it's a touch slower and softer than IBM action. With the IBM action (not the chicklet keyboards, the ka-chunk keyboards) you kind of push on a key and after a thrushhold it sort of drops on you, I find myself hammering a lot on IBM keyboards, for the longest time this was the desired feel for keyboards because it is like using a typewriter and I grew up with it. The contour action is steady through out the full keystroke, it initially feels slower since there is resistence the full stroke but I have noticed that I hammer less and type softer now, with the softer typing I find that my hands are more nimble and I can type quicker and go for much longer periods and it is just more comfortable.

      I got the Dvorak supporting model and run it in QWERTY still. I was going to switch but haven't since they haven't upgraded me at work yet and I didn't want to do one at home and one at work. With the columnar keys and thumb keys I think my typing distribution is pretty good, I don't focus on a few fingers for most of my typing. The tilde, bracket and brace positioning are partially responsible for that too, I think my coding speed suffered for a while while I got used to that but not much. Each finger seems to carry a pretty good amount of the load and I never have to reach too far with any finger. I don't know what I'd get out of Dvorak, I still may switch but I'm not as compelled.

      The function keys would be my least favorite part of the keyboard. They are a row of smaller keys across the top. They have a different feel than all the other keys, that spongy kind of calculator key feel. It bothered me a lot at first but not so much now, mostly because I don't use them for much. They are a little offset from the numeric keys and I thought it made more sense to have them lined up. Not that big of a deal though, if you're a Linux user then you probably don't rely on the function keys that much and you program them for macros when you do use them. The palm pads are also not as easy to come buy as I would like, but they aren't hard to get. I don't play many games, the cursor keys are split with up and down being on the right hand and left and right being on the left hand. They aren't in the "T" formation. I used to use an old apple with that kind of layout and so it doesn't bother me but it might take some getting used to if your a cursor key freak or if you paly a lot of games. I kind of like the emacs control-P, control-n, control-f, control-b for a lot of my cursor navigation but I use the cursor keys for about 40% of it too and I don't miss the "T"

      It's all white with a blue home row, it looks pretty sharp, it doesn't contrast too much with anything. It's a nice conversation piece at times. The typing is amazing though. It's a really comfortable keyboard. It works with PS/2, AT, and Mac connections, you can get a USB adaptor. Foot peddle is optional and YMMV, I wouldn't get it if I could do it all again but I know a few people who love it.

      I'm not sure what else I can think of to say about a keyboard. I really like it a lot. I really think it is worth trying out if you do a lot of coding or typing. It is your health that you're dealing with. It costs more but maybe you're boss will pick it up. There aren't too many hardware products that I will really stand behind but this is one of them, it's wonderful.

      --
      This is my signature. There are many signatures like it but this one is mine..
  16. slashdotted already... by David+Ham · · Score: 1

    apparently jwz is running his webserver off isdn or something :) but it's slashdotted - any one that can get to it willing to throw up a mirror? or post the text here? REMEMBER - include copyright info :)

    --

    --
    you must amputate to email me
    i read all replies to my comments

  17. A book from O'Reilly by Zachary+Kessin · · Score: 1

    The Computer Users's Survaival guide. Very well
    worth it.

    Be carefull with RSI. It can really make your life
    misserable. And make earning a living very hard.

    --
    Erlang Developer and podcaster
  18. My secret. by Anonymous Coward · · Score: 0

    I compulsively stretch my wrists and, also, I type like Hunter S. Thompson... I've been typing and using pointing devices (mice, joysticks, trackballs) going on the majority of my natural life. It's starting to worry me though, because I know I'm due.

  19. Go away, Dweebt. by Anonymous Coward · · Score: 0

    Slashdot was much nicer without you, dork.

  20. Re:GATHER BEHIND MEEPT!!! by Anonymous Coward · · Score: 0

    YOU'RE BACK!!!!!!!!!!! I love you!!!!!!!!!!!
    This is too kewl
    We need more MEEPT

  21. xwrits by trance9 · · Score: 2

    xwrits is break software. It reminds you to get up from your computer and take a break every so often. It monitors your typing and mouse usage.

    Compared to similar programs for windows it's pretty crude. However, it's effective.

    One of the most important things you can do to avoid/prevent/cure typing injuries is to make sure you take adequate breaks. This does not mean lunchtime--this means every 10-15 minutes you get up and stretch.

    Programs like xwrits remind you it's time for a break.

  22. Use vi, use vi macros. by Anonymous Coward · · Score: 0

    I'm a fast, touch typist and pound out lots of code. I had problems until I started using vi and the using the single keystroke macros. Except for the escape key, this keeps my fingers near the home keys and mixes up finger usage enough. The macros prevent me from constant repetition which I think helped the most. Any clown who uses alt-shift this or that constantly is asking for wrist problems. Bill Joy is a genius.

    1. Re:Use vi, use vi macros. by doom · · Score: 3

      Bill Joy uses emacs now.

  23. Serious Question by Anonymous Coward · · Score: 0

    Does wrist pain from playing Quake 3 count? I don't get wrist pain while ordinary typing...only occasionally during those tense Q3A deathmatches.

  24. stretching by trance9 · · Score: 5

    Stretching is very important. Stretch your arms, your forearms, your neck, your back, etc., do it frequently. Don't be too aggressive--mild stretching is the best.

    Stretching helps promote healing, and keeps muscles from tightening up. A good massage is also a reasonable preventative measure--work on shoulders and upper back problems as problems here are often are responsible for inefficient use of your fingers, wrists, and forearms.

    1. Re:stretching by kurowski · · Score: 1
      A good massage is also a reasonable preventative measure

      Here here! A good massage from your SO can also lead to, um, other activities. Which means taking a break from the computer. Which means giving your wrists a rest. Which is good, right?

    2. Re:stretching by Q*bert · · Score: 2
      Which means giving your wrists a rest. That depends on, ummm, what you're doing and how you're doing it. I tend to support my weight on my wrists a lot, which leads to even worse problems. Not that I'm complaining...

      Vovida, OS VoIP
      Beer recipe: free! #Source
      Cold pints: $2 #Product

  25. Wrist splints are bad, Hand-Eze gloves good by Lucy+Linux · · Score: 2
    My doctor told me to start wearing a wrist splint while working. My wrist and the base of my thumb were very swollen. The splint actually made things worse. My reaction to feeling something in my palm is to grrasp it. Therefore I was constantly flexing my fingers and agitating the injury.

    I decided to try Hand-Eze gloves. They are fingerless gloves -- there is a picture at the link. They work for me. I have practically no problem now, and I don't even wear the gloves anymore.

    Another thing I did was to start using my left hand for mousing. I'm right-handed so that took a bit of work. The only drawback now is that every time a new quake comes out I have to reconfigure the key bindings. :-)

    --

    Code is garbage in garbage out.
    Languge is garbage in, non-sequitor out.
    1. Re:Wrist splints are bad, Hand-Eze gloves good by Anonymous Coward · · Score: 0

      I also started having problems with my right hand. Learned to use the mouse left handed. Not hard. I don't change the left/right buttons so there is no problem when someone else uses my machine or when I use someone elses. I wear a wrist brace when I drive - the vibration seems be a factor too.

    2. Re:Wrist splints are bad, Hand-Eze gloves good by VWswing · · Score: 1

      These are the gloves! :) I've been wearing
      these for about a year.. not all the time.. but
      occasionally. they're pretty worn down, but still
      effective.

      Wow.. now they're in different colors and cheaper :)

      --
      "And how can this be? For he is the ..."
  26. RSI is like... by Anonymous Coward · · Score: 1

    back pain. Once you get, you've got it forever. But if you take care of yourself, you may be able to control it. I've had some bad boughts with RSI. These days, I can usually manage it. As someone else said, I find that the two biggest killers are the mouse and the joystick. But it does come down ergonomics. Your fore-arms should be parallel to the floor, at right angles to your body. Your wrists should be straight. I use a mouse pad with a wrist wrest (you don't want to rest your wrist on the desktop, because then your wrist is cocked at an angle). Take frequent breaks and stretch. Definately see someone in occupational health about this. Take some Aleve. Ice up down your forearms and wrest for a while. I've hurt myself more using computers than any sport I've every played. Jared

  27. Keyboards are for sissies... by Kaufmann · · Score: 1

    ...Real Programmers (tm) use Direct Neural Interfaces!

    (Okay, moderate me down now. I deserve it.)

    Well, just to make sure that I don't get hit /too/ badly, let me share my personal experience. I use a ridiculously small iWhack keyboard mounted on top of what is basically an open drawer, with no hand-resting space or anything. I've been using this setup for more than a year now (since the iWhack arrived here in Brazil), and I've never experienced any kind of wrist or back problems. Nonetheless, I have good posture and the screen is set on a good eye level.

    --
    To the editors: your English is as bad as your Perl. Please go back to grade school.
    1. Re:Keyboards are for sissies... by Dfiant · · Score: 1

      Speaking of direct neural interfaces, I found a link from that FAQ to a company called Brain Actuated Technologies, Inc. Looks like they use a few forehead sensors to detect electrical and muscular impulses. Neat, but quite an expensive toy. =)

      I actually tried out something similar at Epcot Center in Orlando, FL. It was a kind of neural joystick hooked into an SGI workstation running a skiing game. You basically stuck your finger in the interface and it would pick up electrical impulses from your brain. It took a few tries to get myself going safely, but it got easier after some practice.

