Live data from Hacker News

Ask HN: Does anybody else get bad carpal tunnel/RSI? Any tips?

news.ycombinator.com

11–20 of 21 posts

Re: Ask HN: Does anybody else get bad carpal tunnel/RSI? Any tips?

#12
post #11

Used to have it really bad then started doing more pull-ups and push-ups to strengthen the forearm muscles. While I still have occasional discomfort, the pain has disappeared.

Same here. As soon as I started a basic weightlifting program, my mild pain disappeared.

Re: Ask HN: Does anybody else get bad carpal tunnel/RSI? Any tips?

#14
Right-hand-only pain is likely to be mouse-related rather than keyboard-related (assuming you mouse right-handed). Try different pointing devices and see what feels best for you. I switched to a trackball (currently a Kensington "Expert Mouse") years ago at the first sign of pain, and haven't had any trouble with my mousing hand since. (I also use a Kinesis keyboard, and highly recommend it especially for emacs users to move the modifier keys to your thumbs)

Re: Ask HN: Does anybody else get bad carpal tunnel/RSI? Any tips?

#15
1) Go to a doctor, and get diagnosed as to how bad things have gotten. You catch it early, and you just change behavior. A little later? Cortisone injections. Too late? Surgery that may cripple you. 2) Get your doctor to get you to a physical therapist that specializes in this. When I did mine I was in Silicon Valley and they were everywhere, but where you live YMMV. 3) Listen to the physical therapist and do what he/she tells you. ignore everybody else here.

For me, my #3 was "Code only, exclusively, and forever on a Kinesis Ergo or Maltron Keyboard, and never, ever, ever, for any reason, use a mouse; only a Logitech Marble Mouse". That might be the right story for you. It might not. My particular problems are with the messed up way I type on a flat (or flat-ish) keyboard, and wrist pronation from bad mouse usage.

Here's the thing: My Symptoms Are Useless To You. As much as this thread could turn into 50 people recounting their RSI stories, it's rubbish to you. Follow my #1, #2, and #3, and you'll be fine. Ignore any of them, for any reason, and you may cripple yourself.

There's a time and a place for "Ask HN". This isn't. This is a time a place for "Ask a bloody Doctor".

Re: Ask HN: Does anybody else get bad carpal tunnel/RSI? Any tips?

#16
I notice it starts to come on from time to time. Starts with dull pain in the outside area of my wrists (wrist/arm juncture on the pinky side of the hand).

Icing at night works wonders for me. RSI can be due to inflammation in the tendon sheaths. Put an incepack (I wrap my in ace bandages to keep them on) for 15 minutes every couple of nights. Don't ice too long, don't let the ice touch your skin, or you'll risk some cold burns.

Re: Ask HN: Does anybody else get bad carpal tunnel/RSI? Any tips?

#17

1) Go to a doctor, and get diagnosed as to how bad things have gotten. You catch it early, and you just change behavior. A little later? Cortisone injections. Too late? Surgery that may cripple you. 2) Get your doctor to get you to a physical therapist that specializes in this. When I did mine I was in Silicon Valley and they were everywhere, but where you live YMMV. 3) Listen to the physical therapist and do what he…

This is precisely what I came to post. I average 60 WPM for 4 hours a day straight on some days, so I inevitably get it but not as bad as most.

I'd go as far as to say stop what you're doing and move away from the keyboard, make an appointment to see the doc. Every second the poster is here they're just exacerbating the problem.

Re: Ask HN: Does anybody else get bad carpal tunnel/RSI? Any tips?

#19
Update: thanks for all the comments, absorbed a lot of info.

This post was v interesting:

http://aaroniba.net/articles/tmp/how-i-cured-my-rsi-pain.htm...

check if out if you haven't read it. I am ordering the book today.

The author of that post talks about a pain that is difficult to distinguish from a sprained wrist or ligament damage. Mine is very different - it is a numb sensation that has a tendency to move around from the wrist, elbow and up into the shoulder.

I ended up going to emergency and getting a cortisone shot, which helped a lot. What I found out that RSI is a cause, pain or numbness are the symptoms, but the root problem can be any number of things. It is best to get it properly diagnosed by a doctor and there is a bit of trial and error involved. At the moment the cortisone is simply treating the symptoms.

I also found that rest doesn't help. I had the flu for 3 days earlier this week and I worked very little during that time - but the pain persisted. The first signs were a week ago but it really flare up last night and today. It was the worst only a few hours after getting back into work after being ill.

I adjusted my ergonomics a while ago - I went from constantly being in a leaning back and feet up position with keyboard on my lap to having my feet planted, arms straight etc. Changing this still didn't prevent the most recent flare-up.

Thanks again for all the info, comforting to know that there are a lot of other ppl who experience similar problems and a lot of people have experiences that they shared.

Re: Ask HN: Does anybody else get bad carpal tunnel/RSI? Any tips?

#20
I had some issues that I localized to my right index finger. I apparently click a lot. So my mouse was the main issue.

I did end up buying a MS ergonomic keyboard which I liked, but ultimately, a new mouse is what was the best solution for me.

http://www.amazon.com/3M-Ergonomic-Mouse-SMALL-MEDIUM/dp/B00...

(note it comes in large also). I tried a couple of other designs, but I liked the 3M one the best. It's weird at first, but works well. Thumb for left/right click. I also use the button that's on the stick for scrolling. It's sort of a grab and scroll motion, that works really well. I had to use a utility to implement it: http://www.marcmoini.com/sx_en.html

Post reply on HN