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Repetive Stress Injury and Carpal Tunnel

Blogs > Grond
Post a Reply
Grond
Profile Blog Joined June 2010
599 Posts
October 29 2010 16:59 GMT
#1
Due to the amount of time spent at the computer gamers are at high risk for RSI (repetitive stress injury). Since many gamers are quite young their bodies can heal though the damage before it accumulates but it's important to form good habits early. If you are older prevention is important because if it gets too severe surgery is often the only recourse. For keyboards you do not want a wrist wrest. The keyboard should be at the edge of your table and your wrists should be above the keyboard. Arching your wrists upward is what causes the damage. For the mouse I do recommend a wrist pad. Since most gaming mouse pads do not come with one you will need to get it separately. Your options are gel, memory foam and beads. I have not found anything decisive on which is best so you will have to experiment for yourself. If anybody wishes to add their opinions please feel free to do so.

Kalingingsong
Profile Joined September 2009
Canada633 Posts
October 29 2010 17:21 GMT
#2
cool, I don't know if you have information on this but, can carpal tunnel heal by itself? or do you have to get surgery once you have it?
Dess.JadeFalcon
NeVeR
Profile Blog Joined January 2009
1352 Posts
October 29 2010 17:25 GMT
#3
What I do is I have my keyboard and mouse positioned a bit further up towards the monitor and I rest my forarms on the edge of the desk. I don't really feel as if there is any stress on my wrists. What do you think of this?
Logo
Profile Blog Joined April 2010
United States7542 Posts
October 29 2010 17:30 GMT
#4
I do the same as Never. Having your wrists elevated just does not seem like a viable option given that I think you typically want a low arch on your fingers to maximize the ability to go from the top row to bottom row quickly.
Logo
CaucasianAsian
Profile Blog Joined September 2005
Korea (South)11583 Posts
October 29 2010 18:10 GMT
#5
On October 30 2010 02:21 Kalingingsong wrote:
cool, I don't know if you have information on this but, can carpal tunnel heal by itself? or do you have to get surgery once you have it?


stretch your hands like hold your right arm straight in front of you and pull your fingers back until you feel tension in your wrist (prob. doesn't work if your double jointed) then hold it for 10 seconds. do the same for your left hand. do this a few times a day and you'll reduce the chance of getting it.

and if you get carpal try to stay away from the computer for a few days, so it can heal. at least thats what i did when I got it when i was younger.
Calendar@ Fish Server: `iOps]..Stark
T.O.P. *
Profile Blog Joined January 2009
Hong Kong4685 Posts
October 29 2010 18:59 GMT
#6
If you have pain, get a wrist brace and wear it when you sleep at night. I think using a wrist rest is a bad idea for starcraft players. You'll just end up moving your wrist more because of the friction between the wrist rest and your hand. You should keep your wrist with your hand in a line that's parallel to the table.
Oracle comes in, Scvs go down, never a miscommunication.
Emperor_Earth
Profile Blog Joined April 2009
United States824 Posts
Last Edited: 2010-10-29 19:16:40
October 29 2010 19:14 GMT
#7
Quick note: This is the same user that posts this garbage
+ Show Spoiler +
Let's not be giving false information out now, Grond... it's not any better than spoilering tournament results.


There is a strong correlation between genetics and CTS, while an almost nonexistent link between RSI/occupations and CTS. Source
(Factors that have also have a higher correlation with factors of CTS in order of strength of correlation: pregnancy, 45-60 years of age, white)

Popular opinions without any evidence spread by parrots like the OP offer a very inaccurate description of CTS compared to what the data supports. Source

When we want SC2 advice, we watch pro FPVODs and watch their replays. We don't ask CNN. Why are we believing what we read in media and other unqualified opinions regarding CTS? Source

Flex each hand back so that your hand/arm make a 120(deg) angle. If you can do so for 60 seconds and without pain, you don't have CTS.

Grond, actually do some research if you don't know anything about the topic before you start an OP ffs.
@Emperor_Earth ------- "Amat Victoria Curam."
Grond
Profile Blog Joined June 2010
599 Posts
October 29 2010 19:19 GMT
#8
On October 30 2010 02:21 Kalingingsong wrote:
cool, I don't know if you have information on this but, can carpal tunnel heal by itself? or do you have to get surgery once you have it?