  28. Re:Kinesys keyboards right URL by ilkahn · · Score: 1
  29. meepty MEEPT!!! by Anonymous Coward · · Score: 0

    MEEPT!!!

    Meept thinks you taste like gnulix.

    [A poem]

    oh slapdash gnulix students

    have no girlfriends

    MEEPT!!!

  30. Is there a HOWTO for that? by Anonymous Coward · · Score: 0

    I suspect I need such as I'm socially.. uhm.. inept? unskilled? clueless?

    I suspect any halfway decent HOWTO would need to be co-written.. by both genders, lest things degenerate into typical /. flammage.

    --
    "Don't confuse solitude with loneliness. Sometimes you need solitude." - someone

    1. Re:Is there a HOWTO for that? by Anonymous Coward · · Score: 0
  31. MEEPT!!! by Anonymous Coward · · Score: 0

    MEEPT!!!

    Meept's facist mastermind calls to all of the slapdash troll to rise up and follow Meept!

    The fog of Gnulix Genital Warts shall be lifted from slapdash after the liberation.

    MEEPT!!!

    1. Re:MEEPT!!! by Karma+Whore! · · Score: 1
      What happened to the Glorius Meept? Just Meept? Are you the real Meept?

      What have we unleashed?! Are you truly the Unspeakable One? Were you recovering from RSI? Are you better now?

      --still awaiting the return of our illustrious and glorius leader Meept!

      --
      The original Meept!! info lies here
  32. Popping Wrists by WeeMadArthur · · Score: 1

    My wrists have been popping a LOT recently. Would this be an early warning sign of RSI or something? It generally doesn't hurt but it can't be good. What are some other early warning signs?

    WEEMADARTHUR

    1. Re:Popping Wrists by humphrm · · Score: 1

      Check with your doctor, but I think the popping is a sign of arthritis...

      --
      -- "In order to have power, I must be taken seriously." -Mojo Jojo
    2. Re:Popping Wrists by Pyrrus · · Score: 1

      I can pop ~40-50 joints in my body, everyone says that I am going to get authritis, but it doesn't hurt so oh well. (it's good for scaring the girls in class ;-))

    3. Re:Popping Wrists by Kintanon · · Score: 2

      My wrists have been popping a LOT recently. Would this be an early warning sign of RSI or something? It generally doesn't hurt but it can't be good. What are some other early warning signs?



      Hmmm, if that's bad I may be in serious trouble. My fingers, wrists, elbows, shoulders, knees, back, neck,hips, and even my breastbone pop frequently. Oh, and I have chronic back pain, and my wrists are significantly weaker than they were 1 year ago... And it SUCKS because I'm only 19, I love martial arts and rock climbing, and weak wrists make both of those activities harder. Also, a 2 minute stream of constant typing will tire out my wrists. Anyone know if I need to see a doctor?

      Kintanon

      --
      Check out JoshJitsu.info for Brazilian Ji
  33. I don't normally have wrist pain.... by Zaph · · Score: 1

    However, everytime I read an article like this, my wrists start to tingle, and I feel an urgent need to stretch.

    Any other time, my wrists feel fine.

    I think my therapy solution would be to stop reading articles about repetitive stress injuries... :)

    --
    Quoth the Penguin, "pipe grep more!"
    1. Re:I don't normally have wrist pain.... by CrayDrygu · · Score: 1
      However, everytime I read an article like this, my wrists start to tingle, and I feel an urgent need to stretch.

      Heh, same with me. My moue wrist hurts right now, but I was doing fine before I read this article.

      Gotta love psychosomatic pain, eh?

      As a side note, for lack of a wrist rest, I'm laying my wrist across a half-crushed bottle of Mug root beer... don't knock it, it's working =P

      --

      --
      "I personal[ly] think Unix is "superior" because on LSD it tastes like Blue." -- jbarnett

  34. My mom's experiece with real Carpal Tunnel by mmakunas · · Score: 2

    My mother was a secratary/typist for years, and eventually (after not typing for a few years), her wrists started hurting so much that she couldn't sleep at night. Nothing seemed to help so she opted for surgury, which at the time had the risk of, if the doctor screwed up, causing a complete loss of hand motion. Not something you'd want even if you don't type.

    So do people still have surgury for CTS? And have the risks gone down?


    1. Re:My mom's experiece with real Carpal Tunnel by nightspd · · Score: 1

      What happened to your mom? Did the surgery help? I've heard the result from Surgery is immediate relief from the symptoms of CTS.

    2. Re:My mom's experiece with real Carpal Tunnel by mmakunas · · Score: 1

      She had both hands operated on and they've been fine for over 15 years. She never did any hardcore typing after that so I don't know if surgery prevents you from "getting" CTS a second time.

  35. Wrist pain by Mendax+Veritas · · Score: 2
    Perversely, one of the only two times I have ever had significant wrist pain from computer usage was just after my company brought in an "ergonomics expert". This individual told me my keyboard was positioned too high, and adjusted it to a lower level. The pain began shortly thereafter. I put my keyboard back to where it had been before, and the pain went away. Moral: take "ergonomics experts" with a grain of salt.

    I suspect the real problem was not the keyboard, but the mouse. Since the keyboard and the mouse sit side-by-side, lowering the keyboard meant lowering the mouse also. This forced my wrist to bend at an odd angle whenever I used the mouse, and indeed, it was after using the mouse almost exclusively for an hour (in a paint program) that I first noticed the pain.

    The other wrist pain incident was just after Microsoft came out with their "middle-button wheel" mouse. I made heavy use of the wheel when I first got one of these things, and found that it led to wrist pain (perhaps because rapidly spinning the wheel with the middle finger is a rather unnatural motion). So I stopped rotating the wheel (back to scroll bars, alas!) and the pain went away.

    I strongly urge anyone experiencing wrist pain from computer use to take the problem seriously and get it taken care of early. One of my coworkers has been out on disability for nearly three years now because he ignored his wrist pain.

  36. Correct URL by Anonymous Coward · · Score: 0
    Here's the correct link.

    Mmmmm. Spandex!

  37. Emacs causes these problems? by Anonymous Coward · · Score: 1

    Is it a coincidence that Ben Wing, head of the Xemacs project right now, Jamie Z, "Mr. Lucid Emacs", and Richard Stallman, ALL have wrist pain problems, and have been potentially crippled by them? Is it possible that using EMACS with it's funky key combinations actually CAUSES this problem? Mind you, I'm an emacs user myself. I love it. And don't want to give it up! But umm, this is just too much of a coincidence to not be noticed!

    1. Re:Emacs causes these problems? by Royster · · Score: 1

      It's hardly enough of a coincidence to be noticed.

      I *never* use Emacs. I have wrist pain. What these people have in common is that they do a whole lot of typing.

      The funny thing, my wrist pain has only startd in the last two weeks since I cleaned my desk and got rid of all the piles of paper encroaching on my keyboard. Perhaps I shoild go back to the clutter.

      --
      I have discovered a truly marvelous sig, unfortunately the sig limit is too small to contain i
    2. Re:Emacs causes these problems? by doom · · Score: 2
      Well, emacs users aren't the only people who have such problems, but what I'd say is that it's a combination of emacs and awful keyboards that do you in. Needing to lean on the control key all the time when some bozo decided to move it down under the shift key isn't going to do you any good.

      The solution I recommend to my fellow emacs abusers is the Kinesis contoured keyboard: Kinesis Keyboards. If you look at that URL, the contoured keyboard is the model on the left. It has the control and alt keys moved into the center, under your thumbs, which is particularly good for using emacs.

      What isn't so good is the teeny ESC key, and the CAPS LOC next to the A, but all of the keys are easily reprogrammable. I use the CAPS LOC as a second ESC.

      And if you're really nervous about Emacs "chording" combinations, you can always try M-x viper. You can switch to a vi-like keystroke layout without abandoning emacs's power and flexibility.

    3. Re:Emacs causes these problems? by Zagadka · · Score: 1

      Actually, it's interesting that you mention that. All of the people I know personally who have wrist trouble are emacs users. I'm a VIM user myself, and I've never had wrist problems.

      Chording is supposed to be pretty hard on the wrists. VI and its derivatives don't use chords for very many things, except for a few shifts, and a very small number of rarely used control keys.

      A possible alternative to a vi-like editor would be to use emacs with "sticky keys". Knowing emacs, there's probably an elisp script that can turn that on for you. Then you's press (and release) each meta key before the key it modifies. So "C-x" would be 'control' followed by 'x'.

      Or you could use one of the vi-modes for emacs... :-)

    4. Re:Emacs causes these problems? by jwxyz.org · · Score: 1

      why is emacs as bloated as MS Office?

    5. Re:Emacs causes these problems? by msobkow · · Score: 1

      I broke my wrist about 3 years ago, and though it healed pretty good, I've become much more sensitive to wrist-stress. In fact, I can't use a flat keyboard for more than about 30-60 minutes before I start cramping up. If I persist, within about 4-6 hours the pain is severe enough that I just can't type for a day or two.

