Repetitive Strain Injuries? - Page 2

Penforhire · 02-22-2017, 12:44 PM

Even with your bad experience with voice input you still seem like a good candidate for it. You need to use a higher quality directional microphone or headset. A noisy environment should not be an obstacle for a good directional mic.

MarjaE · 02-22-2017, 08:29 PM

I haven't found headsets which use bluetooth, and which have good ear protection >30 nrr, or which clip onto ear protection.

caelo4 · 02-23-2017, 02:55 PM

First off, you don't state whether you have seen a doctor or physical therapist. I am a Student Physical Therapist Assistant so my advice would be to see someone to treat your issues so you can resume your writing in the near future. If not properly treated and allowed to heal, some complications can become chronic with repetitive use and take years to heal. The idea is to resume to normal activities and not just live with the problems. I know we all want to continue writing or exercising but sometimes a few steps backward will help you move farther forward in the future so you aren't dealing with complications for the rest of your life.

MarjaE · 02-24-2017, 02:14 PM

I've seen a few general practitioners, a physical therapist, and a neurologist about this since this started almost 6 years ago.

Most of them suggested non-steroidal anti-inflammatory drugs. I tried low-dose nsaids for several months, even though they added gut pain to the arm pain. It turns out nsaids and other salicylates can also worsen hyperacusis. I now avoid them.

I haven't lost any arm or hand strength, but I have been in constant ulnar-nerve pain, and I may have worsened my coordination/proprioception problems.

meeera · 02-24-2017, 09:40 PM

Quote:

Originally Posted by MarjaE

I've seen a few general practitioners, a physical therapist, and a neurologist about this since this started almost 6 years ago.

Most of them suggested non-steroidal anti-inflammatory drugs. I tried low-dose nsaids for several months, even though they added gut pain to the arm pain. It turns out nsaids and other salicylates can also worsen hyperacusis. I now avoid them.

I haven't lost any arm or hand strength, but I have been in constant ulnar-nerve pain, and I may have worsened my coordination/proprioception problems.

When it comes to setting up an adaptive computer system, it's an occupational therapist who is the most appropriate provider. Pretty much all doctors and most physios wouldn't have a clue. Best wishes

maddz · 02-25-2017, 05:56 AM

Yes, when I had all the trouble way back when, I ended up seeing the hospital OT. They had several set-ups for me to try, and gave me a 'prescription' for a better chair - the contract chairs they had at the time were too narrow and weren't adjustable enough. This is when I tried the vertical mice - which I still have but don't use (need) anymore - and the forearm cradles (the clamp types).

Mind you, this was at Addenbrookes Hospital - I don't know if a smaller hospital would have that kind of set-up.

LucyOne · 02-26-2017, 06:39 AM

My RSI started in 2004 and I've been dealing with it ever since. Drugs don't help at all because they don't address the root cause of the problem which is bad posture. Normal doctors don't really know anything what to do about RSI, at least that's the case in Germany, where I live. As an RSI patient you can't really expect anyone to help you, you have to help yourself. And there is no easy way out, because as soon as you get RSI, the damage has already been done and it takes a lot of discipline and patience for your body to heal.

Posture is essential because the nerves in the arms get easily impinged in the shoulder area. Proper alignment of the shoulders frees the nerves and muscles in the arms, wrists and hands.

I would definitely recommend getting information about proper posture and starting an exercise program that strengthens the core muscles and helps to improve posture. Here are some things that have helped me over the years:

Esther Gokhale's book "8 Steps to a Pain-Free Back" illustrates common mistakes Westerners make when it comes to posture and proper alignment, and it also shows positive examples from countries all over the world, where back pain and similar ailments are virtually unknown.
New Callanetics is a great way to strengthen the deep muscles that keep us upright and properly aligned.
Martha Peterson's program "Move without Pain" is very easy to learn, helps with overall stress release and makes the brain relearn how to move the body properly. Book and DVDs available.
The MELT Method helps to make the fascia more flexible again and is a good way to relieve everyday pain in the hands and arms (you need to get the "Hand and Foot Kit" for that).

I'm not affiliated with any of these practitioners or programs, I'm just a fan because all of these programs were developed by people dealing with their own pains, unable to find help from normal doctors and therapists.

In the end, it takes a lot of dedication and discipline to follow through with any of these programs. It took me a lot of time to learn these training regimes, but I still regularly do them because it helps me to stay pain-free most of the time. However, I still have to be careful about how much work I do at the computer or when I use an e-reader or my smartphone.

maddz · 02-26-2017, 09:32 AM

The other thing I would recommend trying is sitting every so often on a gym ball; that will help with posture and core muscle exercise. You'll wobble around alarmingly at first and will have to kneel straddling the ball with your toes on the ground, but if you persevere you'll end up kneeling on the ball with your feet tucked up. (Not recommended if you have to wear a skirt at work!)

Alternatively, if your knees will take the pressure, try a kneeling stool (be warned, they can leave you feeling mildly skinned if the fabric is too harsh). Compared to a gym ball, they can be very expensive though.

