RSI
My wrists are starting to hurt. This page attempts to summarize
what I know about repetetive stress injuries.
Scary Stuff:
-
I have friends with friends who can't brush their hair because it
hurts too much. They can't open doors with their hands; they use
their elbows. They have difficulties holding cups. RSI is very real.
-
Carpal Tunnel Syndrome (one form of RSI) involves a tendon
passing through a tunnel in the wrist. The tendon expands with usage,
scraping against the tunnel.
There is a buildup of scar tissue that
eventually eventually blocks motion and causes pain. With rest, scar
tissue can take months or years to heal, or it can require surgery.
However, since one types very regularly, one is almost never resting the
wrists for months at a time. Thus, once you have scar tissue, the
tissue generally will not heal.
-
You might have pain in one area right now. But, it spreads...
You can do a lot of damage to your wrists before you feel any
pain. By the time you can feel pain, you have a serious problem.
Seeing a doctor immediately is a good idea.
Have Good Posture.
-
I admit it, as I become more and more tired, my posture becomes
pretty terrible. Many people are like this.
-
My Dad (a chiropractor) tells me that my neck
position is far more important than my wrist position -- though
wrist position is important.
-
Feet should be firmly planted on the floor. Wrists should be level with
the elbow. One should have the monitor at eye level, so that one does
not need to bend one's neck. The back should be well supported; one
should not be leaning forward. I repeat: one should not be leaning forward.
Do some stretching exercise.
Take regular breaks.
-
Apparently the rule is 5 minute breaks every 30 minutes. Apparently
two 2.5 minute breaks are not acceptable; it has to be a full 5 minute
break.
-
Alternatively, I've read 10 full minutes every hour. But for me, I find
40 minutes of typing is enough to cause tingling so that I will not use
this alternative.
-
Several people have claimed that regular breaks are far more important
to them than choice of keyboard.
-
For windows, I have recieved recommendation for www.rsiguard.com
(Ron Goodman, a Techer, I think an old mole).
-
For linux, xwrits is available. Try:
"xwrits typetime=30 breaktime=5 +beep +breakclock +clock +idle=2 +top"
Get a good keyboard.
-
I recently switched to the microsoft contour ergonomic keyboard. It is a
sloping keyboard with the keyboard divided in 2. I like it much better
better than a normal keyboard.
-
Several people recommend the Kinesis contour keyboard. www.kinesis-ergo.com
It requires very little movement to use; though it is difficult to
learn to use.
-
Several people claim that the key feature of the keyboard is that it
requires very little force to press the keys -- a soft touch keyboard.
-
Many people say the keyboard is not very important. Breaks and
Good posture are far more important. I asked several friends with RSI
which keyboard they recommended. They all told me to take more breaks.
-
From time to time, I find it painful just to put my fingers over
my laptop keyboard in preparation to begin typing. My hands are too
close together; they are at the wrong angle and my posture with my
laptop is often terrible.
What do I do to cope?
-
I make sure I have excellent back support when I type.
I make sure my feet are firmly planted on the floor.
I use a normal keyboard. I put it on my knees. I tape the cord
to the desk to make sure the keyboard doesn't slip.
I take 5 minute breaks minimally every 30 minutes. I try to take more
breaks if I can. (I use xwrits to time the breaks).
During those breaks, I ALWAYS stand up, walk around, and stretch my kneck,
back and wrists. I often stretch my legs as well.
For about 6-8 hours of typing during a day, this procedure is sufficient.
When I type for 10-12 hours, it ceases to be sufficient.
-
I find that my hands start to feel pain after 40 minutes of typing.
I also find that once my hands start to feel pain, it is almost
impossible to get the pain to completely stop without completely
stopping the typing. Thus, the goal is to take breaks before my
hands start to feel anything.
-
I try not to use a mouse. I set up short-cuts so that I can use the
keyboard to easily switch windows.
-
I don't stop working during my breaks: I try to think about what I'm
doing during the breaks. So, my time is generally not entirely lost.
-
I try to spread out my typing. If I have some reading to do, I will
type for a few hours first. Then I will read. Then I will continue
typing later.
-
I try to keep my wrists and arms warm. Muscles relax when warm; they
become very tense when cold. Even during the summer time, I will almost
always wear a long sleep shirt and sometimes even a sweater. In an
air conditioned building, it can be very difficult to keep one's hands
warm.
-
I keep a water bottle by my computer. I make sure I stay well hydrated.
I'm told that muscles become tense when dehydrated. Also, drinking a lot
gives me a good reason to regularly take breaks.
Links on RSI