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Ask HN: How do you prevent nerve injuries from computer work?

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Ask HN: How do you prevent nerve injuries from computer work?

#1
Hello HN,

Long hours developer for ~8 years here. And "computer worker" for maybe 15 years.

So, as for many of you I guess; fingers, hands and wrists are indispensable and amazing tools.

Maybe like some of you as well, I sometimes get strange feelings (tickling, tingling, sometimes pain, not sure of the proper words) in my fingers, wrist, elbows, nerves. And it scares me.

Have you found good and sound exercises, habits, or things to do to prevent injuries?

Carpal Tunnel Syndrome and such scare the shit out of me!

Re: Ask HN: How do you prevent nerve injuries from computer work?

#3
Regular breaks help (but your boss may not like that). Luckily I work from home with no 'tattleware' installed so they can't spy on my working habits. I also have two 'Spring Grip' fitness tools for building strength in my hands. Vertical mouses help too, aswell as a really good keyboard you enjoy using. I prefer the Apple low profile/short travel wired keyboard.

Re: Ask HN: How do you prevent nerve injuries from computer work?

#5
I try to make sure I have the best equipment. (So a comfy ergonomic keyboard, and a good mouse.) When my hands started hurting with one mouse, I switched to a different one. (Basically, just using a different set of muscles for mouse clicks.)

But maybe that's the most important thing: paying attention to your body, and if it hurts, stop, and try to figure out what you're doing. (90% of the time it's a posture thing -- so I can solve it by not sitting in that particular posture.)

If you don't sleep well, you can end up slumping in a bad position which leads to arm pain. So: sleep well. Make sure you eat enough and have enough muscles built up to sustain a healthy posture. Things like that.

Re: Ask HN: How do you prevent nerve injuries from computer work?

#6
Personally, having an ergonomic workspace works the best for me. I used to get pain in my neck, shoulders, wrists, and even the joints in my hands. Everyone is different. Here is what I recommend and do myself.

* Get a good chair. I bought a secondhand Herman Miller Mirra chair from an office furniture liquidator.

* Buy a sit/stand desk. I have one and while I rarely use it in the standing configuration, the easy control over the hight of my desk is very useful.

* Go tenkeyless. Full-size keyboards require you to move your arm to reach the mouse and put force you to work in awkward positions. For me, getting a Kinesis Advantage2 LF keyboard was the most important improvement I made. I can never go back to any other kind of keyboard now. I also bought an external tenkey pad that keep on the left side of my keyboard to minimize arm movement.

* Use a trackpad instead of a mouse. This might not apply to everyone, but I tend to grip a mouse too firmly and it causes pain in my fingers and wrist. I tried a Logitec trackman, which is an improvement, but I get pain in my thumb. What works best for me is an Apple Magic trackpad.

* Do you work on on monitor and have it sitting directly in front of you. Make sure it is adjustable. Extra monitors mean you have to turn your head to use them. I use my laptop display as an extra monitor and only put things that I check infrequently and need to interact with little on that display while working.

* This one might be unpopular, but learn the VIM keybindings and use them in your IDE. This will reduce how often you need to use the mouse once you get the hang of it.

Last but not least, work from home. Every employer I have had, big and small, had sorry excuses for ergonomic office equipment. Getting something better always seems to involve some kind of political drama. I'm much happier with my personal equipment that suits my needs.

Re: Ask HN: How do you prevent nerve injuries from computer work?

#8
Frequent breaks is probably #1 for me.

With regard to hand and forearm RSI, I have found that experience with a piano helps encourage good form. It's also a fantastic way to take a break from coding.

Heavy weight training is probably also a good idea. The human body is 1 big system. Deadlifts and squats will do wonders for weird pains everywhere.

Re: Ask HN: How do you prevent nerve injuries from computer work?

#9
post #6

Personally, having an ergonomic workspace works the best for me. I used to get pain in my neck, shoulders, wrists, and even the joints in my hands. Everyone is different. Here is what I recommend and do myself. * Get a good chair. I bought a secondhand Herman Miller Mirra chair from an office furniture liquidator. * Buy a sit/stand desk. I have one and while I rarely use it in the standing configuration, the easy con…

OP this is the way. I’ve landed on all these same things. Will add a few more that you can’t buy , but should do to stay healthy: 1. Immediately attend to discomfort. This is your body telling you it’s hurt. Trying to power through it is going to risk more injury. Once you’re hurt the road to recovery is long and prone to re-injury. 2. Take breaks. Do some light stretching before and while you work. Less intensive, but more frequent gentle stretching has worked better for me. 3. Drink water. Take it easy on caffeine and booze.

Inflammatory response is complex. Do everything you can to avoid it. In my experience, long term use of anti inflammatory drugs won’t heal you and will cause other problems.

Re: Ask HN: How do you prevent nerve injuries from computer work?

#10
I hate to give specific product recommendations because it is very shill-like but: "ELECOM Relacon Handheld Trackball Mouse." [0]

So table-top trackball mice aren't uncommon, and they often come up in these discussions just like "joystick"/Vertical grip mice. I've used both. The main problem with table-top trackball or vertical mice is that they keep your arm and most of your wrist in a similar position only offering mild mitigation.

Where the Relacon shines is that you can keep your hands by the side of your body, and you can use it while standing using a standing desk. It is a completely different body position than a traditional mouse and because it is so different my body feels like I get actual time to HEAL rather than just delaying symptoms.

Like most trackballs it will take you a couple of days to be fully productive with it, and you might need to adjust the speed. In terms of what buttons it has onboard it is fantastic: Browser Back/Forward, a fully functional scroll wheel (inc. click), media keys, and oversized L/R.

I will add that the battery-compartment cover does indeed suck and the stand isn't anything. But otherwise, it is great, and batteries last for months. I'd buy another if it broke tomorrow.

The only other pro-tip I have is: Learn to use your mouse with your non-dominant hand. Then keep switching back and forward every week. It took a while as a righty to use it with my left hand, but now I can switch whenever I wish. YMMV.

PS - And other Handheld Trackball mice exist, you just have to sacrifice something (e.g. no scroll wheel, no back/forward buttons, etc) or the trackball is in a really unnaturally placed. I don't feel like I'm trading anything to use the Relacon.

[0] https://www.amazon.com/gp/product/B08GSCC8RX

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