I have various Callanetics DVDs, but it's best if you can find a class. Alternatively, try yoga - I did supple strength classes for a while which is very similar to Callanetics (some exercises I couldn't do because of back problems but on the whole I could cope). Pilates I found put too much strain on my back.

MarjaE · 02-28-2017, 01:10 AM

I also have occasional tailbone pain and chronic foot pain.

Since I have a laptop computer, even if I mostly use it as a desktop, I can switch it to different setups.

Maybe I should try lying on my belly on a wedge pillow?

LucyOne · 02-28-2017, 06:18 AM

Quote:

Originally Posted by MarjaE

I also have occasional tailbone pain and chronic foot pain.

Since I have a laptop computer, even if I mostly use it as a desktop, I can switch it to different setups.

Maybe I should try lying on my belly on a wedge pillow?

I don't think you'll be able to work on your belly. Your arms and shoulders will be pushed upwards and you won't be able to take a natural, proper posture.
Try sitting or standing as upright as possible.
If you suffer from further pain, you should try a workout programme that deals with the whole body, like Callanetics, Somatics (Move without pain) or Yamuna Body Rolling.
Rolfing would also help to align all the parts of your body. Each body part is dependent on the rest of the body. People can have a crooked tooth and it will cause back pain.

maddz · 02-28-2017, 08:45 AM

Do you use a wedge cushion? The type I have has a cut-out at the back which may help with tailbone issues. IIRC, it came from Staples (in the UK but you should be able to find one at any major office supply shop or order from Amazon - like this one https://www.amazon.co.uk/Medipaq-MEM...osture+cushion). I don't think mine is a memory foam type though - it's probably too old. It also helps if you have the type of chair that doesn't have seat tilt as it mimics the tilt effect.

MarjaE · 02-28-2017, 04:07 PM

My natural posture is flopped over, okay?

It's always been that way.

I feel alright and don't get these if I'm exercising, but I get worse brain fog and worse disorientation if I'm just sitting up or standing up.

I sometimes use a wedge cushion, sometimes don't.

maddz · 02-28-2017, 04:32 PM

Quote:

Originally Posted by MarjaE

My natural posture is flopped over, okay?

I'm pretty much the same way - when seated at least. Which can cause problems when doing long distance driving - at least more modern cars have useful things like lumbar support. I also have short legs relative to my back and arm length so I have to use a foot rest when doing computer work and drive in a boy racer position (which caused problems when I drove boy racer cars!)

My ideal seated position would be in a Le Corbusier recliner - back and lumbar support, and leg support (a bit like I am at the moment - in an armchair with a lumbar cushion and my shins and feet on a high footstool). However, computer work in that position isn't on - I can use a tablet but that's it.

MarjaE · 04-24-2017, 06:07 PM

I am still in a lot of pain and need a solution.

meeera · 04-25-2017, 04:56 AM

Quote:

Originally Posted by MarjaE

I am still in a lot of pain and need a solution.

That sucks. I continue to recommend professional consultation with an occupational therapist.

02-24-2017, 02:14 PM	#19
MarjaE Guru Posts: 931 Karma: 53902736 Join Date: Jun 2015 Device: multiple	I've seen a few general practitioners, a physical therapist, and a neurologist about this since this started almost 6 years ago. Most of them suggested non-steroidal anti-inflammatory drugs. I tried low-dose nsaids for several months, even though they added gut pain to the arm pain. It turns out nsaids and other salicylates can also worsen hyperacusis. I now avoid them. I haven't lost any arm or hand strength, but I have been in constant ulnar-nerve pain, and I may have worsened my coordination/proprioception problems. Last edited by MarjaE; 02-24-2017 at 02:52 PM.

02-26-2017, 06:39 AM	#22
LucyOne Librocubicularist Posts: 617 Karma: 11908623 Join Date: Dec 2013 Location: Germany Device: PocketBook InkPad 3 & Touch HD 3, Kobo Clara HD, Kindle Paperwhite 5	My RSI started in 2004 and I've been dealing with it ever since. Drugs don't help at all because they don't address the root cause of the problem which is bad posture. Normal doctors don't really know anything what to do about RSI, at least that's the case in Germany, where I live. As an RSI patient you can't really expect anyone to help you, you have to help yourself. And there is no easy way out, because as soon as you get RSI, the damage has already been done and it takes a lot of discipline and patience for your body to heal. Posture is essential because the nerves in the arms get easily impinged in the shoulder area. Proper alignment of the shoulders frees the nerves and muscles in the arms, wrists and hands. I would definitely recommend getting information about proper posture and starting an exercise program that strengthens the core muscles and helps to improve posture. Here are some things that have helped me over the years: Esther Gokhale's book "8 Steps to a Pain-Free Back" illustrates common mistakes Westerners make when it comes to posture and proper alignment, and it also shows positive examples from countries all over the world, where back pain and similar ailments are virtually unknown. New Callanetics is a great way to strengthen the deep muscles that keep us upright and properly aligned. Martha Peterson's program "Move without Pain" is very easy to learn, helps with overall stress release and makes the brain relearn how to move the body properly. Book and DVDs available. The MELT Method helps to make the fascia more flexible again and is a good way to relieve everyday pain in the hands and arms (you need to get the "Hand and Foot Kit" for that). I'm not affiliated with any of these practitioners or programs, I'm just a fan because all of these programs were developed by people dealing with their own pains, unable to find help from normal doctors and therapists. In the end, it takes a lot of dedication and discipline to follow through with any of these programs. It took me a lot of time to learn these training regimes, but I still regularly do them because it helps me to stay pain-free most of the time. However, I still have to be careful about how much work I do at the computer or when I use an e-reader or my smartphone.

