Then he quit the job he hated, got a job he enjoyed (both coding), and his RSI went away in a week. Sometimes it really is psychosomatic (which doesn't mean the pain is fake).
Personally I've had mild wrist pain since college (10+ years). Decent posture, a reasonable keyboard, letting my arms form a natural angle, and floating my wrists above the keyboard seems to help. My hands cramp up after 20min of typing in a narrow airplane seat for example. But I can type for hours on my ipad magic keyboard in my lap or my ergonomic mechanical keyboard just fine.
Maybe half a thinkpad would be a decent keyboard format, if it's wireless and a bit ergonomically formed to fit the legs?
In my case it took me a good 5-6 years to figure this out. Then I started working on my overall posture, and my issues virtually disappeared over night. A friend of mine, who was also struggling with RSI a couple years later, ended up following the same protocol and he, too, is 100% painfree these days.
Where does one get one's posture checked? I'm 100% serious is this something a doctor can do?
Second, if we assume my posture is terrible - which well, I basically walk looking down at my feet all the time - so you can think of me as the human equivalent of the Leaning Tower. How do you go about fixing it? I mean, I can walk straight which feels weird, but I'll forget about it in 5-10 seconds and go back to being the human equivalent of the Leaning Tower.
What did you do to fix your posture?
If you work for a large company and they don't provide this, well, they don't care about your health.
Maybe someone else knows how to get an ergonomic assessment done outside of the office
So they had me focus on my traps, rear deltoids, neck musculature, and all the smaller back muscles in order to get me straight again (straighten my back, pull back my shoulders and head, et cetera).
At the same time, they also noticed a rather strong anterior pelvic tilt (which goes hand in hand with rounded shoulders), so I also worked on that through a number of core exercises (abs, lower back, glutes, etc.)
As you say, we can all try to focus on walking straight but we'll forget in no time. The solution to this is to train your muscles to remember for you. Now, to be clear, there's no magical memory in your muscles, it's simply about force balance: If your posture is skewed, some of your muscles are likely too weak, while others are too strong (and/or gravity is too strong), so your bones and joints get pulled in the wrong direction.
You say standing straight feels weird to you now. It did to me, too, because I had to overcome my weak muscles to stay straight, until my muscles became stronger and my new posture became second nature. Nowadays, I feel weird when my posture deteriorates again, so that's a clear signal to me then that I have neglected my exercises and need to put in more work again.
Finally, a word on the topic of ergonomic equipment, because I tried a lot over the years: Of course a decent desk setup (keyboard, mouse, chair, screen, …) is valuable and might help alleviate the pain but let's not kid ourselves: You are (or become) what you do most of the day, which among us techies likely is sitting. So passive instruments (sitting differently) rarely get you fixed 100% (likely not even 20%); we actually have to put in active work ourselves!
You don't hear much about it now. Is it because treatment improved, or we use keyboards with much less travel, or there's better general awareness of ergonomics, or that there's more mouse/trackpad use mixed in with typing now? Or is it something else?
It sucks. But my body could be broken in other ways. I'll take this inconvenience. Hopefully it doesn't get worse before I retire.
https://www.muellersportsmed.com/b2c-us/en/Open-Catalogue/By...
Instant relief. It’s a Mueller HG80 wrist brace. I love the thing. Sometimes leave it on for longer than I need to, because the support feels really good. Quite slim and unobtrusive too.
Try a combination of heavy weightlifting, HIIT, and optionally SSRIs.
Device of choice did not make a big difference, except for one: having a secondary standing desk with a treadmill. I took that from an old Linus Torvalds interview, it's a small monetary investment, but a big health one. The biggest downside is that it takes a lot of space. In my case, the main problem was linked to prolonged pressure on a few key points, a problem that doesn't really occur when moving.
Before that, I used to have a laptop so that I could spend the work day in different postures, move to a couch, etc.
Regarding the article, I can confirm that pain was in different modes during these different periods, but that also matches the risk of physical damage. I feel that as long as you're just doing a half-hearted effort that is just an attempt to deceive your body, pain will only worsen. It's only after you learn to listen to the pain that the real progress is made.
The most important changes I made in my life which fixed RSI related issues (carpal, tendonitis, etc) permanently were:
- Proper ergonomic keyboard (consider a split layout)
- Posture (Alexander technique, Taubman technique)
- Trigger point therapy (with a Knobble tool)
I can highly recommend this book:
https://www.newharbinger.com/9781608824960/the-trigger-point...
What baffles me the most is that I can spend hours on my laptop, using its built-in keyboard, and be fine. Maybe there is something to the psychosomatic element – I’ve trained myself that my desk equals pain.
- It may take a variety of resources to accept the idea that your pain doesn't mean injury (see the first image). Like, you might hear about Sarno's mindbody connection and think it's total quackery because of the language. Maybe it triggers the BS detector in a lot of us. So listen to the same ideas from other perspectives. The author links to Schubiner's talk on chronic pain, which I heartily recommend as the right balance of rigor and tone: https://m.youtube.com/watch?v=0VyH1laOd2M. Curable helped me too: https://www.curablehealth.com/clara/. Click through until you get to the audio sections and give them a listen.
Testimonials from tech people may help break the old mental model of pain, or at least point convincingly to resources that do. Josh Comeau, the CSS guy, has a post that links to further testimonials: https:www.joshwcomeau.com/blog/mindbody
- The second half of healing is calming down the nervous system. The author accomplished this with different therapies, equipped with greater awareness and tools. Others fix their default stress state by leaving the stressful environment, i.e. changing jobs. Either way, the pain goes away.
Kudos to the author for presenting everything clearly.
I don't think agree entirely with the model he puts forward in his book for why RSI happened, I'm naturally sceptical so it took a lot of effort to read with an open mind; perhaps it works a little like hypnotism.
I'd read that some people can get an improvement just reading reviews of his book, so I read a load of them.
Then something strange happened - the RSI started flipping from one wrist to another.
I already knew some slightly odd things could happen: at some point my girlfriend had massaged my arm from the hand to the shoulder and the pain had moved up right with it - then gone back to the end.
So I knew the mind was part of the issue.
After the pain could flip from one wrist to another I bought the book.
After that I could sort of talk to myself internally giving reassurance when the wrist pain happened and it would go away.
This evolved into just thinking about the area in pain.
Sometimes the pain would turn into a anxiety, but I can pretty much make that go away.
Part of his ideas are about the body and mind being linked (which makes sense), so the RSI is a manifestation of stress.
The book I read was The Mindbody Connection.
I find it weird to recommend as the cover makes it look dodgy, and the thesis is a bit new age seeming for me, but it did work for me.
I recommend reading a load of reviews of his stuff and seeing if anything changes.
After reading Healing Back Pain: The Mind-Body Connection by John E. Sarno ( https://www.goodreads.com/book/show/144873.Healing_Back_Pain ), I recognized that my body was trying distract me from my troubled relationship at that time. On my next painful episode, I mentally said "F*ck it, there is nothing wrong with me physically" and the next day the pain was gone, never to resurface again. The whole thing coincided with my relationship finally ending, so that might have had a positive impact as well.
It still blows my mind though, how much grief my brain gave me over the years.
samesense•8mo ago
frereubu•8mo ago