      The only thing that helped for me was a (shudder!) Microsoft Natural Keyboard -- I've worn out two so far. Unfortunately they're pretty much impossible to find anymore, and the key placement and cap size on the so-called Elite are too small for my hands, and the funky arrow key placement is just plain annoying. The really irritating thing is the Elite was supposedly designed to "save desk space", yet it's barely an inch narrower than the original!

      I've tried a Micro Innovations as a replacement, but without the hump in the middle of the keyboard, it doesn't help nearly as much.

      Someone at work has a Logitech keyboard that looks like it might be suitable -- I sure hope so 'cause my last functioning Natural is starting to feel kind of mushy, and I haven't been able to find any more Naturals in the past couple months to replace it.

      Why all the keyboards? I learned to type on an old manual Underwood typewriter and never lost the habit of hammering the keys. The only keyboard I didn't burn out within two years was a genuine IBM AT keyboard. Pity you can't get an ergonomic/wave keyboard with the same build quality -- I'd gladly pay $200 for it if it felt good and lasted a few years!

      --
      I do not fail; I succeed at finding out what does not work.
    6. Re:Emacs causes these problems? by Anonymous Coward · · Score: 0
    7. Re:Emacs causes these problems? by Dom2 · · Score: 1

      It's not. Office 2000 comes in at over a hundred megs for a minimal install. My latest XEmacs install (with the sumo tarball of all packages) was around 70Mb. And you can strip it down a *lot* further if you want.

      Plus it's faster than Word. :-)

  38. Wimps by Quinn · · Score: 2

    I've been typing 10+ hours a day for more than 10 years (everything from a Laser128 to various PC keyboards, but never any of that new-age "ergonomic" crap!) and I have never experienced wrist pain.

    What are you people doing?

    Half those years included a lot of masturbation. Maybe you should work that into your therapy?

    --

    --
    #19845
    1. Re:Wimps by otis+wildflower · · Score: 2

      I've been typing 10+ hours a day for more than 10 years (everything from a Laser128 to various PC keyboards, but never any of that new-age "ergonomic" crap!) and I have never experienced wrist pain.

      Weird. Me neither: I've been typing since age 6, so I wonder if my wrist and finger muscles (and even bones) grew up to support typing motions.. Still wanna get that Aeron chair though, as my back is not too great...

      Your Working Boy,

  39. Keyboard Wrist rests work well by madmancarman · · Score: 2
    My freshman year of college, I began suffering from severe pain in my wrists, probably caused by a combination of bass & guitar playing, mountain biking, taking a ridiculous amount of notes, and typing for at least 3 hours a day. I was at a point where the pain was enough to keep me from typing, and I would actually ride to class with my arms resting on the handlebars so I wouldn't put pressure on my wrists.

    I tried a variety of things, from pain medication to wrapping my wrists in Ace bandages (sometimes with cold packs I kept in the freezer) to going to a sports medicine therapist and trying prescription pills. Ultimately, the single thing that made the most difference (besides cutting down on my acoustic guitar playing) was a $3 padded wrist rest that I bought at Walmart on a whim. Believe it or not, it really helps, and while my wrists are definitely weaker than they were before they started hurting, I can at least use them regularly without pain. You don't have to buy one of those $15-20 gel ones, either - mine is plain black, not terribly soft, and sits at the base of my keyboard. It annoyed the hell out of me for the first week or two, but I got used to it quickly, and really prefer it now. All geeks with wrist pain should get one.

    --
    First they ignore you, then they laugh at you, then they fight you, then you win. -- Gandhi
  40. Touch typing is tool of the devil! by Otto · · Score: 2

    My thoughts on this are a bit odd, but... DON'T TOUCH TYPE.

    I think that this standard 5-finger technique is the cause of a lot of wrist stress related injuries.

    Here's why:
    The only time I have ever experienced serious wrist pain is when playing quake for hours on end, and literally not moving my wrists to any great extent. One hand on the keyboard, one on the mouse. The slightest mouse movement spins me around (I keep my sensitivity super high), so my wrist doesn't really move a lot.

    I am not a touch typist. I learned to type through massive amounts of practice hunt-and-peck.. Just the way you would naturally learn. I also type 50-60 WPM. :-) I simply know where the keys are. It's a memory thing. I've been typing on a computer since I was 7. You learn the keyboard that way. My touch-typist friends think I'm really odd, since my hands are flying all over the place when I type.

    I never get wrist pain even after hours upon hours of typing. Why? I think it's because the wrists are never immobile. It's like a form of very light exercise for the hands.

    I see these touch typists who type for hours without lifting their hands at all. They don't even move them to think, because they're so used to the position of their wrists on the keyboard. I'm sorry, but that simply can't be healthy for your wrists. The strain you're putting on them in that position is just too severe, over a long period of time...

    Anyway, yes, I probably could type faster if I unlearned the way I type, and learned the "correct" way. But hell, I don't need to type so damn fast that I risk my health, yeh?


    ---

    --
    - Give a man a fire and he's warm for a day, but set him on fire and he's warm for the rest of his life.
  41. These Other Techniques Work For Me by Anonymous Coward · · Score: 0

    1. Type with two fingers 2. Masturbate - not only will this increase your wrist strength, but it will provide a great deal of pleasure too (if done right)

  42. Alternate Devices by Anonymous Coward · · Score: 0
    Aw, rats, I'd'a had first post if I'd posted before reading the articles ;-)

    I play pipe organs myself (as recreation and exercise; I know, looking at Carlo Curley you don't think "exercise" but you try it :-) and have always wondered how well a standard pedalboard would adapt to typing. You'd want to concoct a letter sequence that was mostly alternate-toe... and something to plug MIDI into the keyboard hole :-) Hmmm...

  43. Crazy people, exercise by bugg · · Score: 1

    Jamie didn't cover this enough.
    When you do your weightlifting (as you all should be doing) add in some wrist curls at the end of your exercises (do it at the beginning and you will injure yourself doing other chest or arm exercises) and you'll feel great. Always. I haven't had wrist pain since I started this ~8 months ago.

    --
    -bugg
  44. important safety tip: stay relaxed. by mjackso1 · · Score: 2

    Even if you're under deadline pressure or otherwise typing in a frenzy, you should always keep your shoulders, arms, and hands relaxed when typing. It doesn't take a great deal of force or movement to type quickly, so don't overexert.

    These injuries are not inevitable, even if you sit and type for long periods of time. In college, I majored in piano, and they repeatedly told us that RSI is preventable as long as you make sure you don't tense up when playing. The same applies to typing, or any fine motor activity.

  45. Re:Poor man solutions? Yes!! by BranMan · · Score: 2

    I've had the problem myself, and yes you can work on it yourself. IANAD, and your milage may vary, but...

    Thing one. Act early. I started to get tingly feelings in my fingers, they started to twitch a bit on their own, and it was a little painful to stretch them out fully. Does that sound familiar? If so - STOP. Right now.

    Thing two. Get a wrist pad - it's the cheapest addition that might help you. DO NOT get a foam one - these are junk IMO. Get a GEL wristpad (about $15 at a computer store).

    Thing three. READ THE FAQ. Understand it. Work on ergonimics. Rearrange your work area. Use bricks and boards if you have to - it doesn't have to look pretty.

    Thing four. Take breaks. Do the stretches. Work on (gasp!) paper to figure out new things. Go for variety.

    Thing five. Baby yourself. It sounds silly, but act like a baby - if you feel anything at all, stop. Do other stuff until it feels better. Work slower. Use the mouse. Get creative with your bash history - anything to avoid more keystrokes.

    Thing six. If it doesn't get better, or already hurts a lot, go to a doctor - go to your councillors - go to your dean - go to your attached medical school. You're in school dammit - get creative! Get help!

    That's my $.02. Don't spend it all in one place.
    Good luck.

  46. happy hacker keyboard by banky · · Score: 1

    I have one of these on my Xmas list, and I am certain i am going to get it. Has anyone had an experiences with it? Wrist pain go up, down, left, whatever?

    --
    ZOMG I WOULD LOVE TO KNOW ABOUT YOUR FEELINGS ON MACINTOSH VERSUS WINDOWS, VI VERSUS EMACS, AND HOW YOU'RE NOT A DORK
    1. Re:happy hacker keyboard by wimpy · · Score: 1

      I had one of these and it actually caused me a sore wrist. Was
      a bit of a shame as otherwise I really liked the keyboard. Now
      I'm back on a generic keyboard (G83 from Cherry) and the
      pain is gone.

      I think the culprit was the function key that you have to press for the
      arrows etc. They stange thing though is that I mapped this function
      key to the left and that I got pain in my right wrist.

    2. Re:happy hacker keyboard by jordang · · Score: 1

      I've got one (won it in that contest over the summer) and love it, though I haven't had any wrist problems in the past. It's a great keyboard - very compact with none of that extra windows crap included, but it can be a bit of a pain having to hold down a function key to use the arrows

      Jordan

  47. False, False, FALSE!! by Anonymous Coward · · Score: 0

    I can testify to the fact that you can work through it. The problem is that most people don't keep it up; they wimp out in the face of pain.