02-26-2017, 09:32 AM	#23
maddz Wizard Posts: 1,362 Karma: 30039536 Join Date: Mar 2010 Location: UK Device: Kobo Forma, Icarus, iPad Mini 2, Kobo Touch, Google Nexus 7	The other thing I would recommend trying is sitting every so often on a gym ball; that will help with posture and core muscle exercise. You'll wobble around alarmingly at first and will have to kneel straddling the ball with your toes on the ground, but if you persevere you'll end up kneeling on the ball with your feet tucked up. (Not recommended if you have to wear a skirt at work!) Alternatively, if your knees will take the pressure, try a kneeling stool (be warned, they can leave you feeling mildly skinned if the fabric is too harsh). Compared to a gym ball, they can be very expensive though. I have various Callanetics DVDs, but it's best if you can find a class. Alternatively, try yoga - I did supple strength classes for a while which is very similar to Callanetics (some exercises I couldn't do because of back problems but on the whole I could cope). Pilates I found put too much strain on my back. Last edited by maddz; 02-26-2017 at 09:36 AM.

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02-22-2017, 12:44 PM	#16
Penforhire Wizard Posts: 2,230 Karma: 7145404 Join Date: Nov 2007 Location: Southern California Device: Kindle Voyage & iPhone 7+	Even with your bad experience with voice input you still seem like a good candidate for it. You need to use a higher quality directional microphone or headset. A noisy environment should not be an obstacle for a good directional mic.

02-22-2017, 08:29 PM	#17
MarjaE Guru Posts: 931 Karma: 53902736 Join Date: Jun 2015 Device: multiple	I haven't found headsets which use bluetooth, and which have good ear protection >30 nrr, or which clip onto ear protection.

02-23-2017, 02:55 PM	#18
caelo4 Junior Member Posts: 3 Karma: 10 Join Date: Feb 2017 Device: none	First off, you don't state whether you have seen a doctor or physical therapist. I am a Student Physical Therapist Assistant so my advice would be to see someone to treat your issues so you can resume your writing in the near future. If not properly treated and allowed to heal, some complications can become chronic with repetitive use and take years to heal. The idea is to resume to normal activities and not just live with the problems. I know we all want to continue writing or exercising but sometimes a few steps backward will help you move farther forward in the future so you aren't dealing with complications for the rest of your life.

02-25-2017, 05:56 AM	#21
maddz Wizard Posts: 1,362 Karma: 30039536 Join Date: Mar 2010 Location: UK Device: Kobo Forma, Icarus, iPad Mini 2, Kobo Touch, Google Nexus 7	Yes, when I had all the trouble way back when, I ended up seeing the hospital OT. They had several set-ups for me to try, and gave me a 'prescription' for a better chair - the contract chairs they had at the time were too narrow and weren't adjustable enough. This is when I tried the vertical mice - which I still have but don't use (need) anymore - and the forearm cradles (the clamp types). Mind you, this was at Addenbrookes Hospital - I don't know if a smaller hospital would have that kind of set-up.

02-28-2017, 01:10 AM	#24
MarjaE Guru Posts: 931 Karma: 53902736 Join Date: Jun 2015 Device: multiple	I also have occasional tailbone pain and chronic foot pain. Since I have a laptop computer, even if I mostly use it as a desktop, I can switch it to different setups. Maybe I should try lying on my belly on a wedge pillow?

02-28-2017, 08:45 AM	#26
maddz Wizard Posts: 1,362 Karma: 30039536 Join Date: Mar 2010 Location: UK Device: Kobo Forma, Icarus, iPad Mini 2, Kobo Touch, Google Nexus 7	Do you use a wedge cushion? The type I have has a cut-out at the back which may help with tailbone issues. IIRC, it came from Staples (in the UK but you should be able to find one at any major office supply shop or order from Amazon - like this one https://www.amazon.co.uk/Medipaq-MEM...osture+cushion). I don't think mine is a memory foam type though - it's probably too old. It also helps if you have the type of chair that doesn't have seat tilt as it mimics the tilt effect.

02-28-2017, 04:07 PM	#27
MarjaE Guru Posts: 931 Karma: 53902736 Join Date: Jun 2015 Device: multiple	My natural posture is flopped over, okay? It's always been that way. I feel alright and don't get these if I'm exercising, but I get worse brain fog and worse disorientation if I'm just sitting up or standing up. I sometimes use a wedge cushion, sometimes don't.

04-24-2017, 06:07 PM	#29
MarjaE Guru Posts: 931 Karma: 53902736 Join Date: Jun 2015 Device: multiple	I am still in a lot of pain and need a solution.

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