Surgery is usually the last option. The key for any form of repetitive stress injury is to stop it early. Advil and stretching will be helpful if you think you are getting carpal tunnel but the most important factor is rest. If you already have it I would recommend going to a doctor, there are other possible treatments before surgery.
Grond
Profile Blog Joined June 2010
599 Posts
October 29 2010 19:27 GMT
#9
@ Emperor Earth

Most information came from a Doctor and a Physical Therapist. If you knew anything about Medical Journals than you would be aware it's quite easy to find articles with opposite conclusions. Perhaps you should do more research before posting.
Emperor_Earth
Profile Blog Joined April 2009
United States824 Posts
Last Edited: 2010-10-29 19:41:06
October 29 2010 19:39 GMT
#10
On October 30 2010 04:27 Grond wrote:
@ Emperor Earth

Most information came from a Doctor and a Physical Therapist. If you knew anything about Medical Journals than you would be aware it's quite easy to find articles with opposite conclusions. Perhaps you should do more research before posting.


So by your logic I should ask a car salesman if I need a new car?
@Emperor_Earth ------- "Amat Victoria Curam."
Grond
Profile Blog Joined June 2010
599 Posts
Last Edited: 2010-10-29 20:19:08
October 29 2010 20:04 GMT
#11
On October 30 2010 04:39 Emperor_Earth wrote:
Show nested quote +
On October 30 2010 04:27 Grond wrote:
@ Emperor Earth

Most information came from a Doctor and a Physical Therapist. If you knew anything about Medical Journals than you would be aware it's quite easy to find articles with opposite conclusions. Perhaps you should do more research before posting.


So by your logic I should ask a car salesman if I need a new car?


Your answer certainly cements the quality of your critical thinking. I spent a few hundred hours in college reading medical journals, it helps to actually read the article instead of the abstract. If you are going to use it as a source you will want to evaluate the methodology. I'm not familiar with the Journal of Hand Surgery but I am very familiar with New England Journal of Medicine and JAMA. If all your sources are going to come from the same journal it will give you more credibility if it is one of those. If you want a clear cut example of studies coming to opposite conclusions spend a day at the library reading articles about vitamin E and heart disease.

Emperor_Earth
Profile Blog Joined April 2009
United States824 Posts
Last Edited: 2010-10-29 20:37:54
October 29 2010 20:29 GMT
#12
On October 30 2010 05:04 Grond wrote:
+ Show Spoiler +
On October 30 2010 04:39 Emperor_Earth wrote:
Show nested quote +
On October 30 2010 04:27 Grond wrote:
@ Emperor Earth

Most information came from a Doctor and a Physical Therapist. If you knew anything about Medical Journals than you would be aware it's quite easy to find articles with opposite conclusions. Perhaps you should do more research before posting.


So by your logic I should ask a car salesman if I need a new car?


Your answer certainly cements the quality of your critical thinking. I spent a few hundred hours in college reading medical journals, it helps to actually read the article instead of the abstract. If you are going to use it as a source you will want to evaluate the methodology. I'm not familiar with the Journal of Hand Surgery but I am very familiar with Journal of New England Health and JAMA. If all your sources are going to come from the same journal it will give you more credibility if it is one of those. If you want a clear cut example of studies coming to opposite conclusions spend a day at the library reading articles about vitamin E and heart disease.


I focus on three things when evaluating arguments, whether they are by a poster such as yourself or a respected medical journal author or even a doctor/PT.

1) Deliberate Accuracy/Completeness: What's in it for the proponent if the target audience swings one way or another?
2) Accidental Accuracy/Completeness: What is the debater's expertise/thought process in the area?
3) Quality of Argument/Evidentiary support: The argument itself, how sound is it? What do the data points suggests? Correlation strength?

1) For your doctors and therapists, this is their occupation. They make money when they see patients. Patients come back to practitioners that the patient believes has his/her best interests in mind. Therefore, from the PoV of the practitioner, there is a lot more benefit for them to give this impression whether it is true or not.

Since WWIFM tends to be the best indicator of the debater's willing truthfulness, I use the car salesman analogy.

2) Practitioners approach CTS and other ailments with a mind that it's A)fixable, B)preventable. Otherwise, they wouldn't be very good at their job. This, while helpful for what their job entails, does not approach an argument with all viewpoints in mind.