    Most geeks are only used to emotional pain, not physical pain. You have to force through the pain and eventually your wrist will adapt. If you give up because of the pain, of course you'll claim it didn't work itself out. My pain was so bad each keystroke brought me to the point of white-hot agony, but I didn't quit - I tought it out.

    Don't be a PUSSY!

  48. I always got a kick out of this. by redial · · Score: 1

    If the pins and needles don't do it for ya try the the good ol' Carpal Tunnel Workshop.

    Some of you probably remember this from 'The Corporation' website.

  49. How I avoid pains . . . by nicksand · · Score: 3
    I'm not sure that this is ergonomically correct, but I have never experienced any major discomfort from the method that I use, even after a multi-hour programming rampage.

    For typing, I keep about four inches or so away from the front edge of my desk. The weight of my hands rests on the bottom part of my palm, which allows me to arch my fingers (I have big hands) comfortably over the keyboard, while maintaining my usual typing pace (80wpm avg). When possible, I rest my elbows on armrests.

    As for my mouse, I keep it and its pad very far away from the front of the desk. Basically, my arm rests flat on the desk almost to the elbow. I keep my mouse sensitivity turned way up so that I can reach any side of my desktop, even at high resolutions, by only moving my hand a few inches. Since my entire arm is supported, this position is quite comfy.

    For FPS games however, I move the mouse forward a bit, so that about half of my fore-arm area is supported by the desk. This seems to be more effective for those trigger-reflex type games.

    I'm interested in hearing what positions other people use to stay comfy.

    Note: I don't use any ergo-stuff. I use the HP keyboard that came with my old 486 (still love it!), and a microsoft serial mouse (no wheel) for mousing.

  50. Mice considered harmful by Peter+Amstutz · · Score: 1

    The only wrist problems I have ever had I think I have to attribute to using the mouse. I tended to rest my hand on it and weight of my arm then went on my wrist, and so sometimes got pain in my right wrist (my left, non-mousing wrist was fine) which went away in a few days. In my opinion the mouse is a very bad device from an ergonomics standpoint, especially the act of clicking places a lot of stress on the tendons.

    These days I have a laptop with a touchpad and haven't had any problems, the amount of force required to move the pointer around on a touchpad is much less than than to move a mouse around.

    I also use a dvorak keyboard layout, which places far less stress on my wrists for typing - the debate on whether it really is faster aside, dvorak is subjectivly a much more comfortable way to type.

    One seemingly minor change that I have found very nice is moving the backspace key from its far-flung position in the right corner - which forces you to either contort you wrist or move your whole arm to reach it - to the alt key to the left of the spacebar. Now deleting text is just a matter of holding down the left alt key with my left thumb, and I never have to leave the home row - faster and more comfortable. I haven't seen too many people who do this but even with a QWERTY keyboard it is a really good idea, I think.

  51. Re:I NEED MEDICAL HELP by Karma+Whore! · · Score: 1
    We're suprised you haven't gone blind yet from all your naughty ways.

    And hey. Stop trying to make us go blind with the all caps. Just because using the CAPS LOCK key makes it less strainful, avoiding the shift key, doesn't make it ok.

    Oh and by the way, ick.

    Here's some RSI info to help you out.

    --
    The original Meept!! info lies here
  52. This worked for me by Anonymous Coward · · Score: 0

    Wrist and arm pain hit me hard a couple of years ago. I was really afraid of losing my way of life. Happily, I found an easy solution: I rest the keyboard on my lap while I'm typing.

    The ergonomics consultant of the company described the right angle your joints should be in while typing and recommended these special computer keyboard rests. I found that the special keyboard rests were both too high for the right angle and tore my jeans (some sharp skrews underneath).

    I also tried special keyboards, but they still left the most often used keys in the awkward periphery: { } | + ( ) * Shift BackSpace. I didn't go so far as giving up emacs -- C++ was the culprit, not the holy editor.

    I still type C++ with emacs and an ordinary keybaord, which I'm keeping on my lap as I type (in various sitting positions). I haven't had any wrist problems since I started doing that -- except that I drop the keyboard every now and then.

    Marko

  53. MEEPT!!! by MEEPT!!!!!! · · Score: 0

    MEEPT!!!

    Meept is never truly gone. They come for the SLASH, they stay for the MEEPT!

    Meept and the facist regime call for you to RALLY!

    • Gnulix
    • broccoli
    • licks
    • snot

    MEEPT!!!

    Behold, as the Might Meepty Army of trolls capture's slapdash to lift the fog of editorial stupidity!

    MEEPT!!!

  54. bike? by Anonymous Coward · · Score: 0
    Bike riding is great exercise, but it's full of RSI danger. Though a bike can be made to fit, I'd get off of it if it hurt. Swiming, walking, and joging on grass are great alternatives.

    Steelcase makes a better, and yes more expensive, chair. The back and the seat are moved seperatly rather than as a unit when the user leans back. Other pieces are nice too, but not as cool looking as that Herman Miller thingy.

  55. Prevention & Care by Anonymous Coward · · Score: 0

    I had wrist pain years ago from way too much Photoshop work, I got a pair of Handeze gloves (I think that's the name) they are fingerless gloves that help support the wrist. Warm temperatues help too, either wear long sleeves, or crank up the heat a bit, for better blood flow, cold makes the muscles ache.

  56. My main complaint by Zico · · Score: 1

    When I learned typing years ago on one of the old DOS programs (Typing Tutor, I think), I was always taught to use the left hand for the 5 and the right hand for the 6, but the split keyboards have both the 5 and 6 on the left hand. I love the Microsoft keyboards and have been using them for years now, but this is still always guaranteed to trip me up now and then. Anybody know if typing is taught these days to use the left hand for both the 5 and the 6, or is this a Microsoft innovation?

    Caveat emptor: There is one version of the MS split keyboard that has smaller arrow keys and the Ins/Del/Home/End/PgUp/PgDn keys are rearranged. Do not get this keyboard, because you'll never get used to the rearrangement.

    Cheers,
    ZicoKnows@hotmail.com

    1. Re:My main complaint by RayChuang · · Score: 1

      Well, the "split" putting both the 5 and 6 keys on the left side did take some getting used to.

      But once I got used to that, going back to a regular keyboard felt cramped and awkward, mostly because of the fact I had to twist both wrists slightly to set up the "home keys" position.

      One complaint of mine about the original model of the Microsoft Natural Keyboard was the fact that the keyboard stands made typing feel quite weird. I'm glad they eliminated that problem with the Elite versions.

      --
      Raymond in Mountain View, CA
  57. the easiest thing you can do... by ywwg · · Score: 2

    ...is buy a wrist pad for your keyboard AND mouse. A lot of people only buy a keyboard pad and don't realize their mouse hand is doing the exact same thing. I used to get pains after playing too much quake, but as soon as I got a pad the pain went away. It's cheap and effective.

    If you have a 3M mousepad that won't work with a wrist-rest, do what I do: clip it on top of a pad that _does_ have a rest :P

  58. My battle with RSI by Anonymous Coward · · Score: 2

    I've been affected by RSI for around 3 years now. Initially, it got to the point where I could not type, mouse, drive, or even rest properly.

    The thing to keep in mind is that once you notice the symptoms, your only recourse is to rest. Problem with RSI is your muscles and tendons will hurt more when they're resting if you have RSI. Bizarre and scary, but true.

    My situation was helped by a sympathetic manager and doctor. Without either one, I probably would have lost my job. People at worker's compensation will do almost anything to either get you back to work or pay you off so you're no longer a liability.

    Do not make a self diagnosis. Go to a doctor. But it is good to be knowledgable about RSI in general. A good book I can recommend is "Repetitive Strain Injury" by Pascarelli. I must apologize to its co-author because only the main author's name stick in my mind. This book was written by a doctor and a patient of his. A very excellent book, it covers stretching exercises you should do while you're resting, as well as descriptions of the various forms of RSI. I am not affiliated in any way to this book.

    My keyboard of choice is the IBM options split keyboard. It is physically split and allows "tenting." Tenting just means you can tilt the various sides so that the keyboard's surface may conform more to your hand's neutral position. I cannot use a mouse anymore and prefer a trackball. With the IBM keyboard, the trackball sits between the two pieces of keyboard so I can use either hand when mousing. Getting a trackball with large buttons is important so you don't have to stress one finger to repeatedly press a button--rather you can use several and reduce the strain required. Sadly, IBM stopped making the options keyboard (also marketed by Lexmark) due to insufficient demand. All these things may sound like I'm over-reacting but RSI develops from accumulated strain over the years and won't go away overnight.

    One thing I also want to stress is once you have RSI you shouldn't exercies the affected parts of your body until your body has adequately healed itself otherwise you'll be in worse shape than before.

    Once you have RSI, you should try anything that you think will help. Everyone's body is different in how it reacts to various stimuli. What works for others may not work for you; what doesn't work for others may work for you.

  59. Jacking Off by jwxyz.org · · Score: 0

    I think that JWZ aka Jamie of Netscape oops I mean AOL oops I mean Mozilla the Mosaic Killer. Wow if I wasn't mistaken, Netscape oops I mean a division of AOL has AOzillaed! Anyways wrist pain comes from WACKIN' YER STICK TOO OFTEN! If you know what I mean... And hey i'm not denying that on days a wack it 5 times my wrist(s) aren't a little sore using the mouse to browse porn either...

