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How I Cured my RSI Pain (2010)

aaroniba.net

51–60 of 83 posts

Re: How I Cured my RSI Pain (2010)

#51
The cycle is like this:

1. Pound away at the keyboard indiscriminately for years, no pain 2. Pound away, start to get pain but it goes away after some off time (could be as little as a night) 3. Pound away, get pain but it goes away after extended rest time 4. Pound away, the pain never really goes away, it just subsides.

It is much like the straw the breaks the camel's back, the frog in a boiling point of water - what you take for granted (the ability to input your thoughts into a machine) might not always be toll-free.

If you get pain, stop. Don't be macho or in denial. Go out and do some whole body exercise like swimming (http://totalimmersion.net rocks)

-Someone who has residual pain of 3 on a scale of 10, with spikes going higher. I've become very efficient and have long ago since started diversifying out of programming.

Re: How I Cured my RSI Pain (2010)

#52
I am unsure this book's claims are correct, and I still remain skeptical. But one epiphany I had in dealing with my recent RSI is that it does make me worry — quite a bit in fact. Programming is not only how I make a living, and also a hobby and my future life as a grad student. Having it all be at risk because of RSI makes me incredibly stressed. Previously when I've had RSI, it's gone away after a week or so. Now I'm the most stressed I've ever been about it because it just hasn't gone away. I don't think it's so odd to suspect that there is a psychological component (and now that I am aware of it I am addressing this it from angle more). There's an unlimited positive pain feedback cycle, which could explain the persistence. I could see some sort of process where RSI's origination is physical (overuse, definitely was in my case) but its lingering is a function of stress.

This article also made me realize that it is silly for skeptics to use the placebo effect (a purely psychological effect) to attack pseudoscience healing crap, but then dismiss psychological explanations for pain. If the mind can limit pain through the placebo effect, why is it so suspicious the brain can cause or continue pain?

Re: How I Cured my RSI Pain (2010)

#53
I won't begrudge anyone who finds comfort in this "mindbody" stuff. If your pain is gone, good for you. But I really really hope you folks won't take away the wrong lesson and assume that all RSI is mental. It's not.

Overcoming my own physical pain was tough, but I eventually conquered it. Here's what worked for me.

* I learned to type Dvorak. Since learning how to type on a C64 at the age of 3, my typing form has always been terrible. If nothing else, Dvorak taught me how to put my fingers in the right places.

* I picked up a split-in-two-halves keyboard. The right half of the keyboard is rotated counter-clockwise to address the extreme ulnar deviation in my right forearm (following an old injury).

* It's also nice, with these broad shoulders, to spread out the two keyboard halves. This helps a lot with my neck and shoulders.

* I tented that keyboard to ease pronation in my wrists. I started at about 70 degrees (almost fully vertical) and eased down to 15 degrees over time.

* I grabbed a vertical mouse to match my vertical-ish keyboard.

* I stopped leaning my head toward the screen. Huge help for my neck.

* I started using a sit-stand desk. This is a great way to "take a break" without actually taking a break.

Some other important observations.

* Being in good physical shape reduces all my RSI problems/risks across the board. When I'm fit, I can type in any awkward position for days without pain. When I'm fat, I get RSI just thinking about my keyboard. Being fit at the moment, all my new equipment and good computing habits are making me far more productive.

* Good sleep and good food also help. Sometimes I lose focus and slip back into bad habits when I'm in a cheesesteak coma, for example.

It may be possible to fix your RSI physically if you pay really close attention to what your body is telling you, and earnestly experiment with possible solutions. Some big organizations in SV have ergo labs where you can go test out equipment for free. Use that resource if you can. Do what you must, but don't discount the physical solutions.

Re: How I Cured my RSI Pain (2010)

#54

I won't begrudge anyone who finds comfort in this "mindbody" stuff. If your pain is gone, good for you. But I really really hope you folks won't take away the wrong lesson and assume that all RSI is mental. It's not. Overcoming my own physical pain was tough, but I eventually conquered it. Here's what worked for me. * I learned to type Dvorak. Since learning how to type on a C64 at the age of 3, my typing form has al…

What vertical mouse did you use? I ended up settling on a rollermouse along with the split keyboard.

Re: How I Cured my RSI Pain (2010)

#55
post #22
post #15

Claims to be sceptical but then: "The first medical specialist I consulted was a chiropractor" Chiropractic was founded by magnetic healer, D.D. Palmer. Magnetic healing is also a pseudoscience but less people take it seriously.

He also promotes this book: http://www.amazon.com/4-Hour-Body-Uncommon-Incredible-Superh... If you look at the reviews you'll get a better understanding.

