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A Quick Guide to Carpal Tunnel Syndrome/RSI Treatment

The following guide is not meant to take the place of medical advice; if you're having pain in your hands or wrists, you should see a doctor immediately.

Category 1
(for those with occasional wrist/hand aches or discomfort)

  • If you have not done so, buy an ergonomic chair with lumbar support and adjustable height and armrests; it should be properly fitted to your body.
  • Keep your wrists straight when you type, and don't rest them on your desk or wrist pads.
  • Keep your elbows below your shoulders; don't extend your arms to type/mouse.
  • If your desk makes it so you have to raise your arms to type or mouse, try purchasing a keyboard tray to achieve the proper height.
  • Every 15-30 minutes take a break for a couple of minutes.
  • Use large movements when possible, even for typing; get your whole upper body involved so all the stress isn't on the smaller muscles.
  • Maintain good posture, shoulders back; don't slouch forward.

Category 2
(for those with frequent and predictable pain)

In addition to the above...

  • See a doctor.
  • Reduce the amount of time you spend typing and mousing (consider trying voice-recognition software like Dragon Naturally Speaking if you can't get away from the computer altogether).
  • Warmup by stretching or rubbing your hands vigorously frequently throughout the day.
  • Get exercise regularly to combat the stress that is put on your body by sitting at the computer all day.
  • Avoid shortcut keystrokes--they can twist your wrists into awkward positions.
  • Make sure you're getting enough sleep.
  • Strengthen your upper body.
  • Pay attention to your breathing; instead of using shallow breathing, take deep belly breaths to ensure your body gets enough oxygen throughout the day.

Category 3
(For those with constant pain or numbness)

In addition to all of the above...

  • Immediately stop typing until you have your symptoms under control.
  • You may need to have your doctor refer you to a hand or RSI specialist.
  • Look into professional massage to get rid of muscle spasms and possible trigger points.
  • Try typing with 1-3 fingers on each hand in order to slow yourself down.
  • You may need to change your work habits--workaholics are especially vulnerable.
  • Try yoga or a guided relaxation program on a regular basis.
  • Definitely use voice-recognition software.

Dragon Naturally Speaking

Resources used:
It's Not Carpal Tunnel Syndrome! RSI Theory and Therapy for Computer Professionals