  60. Kinesys Kbds by imagi · · Score: 1

    Have a look at these - I'm using one and they really help out. Much better than the M$ ones.

  61. Old keyboards also cause lack of resistance by Anonymous Coward · · Score: 0

    Then there are keyboards that have too much resistance at unpredictable times. I'm talking about ones that are worn out. Why not simply replace them? Well, I bought a nice laptop from one of those vendors that do not sell parts like keyboards and sending it back for a replacement was not an option. I neglected to act.

    So, I spent my time with this keyboard like I was chisling stone tablets just to make sure all the keys were indeed pressed. The pain started. Tried the dvorak layout. That helped a lot due to less movement of the fingers to get the job done, but the keyboard got worse and the pain returned.

    The reason why I got a laptop in the first place was to work in any comfortable place I please. So, I ditched the laptop and am happy with a new spring click keyboard.

  62. My Solution by Anonymous Coward · · Score: 0

    I just masturbate alot and it tends to help my wrists feel better plus I get an orgasm out of it so it's a win-win situation.

  63. The Facts About Repetitive Strain Injuries by webword · · Score: 1

    I did an interview with Scott Wright, Webmaster and Primary Caretaker of the Typing Injury FAQ.

    He answered these questions:
    * What is the Typing Injury FAQ? What is your role?
    * What are Repetitive Strain Injuries (RSIs)?
    * What are the symptoms or signs of injury?
    * What are the common causes or injury risks of RSIs?
    * How can injuries be avoided? What are the best preventative measures?
    * Are there special RSI considerations for Web users?
    * How is Web design related to RSIs? For example, can Web sites be better designed to prevent RSIs?

    You can find it on my site:
    The Facts About Repetitive Strain Injuries

    John S. Rhodes
    New e-book --- http://webword.com/ebook.html

    --


  64. Various theories as to the cause of RSI by Anonymous Coward · · Score: 0
    10) Retyping the mirabilis web address because the first twenty-two tries didn't pan out.

    9) Trying to manually macro in Ultima Online.

    8) Typing that term paper during finals week.

    7) Writing a basic program and realizing its so easy you're typing at 120wps.

    6) Staying on IRC for more than an hour.

    5) Retyping your spam mail attacks so each is different and won't be filtered out.

    4) Cyber-sex sends you over the edge.

    3) You stayed on IRC for more than twenty minutes.

    2) Trying to type flame msgs and pilot in SubSpace simultaenously.

    1) ALT-TABbing like a demon when mom walks in about to find the kinky stuff you like.

    1. Re:Various theories as to the cause of RSI by Anonymous Coward · · Score: 0

      hehe funny I agree that some tasks can "absorb" you so that you are paying less attention to your wrists than you should.

  65. The DynaBee by gregbaker · · Score: 2
    Something /.ers (and JWZ) might want to try is a DynaBee. I've never had any major wrist pains, but my girlfriend has one of these , so I tried it one day

    It's a funky little gyroscope thingy that you get going and then use the gyroscopic force as resistance for wrist excercises. It's fun, geeky and good for you!

    They claim it "is particularity effective in the rehabilitation and prevention of repetitive stress injuries such as carpal tunnel syndrome, tendonitis or 'tennis elbow'." Like I said, I can't speak from experience, but it is fun.

    Greg

  66. Sporadic twinges by YoJ · · Score: 1
    How severe should pain be before you see a doctor? I occassionally feel sore in the wrists after heavy bouts of typing (usually from typing up something due the next day). I get some sleep and rest, and the pain goes away. With my new keyboard this happens maybe once a month. Is this enough pain to warrant a trip to the doctor? Should you really have a "zero tolerance" for pain?

    -Nathan Whitehead

  67. Food for thought by blakestah · · Score: 1

    Various groups have now shown that there are substantial interactions between sensory representational abnormalities and loss of motor function in repetitive stress injuries. The emerging hypothesis is that in this most common type of dysfunction, attention and motor action cause sensory representations to become abnormal. This in turn tweeks motor feedback, which then worsens. This in turn causes further erosion of sensory representations. And so on. In the worst cases focal dystonia can result which NEVER GOES AWAY and NEVER GETS BETTER.

    Unless the underlying sensory representation is restored.

    But the bottom line is that once your hands begin to feel weird in a repetitive stress injury, continued use will lead you down the spiral towards loss of control. Stop, and take a break. And fairly soon effective sensory training will be able to reverse the negative effects of the repetitive movement.

  68. JWZ?? by Tassadar_18_2001 · · Score: 1

    Just thinking about this gives me Wristpain.

  69. I'm missing something. by Mononoke · · Score: 1
    Where's the guy that uses every chance he can get to mention his lawsuit against Mattel????

    I miss him. ^_^

    On another point: Didn't RSI injuries greatly increase at about the same time everyone started resting their wrists on wrist pads? Manual typewriters didn't have anywhere to rest. The only time I ever start to get wrist pain is when I get lazy and allow my wrists to touch the pad.

    Just use proper technique and raise your wrists.

    (Side note: This is the one good thing I've found about those crazy little 'hockey puck' mice that come with the new Macs. They work well to make you keep your wrist elevated.)
    --

    --
    NetInfo connection failed for server 127.0.0.1/local
  70. James Gosling is terribly afflicted too by Anonymous Coward · · Score: 0

    And he's obviously an emacs user.

  71. put your elbows on the table... by jkorty · · Score: 2

    My method of avoiding RSI is simplicity itself. When my mom said `get your elbows off the dinner table', I ignored her. So now, I both eat and type with my elbows up on the table. The wrists are relaxed and in a natural-feeling position, and I have no pressure being applied to their insides like those who use wristpads. Of course, you have to push your monitor and keyboard back a foot or two, which no one around here except me seems to want to do ..

    1. Re:put your elbows on the table... by JimboOmega · · Score: 1

      That's what I do, too. The only time my writs ever hurt was when I had my watch too tight, and junk over the tabe. I adapted it, though. I use the part of my arm that's not exactly my elbows, but a few inches closer to my hands to rest. Also, I lean really close to my 19" screen. I don't think that has anything to do with it, but it keeps the monitor nice and close where it belongs ;)

  72. Kinesiology is a BSc degree in human movement by DenialS · · Score: 1
    Disclaimer: My girlfriend is a kinesiologist

    I'm not sure what Jamie's chiropractor is telling Jamie, but Kinesiology (the American term is "Kinesiotherapists"), as in the Bachelor of Science degree offered by universities, is the study of human movement. As the Kinesiology page from Laurentian University explains:

    Kinesiology is the scientific study of human movement. As we move into the 21st century, society is placing more and more emphasis on technology and the scientific research that supports it. The area of Kinesiology is no exception to this trend, as the study of human movement in occupational, recreational, health, sport, and leisure environments has come under increasing scrutiny.

    The Kinesiology approach to rehabilitation therapy is very much a "use it or lose it" approach; that is, the belief that the best therapy for those that can manage it is exercise. Kinesiologists "grow up" to become rehab therapists, ergonomists, and personal trainers, among other health and fitness-related occupations.

    Kinesiology is not about weird New-Age modalities like "touch therapy"...

  73. Resting your wrists by Sesse · · Score: 1

    The best way to giving your wrists some rest, is getting some kind of good support. That way, you actually _rest_ them, instead of holding them up all the time. I think about any brand will work well (I have something called `Ergodyne WorkSmart', and it's _really_ comfortable). I think there are similiar things for your mouse, but in general, using keyboard shortcuts is what you should do anyway :-)

    BTW, I think the page was nice, although I missed some suggestions. Good support and perhaps even changing your keyboard layout (which I've proposed before here on Slashdot) are relatively cheap things that gives a lot of effect.

    /* Steinar */

    --
    (This comment is of course GPLed.)
  74. this is good for increasing circulation by devphil · · Score: 2

    Go to any ol' pharmacy and look for something called HANDEZE. It's an eight-dollar "golf glove"-looking thing with no fingers, made out of medical-grade lycra.

    It traps heat and causes friction, both of which increase circulation in the hand and to the fingers. It's no substitute for stretching and resting, but if you work in a room that can get cold sometimes, it can help reduce minor soreness.

    (Why do I have one? Well, I'm a diabetic, and we usually have poor circulation. And any doctor will tell you that poor circulation increases the damage done by RSI -- for that matter, the Typing Injury FAQ will tell you that, too.)

    --
    You cannot apply a technological solution to a sociological problem. (Edwards' Law)
  75. RSI living??? by Anonymous Coward · · Score: 0
    It does not just effect the way that you make a living. RSI will effect your whole life!

    I have been living this!

    RSI injured geek wins against Mattel, Mattel still retaliates!

    1. Re:RSI living??? by Anonymous Coward · · Score: 0

      Please, please, quit whining every 3 posts...

