The Terror Known as RSI
Ivan Brezak Brkan
I can tell you your future! Sure I can. Are you holding a mouse while slouching in your nice office chair? Maybe you’re a coder. Resting our hands on the keyboard wrist pad, are we? Guess what, you’re going to be in a lot of pain pretty soon. Think neck, back and wrist pains… Have them? Good. I was right.
You are suffering from repetitive strain injury - and you’re not alone. With more and more people working on their computers for far longer hours, RSI is becoming a big problem. Costing people their health and business billions of dollars.
An Army of One
As a freelancer, you depend solely on ourselves. You have partners, colleagues, etc. But the brunt of the work you do personally. A broken computer you can replace. Lost files can be saved. You on the other hand aren’t replaceable. In this case, it’s all about you. No one will look after your health besides you. Loss of delicate movement in the hands can spell career death to a designer, illustrator, writer, developer. In order to prevent current and future pains, here are a few simple tips to get you back, and always ready for action.
Break or Break Down
We weren’t “built” to slouch, we weren’t “built” to sit for long periods of time in frond of a computer and work until we feel pain. Well, pain is last alarm bell you want ringing. Unfortunately, it can be hard to teach ourselves to take regular breaks. Thankfully, there are a couple of applications around that can help. For Windows there’s RSI Guard for around $50 and the free Workrave that both alert you to take breaks and restrict you to your daily limit. RSI Guard also shows you animations of exercises, as does MacBreakz for the Mac which costs 29 Euros. AntiRSI on the other hand, also a Mac application, is a great freeware application if you just want it to alert you to take breaks. All of these applications also have various additional features, but the core feature is present in all of them. They all scream… take a break! Don’t slouch!
It’s that simple. Who would have thought you’re mom would have been right all these years. Actually, we all knew they were right, but were to lazy to hear them. Bad posture is one of the key factors for RSI development. The same goes for prevention. Sit up straight and everything else will fall into place much easier.
It can be easy to slouch if you your seat isn’t well adjusted. You don’t need to have an Aeron chair - you just need to be able to adjust the height, tilt as well as the backrest and armrest heights. Better office chairs come with all of that so don’t be too picky. With your feet flat on the floor and knees bent at a 90 degree angle be sure to keep your arms relaxed. It may take a little time to get comfortable - but it’s better than pains for life.
Geeks Hurt Less.
Mice equal death. Ok, maybe not, but many people develop RSI in their mouse hand. Either get a wrist pad or try to reduce mouse usage with keyboard shortcuts. Writers and developers rejoice. As for designers, it’s time to learn those Photoshop shortcuts you always wanted to know.
As for the keyboard, just keep your hands in a neutral position. if you can type fast, it’s probable you already use a neutral position. Although I’m sure most of you impress people by hot fast you type, just a word of warning if this isn’t the case. Type with both hands. Yes, it does make a difference. With the release of the latest Apple keyboard, there has been a lot of debate about ergonomics. Why doesn’t it have a wrist rest? Probably because Jobs just doesn’t like the look of it. What’s important is that although more ergonomic keyboards do have wrist rests, you should never rest your wrists while typing.
Execise! Loading… Loading…
Oh yes, it’s the new rage. Geeks going out, exercising, eating lost of vegetables. But seriously, do exercise. Swim, walk, run, cycle - just get out of the office / house. Personally, I cycle for 40 minutes every morning as well as doing weight training three times a week.
It’s All You, Baby!
Exercise, proper posture, looking out for your health in general. Only you and you alone will notice both the good and the bad. So, in order to have a good freelancing career as well as preserve your health, do change bad habits. Creativity flows so much nicer when you show your back pain who’s boss. So if you’re your own boss, prove it. Don’t slouch!
Unlike the rest of the team, Ivan Brezak Brkan still has to balance his freelance interface design and new media writing/copywriting career with a busy university life. New media and blogs are his outlets of choice - and “new” marketing his passion. Find out more about Ivan at IvanBrezakBrkan.com.



















