I break the silence to speak about an important issue, that so many of us disregard: Repetitive Strain Injure (RSI).
I confess that never believed one could ever get hurt from something so trivial as typing, nor that there could be right and wrong ways to do so. But today, as I type with excruciating pain these words, I found myself wondering how something so potentially harmful can happen without us realizing so.
I developed recently the symptoms, after a very intense and prolongued coding marathon. I was so excited with the results, and progress, that I kept pushing day, even nights on coding, always one more hour, eating on the run, you know the drill.
Suddenly, I started to feel a stiffness on the fingers. I ignored it at first, that soon turned into pain to do everyday things, open a bottle, open a door. I had heard about RSI, but not fully undertood how serious that was. That was about the time I switched hands to the right, and hunt-and-pecked with the less injured hand.
Soon I had to take breaks, and even longer breaks, simply to use the computer without pain. Even my right hand now seemed to hurt. Eventually, I said enough was enough and took some days unplugged, mostly reading books.
You see, for me, that used the computer every day for the past 20 years, to be without it is simply unnaceptable. I’ve come to rely on it for too much, both professionally and as a past-time.
Looking for alternatives, I came across using virtual keyboards and dictating with Google Docs. I must say, if you have no other choice, it can free your hands to do some conceptual work and discussions there. But it cannot exactly allow you to code. I also came across Kinesis Advantage2 keyboard, and I hope to some day purchase it if avaiable in my country. I ended up buying a better keyboard and a trackball on local market. I always went cheap on these things, as I said, I though they were unimportant.
A cautionary tale: I’m not a doctor, nor do I claim to be one. What I present here is what was found from sources that I’ve considered reputable, as much a layman can tell. If you do have a serious condition, don’t hesitate to seek professional help.
I did take a step further, and actively searched for things that could improve the ergonomics of my humble office. Harvard RSI, a college website has great information on the subject.
Start with the basics, set you chair so that your elbow for a right angle, your knees also at right angles, distance eye-monitor (65-75cm), center screen and keyboard in front of you, center any feet support if present (I find that mine drifts to the right as I work).
Then go to the mouse, you see, I always used mouse completely wrong. Your are not supposed to hold the mouse with your palm wrist on the table. That compresses a very sensitive nerve. Instead move your hand a bit forward. Place your hand entirely over the house, with fingertips even a bit forward. Rest your hand on the mouse, that way your shoulder will do the work, not your wrists. And click moving the entire finger up and down, not bending it. Use stronger joints.
The keyboard was also a surprise. First thing, never rest your palm on those keyboard rests, always keep then float and the wrist straight with the forearm line, not bent up or down. Set your chair accordingly. You should never do acrobatics, moviments that open wide the fingers and rotate too much the wrist.
I call special attention to shotcuts (CTRL+C, CTRL+V, …). Ever heard the cautionary tale that there are no shorcuts in life? Well, the thing is now that I’m extra sensible to any movement I make, I noticed that some of those shortcuts involve very wide movements, or twisting, and that hurts like crazy. I’m tellling so it won’t hurt for you too someday.
Be careful with those combos:
|
BAD |
GOOD |
FUNCTION |
||
|
LEFT HAND |
RIGHT HAND | LEFT HAND |
RIGH HAND |
|
|
LSHIFT Any key |
Any Key | RSHIFT |
Caps for left-half of keyboard |
|
|
|
RSHIFT
Any key |
Any Key | RSHIFT |
Caps for right-half of keyboard |
|
LCTRL C |
C | LCTRL |
Copy |
|
|
LCTRL V |
V | LCTRL |
Paste |
|
|
LCTRL V |
Z | LCTRL |
Redo |
|
|
LCTRL V |
A | LCTRL |
Select all text |
|
|
LCTRL V |
X | LCTRL |
Cut |
|
|
ALT TAB |
TAB | ALT |
Alternate task |
|
|
ATOM CODING IDE |
||||
|
LCTRL S |
S | RCTRL |
Save |
|
| LCTRL
F |
F | RCTRL |
Find |
|
The first line of this table reads as follows: Using LEFT SHIFT and any key, with left hand, is bad. This is used for capitals. It is better to use RIGHT SHIFT, with right hand, and key with left hand. The idea here is that modifiers (ALT, SHIFT, CTRL) are always best on right hand (if you are right-handed). Unfornately my knowledge of how left-handed people type is limited.
In fact I found that the best way to implement this was to actually remove the LSHIFT and LCRTL keys physically from the keyboard. You do lose some combinations that don’t hurt your fingers, but I considered a good trade overall. I’m living perfectly fine without them.
Using or not the keypad is debated. Although some sources recommend not using it, for people like me that crunch numbers it is very handy. I could not let go yet.
For the fellow coders, I’d say it is a good idea to use the RIGHT SHIFT for special characters like #, @, $, %. Using camelCase has the advantage of reducing some motion that potentially stretch your fingers, consider that for a moment.
It’s only a matter of time if you use a conscious effort to follow these steps so they become healthier habits, and we all could use those, isn’t right?
Thanks for the patience.
EDIT: It helps a lot to take regular breaks, the more the better. I do them know on the clock 40min work, 20 min break, and try hard not to cheat myself, lol. Go make yourself coffee, take a sip of water, bio-break, do a short stretching session if your home, practice Tai Chi. As suggested by Ben Wheeler on a specific post, a hot bath, or even holding an ice pack for 15min then passing hands on running hot water for few minutes reliefs a lot of pain.