  76. Speech Recognition & Laptops by shariz · · Score: 2

    I have a shoulder related RSI and bought a laptop with a touchpad and Dragon Naturally Speaking Professional. The keyboard has a very light action which helps and the touchpad is way better than using a mouse. The reason why I got a laptop is that speech recognition works best in a quiet environment[1] and I like to be able to move around, and also, sometimes my talking gets distracting for people around me; and there is also the privacy issue to consider. Moreover, once you trained your Dragon its quite an investment, so your play machine == work machine.

    I use the continuous speech program to write essays and letters etc., and for coding I use the discrete speech program together with XEmacs and lots of macros. I keep diffrent vocabularies for Perl, Java, LaTeX etc. Especially Lisp is great fun to code in with speech recognition!

    This also works nicely with VNC[2], so, having to use Windows is bearable, esp since it can crash and my Linux desktops stays as it is. However, since I don't have MS Office installed, my laptop rarely if ever crashes.

    I also mud with it (a great way of training your Dragon ;) and all in all, I think I'm faster now than I was before I got ill, especially now that my hand has nearly healed up[3] and I can interleave a little typing with speaking where its handy.

    Shariz

    [1] Once your Dragon is trained, it works very well even if you have music on.

    [2] VNC is great!

    [3] I'm painfree, i.e its not keeping me awake at night anymore, _but_ if I overdo it I definitly feel it immediatly. I don't expect it to ever go away totally, but then I also think that typing a lot is unhealthy by definition -- a lot of people I know have problems, and I think that we need to get round to thinking that typing 8 hours+ a day is simply not on!

  77. Mattel is suing me for complaing about RSI! by Anonymous Coward · · Score: 1
    My site complains of my treatment after being diagnosed with tendinitis. Mattel is continuing with their retalitory countersuit even after paying over $140k in a judgment against them.

    RSIs are not usually just from posture, but is from many things combined.

    RSI injured geek wins against Mattel, Mattel still retaliates!

  78. Get a Herman Miller chair by Tet · · Score: 2
    My girlfriend suffers from back and shoulder pain which is amplified significantly if she can't sit in a sensible position when typing. After complaining to her HR department for ages, they eventually got a government inspector to come and assess her (they get a grant for providing her with a suitable chair if she's found to need it). Her conditions were considered unacceptable, and she was recommended to get a Herman Miller chair. The company forked out the money, she got the chair, and hasn't had a single problem since. The company has easily got their money back in the extra productivity it's gained them.

    We're trying to save up to get one for her at home, too...

    --
    "The invisible and the non-existent look very much alike." -- Delos B. McKown
  79. The Adesso keyboard jwz mentions... by Anonymous Coward · · Score: 0
    I have the Adesso keyboard with a trackpoint. I now hate mice for general, day-to-day pointer motion. It's really nice for everyday basics.

    Three main points about the keyboard: First, it's not the greatest construction. You can't take out the trackpoint or keys and clean, etc. I've had it for about two years, and I've already had the enter key break (superglued back on, seems ok) and one of the pop-down elevators crack. I'm starting to have problems with the trackpoint responding that are from dust accumulation. I can't fully clean it, since it isn't removable.

    Second, the trackpoint just isn't sensitive enough for accurate drawing, etc. Fine for xfig, not for the Gimp. I don't do this much, so I haven't invested in a tablet.

    The last (multi-)point is just being picky about cabling, etc. The keyboard I have (might have been upgraded, I don't know) doesn't have the logic to support both the keyboard and the mouse in PS/2 ports. You end up blowing a serial port for the mouse. And if you want a longer cable, you end up with two extension cables. A nicer solution would be for Adesso to drop the standard ending on the keyboard cable, provide a special ending to {AT & serial, PS/2 ports (with logic to support them)}, and also sell an extension cable. Proprietary, sure, but much more convenient.

    Jason, ejr@cs.berkeley.edu

    1. Re:The Adesso keyboard jwz mentions... by ccg · · Score: 1

      I'm not sure which Adesso jwz was talking about (because jwz.org is currently slashdotted), but I own the plain Adesso TruForm keyboard. I got it because it had the best layout I'd seen: a big backslash key ABOVE the Enter key; no big, stupid, L-shaped Enter key; full-size navigational keys (ever use the Home/End/PgUp/PgDn pad on a smaller-size M$-Natural keyboard? It sucks.); and the keyboard "feet" could prop up the FRONT of the keyboard instead of the back. Honestly, I do not understand why everyone has to prop up the BACK end of a keyboard; if anything, that makes the ergonomics WORSE. Why? Because people have a tendency to rest their wrists on the table in front of the keyboard. Propping up the back of the keyboard means they have to pull up their hands and fingers up even further to type, which is bad. Do this sometime: Put your wrists on the table in front of you, pivot your hands up to about 45 degrees, and lift your fingers a little. See all that stuff popping out the top of your hand? I'm pretty sure that's not good for you.

      Anyway, that Adesso keyboard is currently sitting unused in the corner of my room. The reason is that the quality is a big disappointment. In the first month I had that thing, the "D" keycap broke off. Since then, the "E" key, the "Ctrl" key, and the "Enter" keys have broken off. Be warned. I'm not so sure these bendy ergo keyboards do that much anyway. If you want to avoid hand/wrist pain, one major thing to do is just make sure you keep your hands and wrists above the table. Try to keep your wrists flat relative to your arms. My previous boss told my it's like playing the piano. This should help with typing on a normal keyboard.

      ccg

  80. QWERTY is the devil! by SuperPedro · · Score: 1

    DVORAK is the future! Why are you typing on a keyboard designed to strain you?!

    $loadkeys dvorak NOW!

    --
    Most sigs are dumb. This is one of them.
  81. Wrist-fu by slevin · · Score: 1

    I started going to Tai Chi class twice a week for an hour at a time. It is good about stretching the back, shoulders, arms, wrists, and fingers in very subtle ways. Within a month, I forgot that I ever had mouse elbow and sore wrists.

    It's also low impact. No sweat, no problem.

    AND I can now kick some ass. (At least that's what they tell me.)

  82. Pain could be caused between back & wrist too by Eric+Green · · Score: 1

    I had numbness, tingling, and pain on the outside half of my left hand. It turns out that I'd bumped my elbow against something while moving furniture and injured the nerve that runs from the neck down to the outside part of the hand. Ibuprofen and avoiding leaning on my elbows or etc., and lots of time (six weeks before the tingling started going down) solved the problem, thank god (my doctor had said if it didn't, probably the nerve had been jolted out of its channel and I'd probably need surgery), but the point is that pain isn't ALWAYS caused where it occurs. -E

    --
    Send mail here if you want to reach me.
  83. Re:Switch trigger position by greed · · Score: 1

    A friend of mine had this _other_ funny strange theory about RSI; having gotten a rather bad case of it (RSI, not theory) from trying to switch between proper piano and synth keyboards. After he wrecked his wrists bad enough to give up playing for several years, he did some research on the topic and noted one tiny little detail that he decided makes all the difference: The synth sounds at the bottom of the keystroke, and the piano sounds partway thorugh. Since he learned piano first, he was trying to drive the synth keys past their sounding point, in effect, past their end of travel.

    I've noticed a similar thing. The IBM Click-o-Matic keyboards send the keysequence partway down; so after you hear the click, you've got some (seemingly) useless key travel, which lets your finger stop without hitting something. The two keyboards I "grew up" with the most had a similar, though quiet, mechanism: the Amiga, with a weird move-the-plastic-doohickey-out-from-between-two-co ntacts keyswitch; and the CEMCORP Icon (remember that?), which had a put-a-ferrite-bead-through-two-coils mechanism. Both allowed extra travel at the end of the keystroke, but without the benefit of the tactile (and acoustic) feedback from IBM's proper keyboards. (There may be an IBM logo on this keyboard, but after just a couple of days with it I'm already feeling pain in my fingers. We hates it we do.)

    Most modern keyboards are descendents of the PET rubber-widget-hitting-a-contact-pad (okay, my history is biased) family, only without honest springs... just a stupid rubber cup that would be more at home on a remote control. Of course, the key doesn't activate until the rubber bit hits the circuit board; and you've got all that inertia to do something with. (And so many of these have weak contacts... so you almost have to smash at them. That's fine for the junk-shop special on the router, but has no place on a serious keyboard.)

    The point being: No matter how you hold your wrists, if you smash your fingers down on a hard surface all day, your hands are going to hurt.

    Rubber-dome keyboards: Just Say No.

  84. building strong, healthy fingers and spine by TheDullBlade · · Score: 2

    IMHO, the best way to avoid RSI injuries is to build up strong fingers and wrists.

    I wrote an article on how to accomplish this for another story here.

    BTW, for spine health I recommend bridging and proper posture (shoulders back, head back, chin tucked, back straight; many bad slouch-encouraging chairs become excellent chairs with the addition of a small cushion behind your hips and lower back, and of course your monitor should be at eye level). Also, deadlifts rule as a whole-body exercise for rapid and dramatic results.

    The easiest beginners bridge is to lie on your back with your feet flat on the floor (obviously you have to bend your knees for that), and just raise your butt up off the floor. This works the buttocks, thighs, and lower back, but not very much. A more advanced and productive bridge is to start in the same position, and bridge up on alternate shoulders, striving to roll yourself over that shoulder (if you actually do roll yourself right over, stop that! ^_^' I mean hug something heavy across your abdomen, like a big sack of potatos or a duffle bag full of books).