mark
August 29th, 2007
for those primarily working in photoshop and the like: buy a wacom tablet and change regularly between mouse and pen. and yeah, have a break now and then.
Copes Flavio
August 29th, 2007
MacBreakZ is just fantastic! Thanks for the tips, hope they’ll be useful for our future.
Dor
August 29th, 2007
Nice article. Sports is known as an important way to get better at almost anything, such as work, concentration, health, etc.. The thing is, people are lazy to do so, or to even start. For those who are lazy, do some sports on the first or second time and you will start liking the feeling. The laziness is just on the beginning.
Isaac
August 29th, 2007
Personally, I find using a tablet for all mouse-y tasks greatly reduces the amount of problems. If you keep the movement in your elbow, rather than your wrist, you’ll be better off.
Also, Quicksilver makes your Mac keyboard-shortcut friendly.
Araceli
August 29th, 2007
There doesn’t happen to be a Firefox addon or something that tells you when to get up and take a break, is there?
dt
August 29th, 2007
Yes i get terrible RSI especially on long projects and late nights. The trick is don’t spare any expense on a good quality ergonomic slanted keyboard and mouse. You be surprised people spend more money on a good CPU and RAM instead of the most important object the interface. Screw that new apple keyboard (sigh)!
Also also ensure that your posture is good, with a good chair and arm rests.
Another killer just as bad as RSI is to take care of your vision. Take vision breaks as often and frequent as possible.
AG
August 29th, 2007
Don’t you people know that nothing is more likely to induce back, neck, and wrist pain than reading a post like this? Seriously, though, I was able to get control of my wrist pain by switching to an ergonomic keyboard, but now I find that a few hours out with my laptop bring on crushing pain by evening. Not to mention missing keys when I switch back to the big, spacious home keyboard. Any recommendations for portable ergonomic keyboards or other solutions?
Paul
August 29th, 2007
“Are you holding a mouse while slouching in your nice office chair?”
You know me all to well
Mark
August 29th, 2007
In my freshman year of college ten years ago I ended up going to the physical therapy clinic my wrists hurt so bad. I wasn’t even doing all that much work at the computer. It was just a fairly new thing and I had LAN access in my dorm room and I was on it a lot, and I wasn’t using a good desk or anything.
Since then, it’s been about having the desk at the right height (I use an IKEA desktop and legs) and putting the keyboard far enough back that my forearms rest on the desk.
Another crucial thing for me is how I use the mouse. I learned I’m much, much more comfortable with laptops, where the touchpad is below the spacebar, allowing my hands to move down to it at a natural angle. So, when I’m on a keyboard/desktop computer, I position the mouse in the same place. Not off to the right, but with the cord around the keyboard’s corner, and the mouse centered in front of me. Your right (or left) arm should not be angled out and maneuvering a mouse.
Ivan Brezak Brkan
August 29th, 2007
@Paul: In this situation, I wish I didn’t.
@Dor: Yup, you’re right. People are lazy - in the start. The problem is when someone tries to copy someone else technique in their own lives - especially when working out. For some people, three workouts a week are great, some like running, others like cycling. It really doesn’t matter what particular “niche” we pick, as long as we work on it. I’m going back to shorter, muscle specific daily weight workouts because I feel bored if I don’t workout. This works for me, but it won’t work for everyone.
michele
August 29th, 2007
congratulations for the recent recognition!!
Marcus
August 29th, 2007
I found switching my keyboard layout to Dvorak made a big difference for me when I started getting sore wrists at the computer. It took about a month to retrain myself to an acceptable speed, but the more efficient layout definitely reduces the amount of hand and wrist movement required while typing.
Nathan Levesque
August 29th, 2007
I’d recommend taking a look at a company called Evoluent:
http://www.evoluent.com
They produce a vertical mouse, which allows your forearm to remain straight instead of the twisted state of a regular mouse. They also produce a keyboard with the numeric pad on the left side so that when typing and using the mouse your arms remain straight. They’re a tad expensive, but I switched to both after developing wrist pains and the pain has gone away.
Another often overlooked, is that your monitor should be elevated to a position where you are looking straight ahead at it, not down, which puts strain on your neck.