Also, given the specialization in today's field, it is unlikely that doctors and therapists are up-to-date on the latest research on CTS and are probably more exposed to CNN/Fox than obscure medical journals that only focus on a small portion of their work. If they are experienced practitioners, then they are schooled off of very antiquated information. If they are very new, they not only don't focus on this type of work, they can't even speak from experience, not that anecdotal evidence is very compelling. (stat sample size 40, and randomized sample are base requirements)

An analogy here to the first bit would be asking Kwanro how to react to a 14cc scouted by a 9drone scout. Kwanro is an aggressive player in this instance and would probably not recommend that you do 3 hat before pool in response, and instead favor some sort of 12pool->super fast muta timing to abuse 14cc's late tech.

An analogy to the second part would be asking Artosis whether a passive FlaSh style of playing would translate well into CounterStrike Source 1.6.

3) Regarding the strength of the actual argument, since I have no way of knowing, I can only go off of what you have said so far. Combined with the facts that I surmise they most likely fail points 1 and 2, there is very little need to hear the other noise you throw around unless you show compelling evidence that the doctors are some world renown experts on CTS and hand-related topics.

In other words, I'm going to need a lot more than: Doctor and PT said so. Or: there's debate going on in the Vitamin E and heart disease fields, therefore there must be debate in the CTS fields as well.
@Emperor_Earth ------- "Amat Victoria Curam."
Grond
Profile Blog Joined June 2010
599 Posts
October 29 2010 20:55 GMT
#13
1) Whats in it for me to tell people how to prevent RSI?
2) Whats in it for the Doctor to tell me how to prevent getting RSI?
3) Whats in it for the Physical Therapist telling me how to prevent RSI?

If like you say everybody is in it for the money there would be no mention of prevention. By your own argument the Journal of Hand Surgery would attempt discourage prevention in order to increase the number of surgeries.

If you have no way of knowing the strength of the argument why are you even posting in this thread.



Crimson
Profile Blog Joined June 2008
United States311 Posts
October 29 2010 21:41 GMT
#14
I fail to see the connection between spoiling a match and CTS. just my 2c.
Ghostcom
Profile Joined March 2010
Denmark4782 Posts
October 29 2010 22:29 GMT
#15
I think it has gotten pretty terrible how EVERYONE on TL apperantly has CTS... Perhaps it was time to leave diagnostics to those who actually know how to do it? I mean, if you need to build a bridge, you would probably contact an engineer, not any random guy right? We are talking about an education which is in most countries the longest and most time-demanding - odds are that people who actually take this education WILL know more than you do - and there are plenty of syndroms/diseases that share symptoms, so seriously, leave it to the professionals.

And for the reference, CTS can heal without surgery - it's basicly just an inflammation so the first step is to stop provoking it (i.e. give it rest), if that doesn't work give cortisol injections, and finally surgery. So it all comes down to how bad it is.
bobbeh
Profile Blog Joined June 2010
Canada101 Posts
October 29 2010 22:43 GMT
#16
My right wrist used to hurt a lot, used to live on counter strike and pepsi during high school

Ever since I started taking fish oil it stopped hurting
IskatuMesk
Profile Blog Joined October 2008
Canada969 Posts
October 29 2010 23:21 GMT
#17
My wrists murder me. It's largely from extensive usage of 3ds max and other such things like that. In particular, the pain in my right hand is usually accompanied by strings of tingly sensations that travel up and down the arm and back into my shoulder, and temporary numbness.

And I have no manner of changing my seating arrangement.
Grond
Profile Blog Joined June 2010
599 Posts
Last Edited: 2010-10-29 23:56:08
October 29 2010 23:55 GMT
#18
Ghostcom - I've seen nobody say any such thing. This thread is here in case anybody that is having trouble does a forum search. I said TL members are likely more at risk for RSI (particularly if they also use computers heavily at work). This occurred to me when I recently replaced my old mouse pad that had a built in wrist rest with a new gaming mouse pad that does not. While I love the new pad (Steelseries QcK heavy) I soon started feeling pain again which I had not had a problem with in several years. I went with the beaded wrist wrest which so far I like, I had a gel wrist rest before.

IskatuMesk - That sounds severe enough that I would consult a Doctor. I was in a similar situation a few years ago and while I did get treatment I wasn't fully able to follow the rest part of the prescription due to work. What I did was switch the mouse to my left hand for a few weeks. While it definitely made me slower it was very helpful.

Bobbeh - A close friend said he had a similar result with fish oil but there are already enough people in here that think posture and wrists pads are some sort of voodoo.



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