    Another extremely useful "bridge" is the dand, a staple exercise of Indian wrestlers. I recommend that it be done rather than any sit-up or crunch. You get down on all fours with legs and arms straight and your butt up in the air, then alternately push forward, arching your back and neck while lowering your butt, and pull backward, curling your abs and chin in while raising your butt. A useful advanced variant is the judo pushup (mostly for more emphasis on the shoulders and arms) which resembles a dand except that in the "arching" phase you bend your arms and knees to put your nose to the ground, rub it along the floor (well, actually you'd be 1/2 inch above it or so) for as far as you can reach, then straightening your arms and arching your spine before doing the normal dand curling-up phase. Just do as many dands as you can every second day and you'll have a spine like a teenage gymnast when you're in your eighties.

    Neck bridges are incredibly useful, not just for your neck but for the length of your spine, but you must be very careful, especially when you are starting out. Remember to warm up carefully: bridge to the front first, putting your forehead on the mat and supporting most of your weight on your hands (and keep your knees off the floor). Gently and slowly rock back and forth, going a little further each time until you finish by stretching your neck with your nose to the mat, then your chin to your chest. Very gently stretch to the sides, too; this is the most dangerous part, take extra care to control the weight with your arms. Now get up and bridge to your back; use your arms to lift yourself into and out of position and also to control the weight on your neck (after a few weeks or months you may become strong enough not to use your arms at all, like a wrestler, but be very cautious at all times). Arch straight back as hard as you can (but with careful control), straightening your legs and turning your body into a wheel that can't quite roll over, then relax and bend your knees to return to the starting position. Once you are strong in this movement you will go so far that your nose touches the mat. Repeat this arch ten or twenty times, then arch once more and see how long you can hold it. After than, do another front bridge and rock back and forth again to finish off your neck, gradually using your arms for support more and more as your neck tires, finally finishing with one last four-way stretch like you started with.

    Finish the exercise for your neck with some standing exercise: apply manual resistance as you tilt your head towards the shoulder, first one side then the other, then with no resistance turn your head alternately to the right and left as far as it will go. Having pre-exhausted the major muscles of the neck in its strongest movement, these exercises strengthen the neck in its other movements.

    You can also do gymnastic bridges (back bridge on hands and feet with legs straight as possible), but these are more of an extreme stretch than anything, and I don't recommend them.

    BTW, if you do many exercises for the front of your shoulders and chest, your shoulders will start to pull forward and ruin your posture because of muscle imbalances. Remember to stretch your shoulders and chest. You must also balance the muscle development out with upper back strength: lying on your back, grab hold of something above you (some chairs work, or a rope around a table, or a friend can stand over you and you can hold his arms) and pull yourself up, with your grip at shoulder width and your palms facing up.

    ABTW, use a nice soft surface for head bridging (duh).

    One more thing, make sure your spine is straight when you sleep. IMHO the best sleeping posture is flat on your back on a firm bed with your feet raised (supported behind the calves) and a very small pillow moulded around your neck (and, for some people, a very small thin cushion, such as a folded towel, under your lower back). Sleeping on your side is good in a fairly soft bed with two pillows and a third pillow between your knees (especially for women, the wider your hips, the more important that pillow is), but this can easily lead to shoulder problems, especially for men with broad shoulders.

    --
    /.
  85. Re:Tips by Anonymous Coward · · Score: 0

    Some more anecdotal advice as a followup.

    My RSI was caused by overuse of the keyboard and mouse with inadequate rest, added to this a dose of bad posture. Your body repairs the stress that it goes through while doing everyday activities while you sleep. If you don't get enough sleep, your chances of getting RSI will likely increase.

    So how was I typing? I was typing or mousing with my wrists touching the table or wrist pad, and doing so with my arms either extended while I slouch over the desk or me laying far back in my chair. Your nerves are close to the surface of your skin near your wrists and your elbows. It is thus important to not put any pressure on these parts of your body. Note RSI affects the soft tissue parts of your body, and unlike an acute injury such as a tendon or muscle break, the soft tissue require a lot more time to heal, simply because they're used all the time. Most people who have RSI don't even want to think about turning a doorknob. Don't even think about what happens when a nerve gets damaged. Your wrist pad should only be used when you're not typing--but it is safe to say if your wrist pads have marks on them, you're not using them properly. And when you're typing or mousing, your hands should float over your keys, and not reaching for various keys--especially doing stuff like typing Ctrl-T/Shift-6 with one hand. I want to add that my chair at work also has a linear tracking arm so that my forearms (where the nerves and tendons are tucked in further than near the wrist or elbow area) may rest and they facilitate this floating movement while typing. Without added pressure points, blood flow is maintained and you will avoid having cold hands when working on the computer. If your hands are cold, inadequate blood circulation will not carry the "waste" blood your body creates while it exerts energy, to be replaced by fresh oxygen-rich blood.

    I find it helpful to type/mouse for 20 minutes and rest for 5-10 minutes. Varying your work schedule so that you're not typing a lot. Do some paper work, print out code and analyze it on paper. Walk around. Stretch your hands, wrists, forearms, neck, and shoulders.

    I sometimes find that some cross-frictional massage helps. This technique is used by athletes who row in competition. Your muscle fibers are laid out in strands. Cross-frictional massage goes against this grain to help free hardened muscles that are overused. Note it is easy to over stretch and massage. Like everything, one shouldn't over-do something.

    Currently, I am more aware of my body as it has become more sensitive to the stress it has experienced. But once I overstress my arms and hands, its repercussions do not manifest themselves immediately, which can be quite frustrating.

    On the whole, I would say by keeping good blood circulation via cardiovascular exercies and adequate rest along with good posture will help RSI victims or minimize RSI's impacts for most people.

    There are other topics which merit discussion such as avoid shallow breathing, and relax your shoulders (my tracking arms help level my shoulders). Proper ergonomics definitely help. The worst advice anyone can give you if you feel symptoms is put some ice on the problem spot and take some ibuprofin (anti-inflammatories). This advice is a laundry list that will not help in the long run. If you don't change your habits, you can kiss your career goodbye.

  86. FULL OF SHIT!!! by Anonymous Coward · · Score: 0
    I had my second surgery for this on Tuesday!

    For you to say this tells me that you don't have a clue as to what you are talking about!

    If you sprain your ankle, do you still run on it?

    If you want to learn more, read my site

    RSI Injured gee wins against mattel, Mattel still retailiates!

  87. Re:Tips by Anonymous Coward · · Score: 0

    I have access to a typing monitor program that works under HP-UX but it will not function under FreeBSD 3.2 because /dev/keyboard isn't updated whenever the keyboard is used. /dev/mouse does get updated whenever the mouse is used. Does anyone know how to fix this problem?

  88. Dvorak and both shift keys by Jaeger · · Score: 1

    This is probably a Pandora's box we don't want to open, but I did take the opportunity provided by learning Dvorak to program myself to use both shift keys. In QWERTY, I used only the right shift key, but I started using both after I switched layouts. (I love Dvorak, but let's not go there at the moment. It helps to have a privlaged login to the local computer lab so I can change keyboard settings when necessary...)

  89. Don't type.. punch the keyboard! by MikeFM · · Score: 1

    Ok maybe punching would be a bit much but the way I type is to use my shoulders and elbows a lot to take the stress off using my wrists for the same motion. With practice you can type just as fast with much less stress and hey you get a good workout. The only downside is keyboards tend to wear out pretty fast. Or try my new solution and don't type so much. :)

    --
    At what price learning? At what cost wisdom? The price is a man's peace of mind, and the cost is his life.
  90. Was a genius. by Anonymous Coward · · Score: 0

    ... or maybe he uses vi mode in emacs?

  91. Anti RSI hand tricks by Anonymous Coward · · Score: 0

    1) Drop arm parallel to your body, palms forward. 2) Press elbow to ribcage. 3) Bend arm at the elbow to make a 45 deg angle. 4) Put fingers together, hand flat, palm towards your face. 5) place the middle and index finger of your *other* hand across the second knuckle-joints of your hand attached to the arm that is mentioned in (1) through (3). Now, slowly push down with your middle and index fingers, slowly increasing the tension on the tendons in your other arm. A new angle is created between your wrist and your fingers. Slowly push down, increasing pressure until comfort is tested. do this for a few minutes at the end of every work day. as time wears on you will be able to push your hand back more and more. this stretch helps prevent CTS and also increases the most important stamina that a person can have... Typing stamina -johnny waters

  92. Anti RSI hand tricks by Anonymous Coward · · Score: 0

    1) Drop arm parallel to your body, palms forward.
    2) Press elbow to ribcage.
    3) Bend arm at the elbow to make a 45 deg angle.
    4) Put fingers together, hand flat, palm towards your face.
    5) place the middle and index finger of your *other* hand across the second knuckle-joints of your hand attached to the arm that is mentioned in (1) through (3).