Indeed, it doesn't look good. I don't know how you can be skeptical but then also try chiropractic and acupuncture (without trying a lot of other stuff)

The wikipedia talk page is interesting.

Here's my personal story about how I conquered my RSI: stopped using Emacs. It helped that I moved from a developer to a sysadmin role.

When I do occasionally use Emacs, it's with viper mode.

Re: How I Cured my RSI Pain (2010)

#57
I was also very, very skeptical about this. But I have to say, it worked for me. I read this book in desperation after learning Dvorak, getting a fancy Kinesis keyboard, and getting expensive physical therapy (massaging of my forearms, hand strengthening exercises) to no effect. I repeat, no effect.

I don't know what else to say. It still sounds like bullshit to me, but it worked when all of the other methods did not.

Re: How I Cured my RSI Pain (2010)

#58

I won't begrudge anyone who finds comfort in this "mindbody" stuff. If your pain is gone, good for you. But I really really hope you folks won't take away the wrong lesson and assume that all RSI is mental. It's not. Overcoming my own physical pain was tough, but I eventually conquered it. Here's what worked for me. * I learned to type Dvorak. Since learning how to type on a C64 at the age of 3, my typing form has al…

What vertical mouse did you use? I ended up settling on a rollermouse along with the split keyboard.

I'm using a left-handed Evoluent VerticalMouse 2. They skipped the leftie in the third generation, but it's back for the newer VerticalMouse 4. I may need to check that out.

http://www.evoluent.com/

My keyboard is the Kinesis Freestyle (with VIP attachment). To get the 70 degree tenting when I started, I welded together my own stand from old door hinges.

http://www.kinesis-ergo.com/freestyle2.htm

How do you like the rollermouse? It's a bit weird for me given how far apart I like to splay my keyboard, but I've always admired the general idea.

Re: How I Cured my RSI Pain (2010)

#59
My experience was almost identical to the author's. As improbable as it sounds, reading the book and following it's advice completely eliminated my RSI pain after 3 years of dr visits (steroid cream), physiotherapy (tens, ims, massage, art, etc), and every ergonomic input device I could get my hands on failed to help. My RSI was starting to bother me even when I wasn't at a keyboard, to the point where it hurt to drive. I'm the last person I would have ever expected to use some "new age" treatment, yet as soon as I started to read the book, my pain lessened and was 100% gone within a month. I strongly agree with the author's premise about emotions playing a role in this, and in my case the onset of RSI corresponded with a very stressful time in my life.

Maybe this won't be the case for you, but it certainly was for me. I can once again type on a normal keyboard all day with no pain. 2 years ago I would have never believed this possible. If you're in a similar situation, you should give it a shot. It costs nearly nothing, and has helped many people (read the book's reviews on Amazon).

Re: How I Cured my RSI Pain (2010)

#60
Many years ago I suffered nearly life-changing RSI pain. It happened in the middle of an extreme project where I found myself coding and running CAD for 16 to 18 hours a day, seven days a week for months.

The first good decision I made was to stop all work.

Next, I sought medical opinion. I was horrified to learn medical professionals were all over the place. I got recommendations spanning from surgery to vitamins.

I concluded that I'd do my own research and come to my own independent conclusions.

I focused on two areas: understanding the physiology or mechanics of the damage and taking a deep dive into ergonomics.

I came out convinced that the root cause was poor ergonomics. I had not caused enough damage to require surgery. I set out to test out various ergonomic products. Nearly all of them sucked. Gimmicky crap.

The ultimate solution was to design my own desk. The goal was to promote a fully relaxed posture with proper alignment and support.

The standard 29 to 30 inch high desk was designed in the dark ages for writing. Placing a keyboard or laptop on it throws your entire body out of alignment. Your fingers, hand, wrist, arms and shoulders end-up operating in tension as opposed to from a neutral stance.

My desk featured a dropped (about three inches) front section for the keyboard and thumb-operated trackball. I ditched the mouse as it caused too much tension. I found a thumb-operated trackball to flow naturally and comfortably.

A dropped keyboard shelf wasn't enough. The front edge got a solid piece of wood, 2x2 inches in cross-section with generously rounded edges. This created a forearm support across the entire width of the keyboard shelf. The net effect was that my hands very naturally drooped onto the keyboard and trackball. My shoulders were not unnaturally pushed up or pulled down.

I played with monitor height and settled for looking slightly down at the monitors (24 inch). I tend to alternate between sliding down in the chair and sitting up, which means that at times I am looking straight at the screens.

The end result was that all pain was gone and I could get back to work. I also took regular breaks every two to four hours based on flow.

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