Ask HN: Moving to SF for Facebook, advice on RSI?

I've had tendonitis on and off for the last year. It came on suddenly and rapidly became crippling as I kept trying to just fight through it. Eventually I started physio which included different types of therapy with machines, took a vacation, and messed with my set up when I got back (including a height adjustable standing desk) until it seemed to subside. I still had some tension now and again, but I'd massage it out and take frequent breaks and I was mitigating it well. Most days were completely pain free. A few months later it came back, at which point I was in the middle of exiting to take an opportunity with facebook.

I'm worried about moving to a new city, starting a new job, and having the pain come back. If that happens before I've proven myself as a good engineer, I won't feel like I deserve seeing doctors or going to appointments on facebook's dime.

I'm exploring all avenues now. I've read the mindbody prescription to determine if the pain is psychosomatic. I'm going to start daily yoga as I recall the pain starting sort of subsided with when I switched from yoga to crossfit. Stop and ice it as soon as it begins hurting, etc etc. Perhaps in the absolute worst case consider voice recognition software (but honestly, I feel like going from a fast typer in vi to using voice recognition will be crippling).

My question is really just for advice. For those who live in SF, are the treatments and doctors there truly better than other major cities? Has anyone gone through a similar thing at one of the big companies? Any general tips on how you overcame your arm pain would all be immensely appreciated.

Background: tech worker in SF

While I'm not in your situation, one thing I can say is that I know lots of people in physio in SF for occuptational as well as non-injuries and your insurance ought to cover the bulk of it.

It sounds like you're worried about the company frowning on you taking advantage of your health plan so soon after joining. Please don't - even the most callous HR drone would surely recognise that RSI can be debilitating to any engineer. Also, any medical stuff goes through your HMO or PPO and your employer, AFAIK, doesn't ever see that (seems like it would be a liability for them otherwise but IMNAL).

Lastly, if Facebook is anything like my company, there will be tons of recommendations for occupational therapy people so you will be able to get good advice for who to see down here. Check the internal wiki / secret employees-only Facebook clone / etc. :)

Good luck!

Disclaimer: I'm not in SF, nor am I familiar with HR policies at large companies. That being said,

> "If that happens before I've proven myself as a good engineer, I won't feel like I deserve seeing doctors or going > to appointments on facebook's dime."

I certainly hope this is not the attitude that most companies take to your well-being: RSI is almost an occupational hazard for tech workers, and it is absolutely in everyone's best interests to try and ensure that you're pain free.

If it does crop up, please don't hesitate in at least talking to people around you and getting a sense as to what the best options available are. Good luck!

Two things work:

• run your wrist under warm/hot water. That'll help for about five minutes. Not vey long, but it does help.

• sleep with these on (one for each hand, obviously): http://www.amazon.com/dp/B0057D7YWM

And lastly, take as much time off from work as possible. Don't injure yourself for the sake of advancing the needs of money grubbing, egotistical 20-somethings.