    Now, slowly push down with your middle and index fingers, slowly increasing the tension on the tendons in your other arm. A new angle is created between your wrist and your fingers. Slowly push down, increasing pressure until comfort is tested.

    do this for a few minutes at the end of every work day. as time wears on you will be able to push your hand back more and more. this stretch helps prevent CTS and also increases the most important stamina that a person can have... Typing stamina

    -johnny waters

  93. Not just limited to computer keyboards by The_Jazzman · · Score: 1

    Whilst on the subject of RSI and computer keyboards, there is something that I have noticed in my piano playing :

    I like to play jazz piano, I mean *lots* of jazz. Anyway one of the pieces I really like to improvise around is "Take Five" by Paul Desmond of the Dave Brubeck quartet. The piece has a difficult left hand riff which involves constant stretching over the notes. Whilst I am doing this, the left hand is constantly stretched hard.
    Now I carry on improvising for a good twenty minutes. I get up and my left hand is really throbbing... fair enough, lactic acid and the like.
    However, after learning this piece for a week, playing twice a day kind of thing, my hand and stretching right up to my arm would really ache. We're talking real noticable pain here.

    It took me a good few weeks to link the two.

    D'oh.

  94. And now we learn to spell joke. J-O-K-E. by ph43drus · · Score: 1
    Hmm, why does this always happen on /.?

    I would like to point out that he was being funny. I got a good chuckle out of that, and damnit, I'm a sufferer too. I'm fighting my own fight against RSI (and I'm 17, sucks to be me).

    Anyway, reread it, see the authors attempt at humor, have a chuckle. Have a nice day.

    Jeff

  95. Mouse and wrist pain by nathanroberts · · Score: 1

    I was experiencing pain in my right wrist for several months, sometimes severe pain. I didn't think it was from typing, since it was only affecting the one wrist, and it seemed to get worse after using the mouse for a while. Finally I moved the mouse to the left side of the keyboard, changed the settings in the OS, and started learning how to use the mouse left-handed.

    Now I can use the mouse with my left hand as well as I could with my right, and the pain hasn't been bothering me since. But I'm online a lot (especially in IRC) and do a lot of typing, so I won't be surprised if my wrists start bothering me again eventually :/

  96. No calls from the Tonight Show. by Anonymous Coward · · Score: 0
    I didn't see the humor in this. On mywebite, I had gotten the same type of feedback.

    The CEO threatened to sit on my arms because I was not typing fast enough. My ex-manager at (Mattel/MSI/TLC) monitored my internet usage from home, followed me around the office, complained about taking time for treatment. So forgive me if I lack a sense humor. Maybe it's the pain from the surgery getting to me.

    RSI Injured gee wins against mattel, Mattel still retailiates!

  97. RS/6000 keyboards by Mr+Donkey · · Score: 1

    My hands are getting strained and tired of having to lift my hands off the 50 lb original IBM keyboard to move the mouse around.

    So I was wondering, are there any alternative keyboards available that can be used with a POWERstation 370?

    It would be even better if I could use a combination keyboard/mouse.

    It looks like the connector on the box is a PS/2 jack, but I wasn't sure what would happen if I attached a combo keyboard/mouse from a PC.

    Thanks for any help

    --
    -----Transmission Complete----- If you want to email me...Don't
  98. Hmm by Anonymous Coward · · Score: 0

    If my initials are ESR or JWZ, all shits I send to /. will be posted? Interesting.

  99. Get some exercise! by JMax · · Score: 1

    I have had on and off near-debilitating pain and stiffness in the mouse hand and forearn for a year or so, but I have now found a physiotherapist who has (correctly, I think) identified the problem in an imbalance of muscules in my right shoulder, which ends up pinching nerves and causing all kinds of havoc in my arm.

    Stretching, limbering up, and getting some muscle tone back in the shoulderblades is working wonders.

    Remember, geeks, your hands are not the only muscles in your body!

  100. Maltron keyboard by Anonymous Coward · · Score: 0

    I just want to tell that the Maltron keyboard has helped my wrist problems. But don't choose their special layout, as it is not better than QWERTY, in my opinion Kim0

  101. It MAY NOT be RSI by hedgehog_uk · · Score: 2

    My cousin had severe wrist/hand pain and was diagnosed & treated for RSI. This did not work and eventually she was referred to a consultant who told her that it was her back/neck that was causing the pain in her wrists. Since being treated for this, her pain has got better. So not all wrist pain is RSI.

    Someone mentioned stretching exercises. I would also highly recommend these as they do seem to help enormously with this kind of pain. Stress also seems to increase pain, so do some stress-reducing activities too.

    HH

    --
    Yellow tigers crouched in jungles in her dark eyes.
    She's just dressing, goodbye windows, tired starlings.
  102. Change the mouse / use keyboard more by TomR · · Score: 1

    3 years ago I had severe pains for 2 months due to PowerBuilder "programming" (clicking to death).
    Then I changed to this mouse: http://www.animax.no/

    Worked wonders for me.

  103. Some tips from a healed typer by robinjo · · Score: 2

    I had arm problems four years ago. I got them about once a year and they lasted for a month. I never knew what caused them and what helped. I just knew that I'll heal. Until the last time of course when I got it twice a year and it lasted 3-4 months. Even when I rested, it just didn't heal and I grew desperate after doctors couldn't do anything.

    In the end a doctor told me: "What I find in you is not really anything. But if resting doesn't help, then how about using your arms?" He told me to start working again, do some heavy with my arms and exercise. Needless to say that I was shocked.

    But I tried it. I started throwing the shot put and my arms did heal in a few days. Since then I've been doing weight training regularly and haven't had any problems whatsoever.

    Here's what's bad to your arms. If you have a wrist support in front of your keyboard, don't rest your hands on it when you type. That way your arms are not moving enough. I nowadays put the rest under the fron of the keyboard so that it's impossible for me to rest my arms on anything while typing. Also don't be too careful to type. Our arms are made for heavy work, so they don't take small repetitive movement as well.

    But I can't stress enough how important it is to exercise. If you just sit by the keyboard all day and don't do any sports, your muscles are going to get smaller until you get problems. If you exercise and have stronger muscles, your arms are going to take anything. You can see it in the construction workers. Their work contains a lot of repetitive movements but they don't have arm problems like we do.

    Now, if you do have bad pain already, don't run to abuse your arms by typing along. If you can take heavy housework, do it. But talk to your doctor about this first as your case may be worse than mine was. And all you healthy ones, go lift some heavy weights to keep yourself healthy.

  104. This spells trouble by robinjo · · Score: 2

    Well resting your palms when you type is a definite no-no. Your arms are not getting enough movement and the blood circulation is bad. Also you risk getting CTS because of all the static movement that your finger movement causes on the carpal tunnel.

    Resting your elbows is ok, though. But don't restrict the natural movement of your hands.

  105. Here's the solution! by Anonymous Coward · · Score: 0

    I just type with my toes. No more wrist pain!

  106. 6 degrees of separation by joefission · · Score: 1

    Only 6 posts separate a carpal report from a masturbation joke. Neat, 6 degrees of freedom are found in a lot of joysticks. Damn you Eris, what happened to 5?

  107. Exercise by Malachi · · Score: 1
    I have gone through some serious wrist pain activities, up to the point where I would awake in the middle of the night clutching my wrist. The pain was overwhealming. The only thing that aided it to fade away and now is gone was an exercise regiment. Start light, go for toning, then move up to free weights, the stress and stretching that is caused within those ligaments aid to building stronger fibers. I also suggest items like Glucosamine/Chondroitin Sulfate, which is a cartalidge(sp?) builder, which may have indirect causalities for why your pain is there.

    Malachi

    --
    "Life is all about strategy, mathematics and psychological perceptiveness."
  108. This device saved my wrists. by gruber · · Score: 1

    About four years ago, I was suffering through terrible wrist pain. I was working days on a computer-tech internship, and at night, I was editing and writing for my college newspaper. Mondays through Thursdays, I was often at a keyboard for over 12 hours a day.

    I was definitely scared, because I did some research and I realized how bad things could get for me if I didn't make some changes. I started stetching and taking timed breaks, and perhaps most importantly, began taking my hands off the keyboard whenever possible.

    Also, and this was tough, I gave up playing computer games.

    The next two years, things went pretty well. I had occasional pain, but never as bad as at the peak. Then, in summer 1997, I bought a ComforType keyboard gadget.

    It changed my life.

    What it is, is a tray for your keyboard with two sliding arms in front. On each sliding arm is a contoured pad for your hand. You rest your hand on these pads it feels like they're floating over the keyboard.

    Yes, it looks a bit silly, and it's not cheap (about $200). But it fucking works like magic. You know how they say you're not supposed to rest your palms on the desk or even on a wrist rest? Nice in theory, but impossible for long sessions at a terminal, in my experience. This is what the ComforType does for you.

    It took me less than a day to get used to. It works on standard keyboards. And I have had no wrist pain for two years, despite using the keyboard more than ever.

    I know $200 sounds like a lot for a goofy-looking gadget, but I'd pay twice that to replace mine if I needed to.

    - Gruber

  109. Re: Quake by SpringRevolt · · Score: 1

    Yep. Quake is the thing that did me too. Sustained playing for 2-6 or so hours 3 or 4 times a week really started to tell on my fingers and wrists (up till then I had been touch typing for 10 years or so). After that I got pain every day for about a week even after only about 1/2 hour game. Not really got back into it... Wondering if I should now we have Q3A...