Kim Flournoy
August 29th, 2007
Another great Mac app is “Time Out”: http://www.dejal.com/timeout/
Apostolos
August 29th, 2007
Add to the other software solutions “RSIBreak” for Linux and BSD.
URLs:
http://lightoflamp.blogspot.com/2007/04/its-time-to-relax-my-friend.html (my relevant blog post)
http://www.rsibreak.org (program’s webpage)
Michael Dick
August 29th, 2007
I have never had any trouble with my mouse hand…it’s always my shortcut hand. Errr.
Luckily I don’t have RSI as of now…but I have very bad muscle fatigue all up and down my arm every now and then….and my funny bone and elbow area seems to bother me more as well.
But, my mouse hand is just fine! Err.
Pristine
August 29th, 2007
I find I’m much comfortable with a laptop, but not if it’s too far away that I have to stretch out my arms too far. The only thing is, the fingers on my left hand become very stiff when I have to type in French, mainly because the grave/tilda key is too far away. Typing ctrl+grave (for things like è) makes my fingers go all stiff. Any tips for this?
Martha Retallick
August 29th, 2007
I’m looking at switching to an ergonomic mouse. The flat-on-the-desk mouse is killing my shoulder. Anyone have any feedback on the Evoluent VerticalMouse 2 or a similar device?
Kevin M. Scarbrough
August 29th, 2007
Forcing yourself to take non-computer breaks works really well. It’ll also reduce stress.
Graham
August 29th, 2007
I think graphics tablets deserve a mention.
There are tasks which are better with a mouse than a stylus, but a stylus can be much quicker for certain things, and it’s sooooo much more comfortable. Most of them come with a mouse and a stylus, so you can switch between them whenever you like.
ed
August 30th, 2007
I use Desk Doctor. I spend a lot of time on the mouse and a fair bit of typing and it’s exercises really tune in to what you need. It uses an interactive assessment to figure out what your problem is so the exercises are much more specific. I can feel a huge difference with this program (I tried RSI guard and workrave too.) There are 100 exercises in it and the girl in the exercise videos is hot!
Eric
August 30th, 2007
I use a Microsoft Natural Ergonomic Keyboard 4000 and it helps the strain a lot. I can only use a “normal” keyboard for couple of hours now before I start to ache. But on the 4000 I have not had any pain at all, even after 4-6 straight hours of coding.
I highly recommend this keyboard, it is ergonomic but actual has normal formatted Home and arrow clusters.
Jermayn Parker
August 31st, 2007
guilty as charged!!
I find if I am working during the day, dont go back on at night and relax, it helps limit this and also limit burntness with your job
Zed
September 1st, 2007
Years ago I trained myself to mouse with my left hand although I’m right-handed. It allows my right hand to take a break, and positions the mouse closer to my body since my keyboard has the numpad on the right.
If you need to train your non-dominant hand to mouse, start with something that has large click areas and simple tasks, like playing solitaire. You’ll get the hang of it in no time.
Jo Blood
September 4th, 2007
Hi
I saw the comment about retraining your other hand to give which ever hand a rest, but it might be worth be very careful about this, because ultimately you could end up with RSI in both hands.
I also read the comment about the evoluent mouse, which is a brilliant product, it’s helped alot of people I know with RSI. But another great mouse which works well with MAC’s is the ergonomic mouse. This is a link to our website, but if you type in Airobic mouse, you can get other companies selling it as well. One of the bonus with the Airobic mouse is that it comes with a clickless software programme that you can try for 30 days. This allows you to minimise the clicks you have to use, by just hovering the pointer over something to use that function i.e. open on the toolbar.
I’ve not had any feedback from anyone whose used the clickless software in Firefox, so it would be really interesting to know if it works as well in Firefox.
JMurillo
September 5th, 2007
Hello, Ive been using Microsoft´s Trackball Explorer for 4 years now and it not only helped me with my wrist problem, once you get the hang of it, its actually more precise than normal mice and its very space eficient. It also comes with tips about posture and working positions.
Good luck with your wrists.