For the rest I just wash 'm, really...

I also moisturize[3], although not as much as I probably should.

[1] https://www.microsoft.com/en-us/p/surface-ergonomic-keyboard...

[2] https://www.microsoft.com/accessories/en-us/products/mice/co...

[3] https://www.amazon.com/Nivea-Plus-Care-Cream-100ml/dp/B000SQ...

I'm operating under the theory that a stronger body is harder to break. Seems to be working fine so far.

Before surgery I also switched the mouse to the left hand, and a bonus of it, now I can use two mouses simultaneously (for example the laptop mouse with one hand and the desktop mouse with the other hand).

Another bonus: My wife is left-handed therefore I can use her system without fiddling with the mouse. I always took care to switch the buttons when using the mouse left-handed. This means it's like going over to the UK and suddenly driving on the other side of the road with a rental car and not my own continental car. The side where I sit in the car is the middle of the street. This thinking also helps with switching mouses, so that's why it's important to switch the mouse buttons, at least for me it get's easier because of symmetry.

Stretch your arm out fully to the side so it is level with your shoulder with your palm facing upwards, now bend your hand down as far as you can while keeping it flat with your fingers together, now tilt your head away from the direction of the arm. You will feel a tight pull in the arm and neck, it may hurt a little but repeat it as many times as you can, this excercise helped restore a lot of the movement in my hand

- Get an arm roller and use it regularly to massage and stretch your tendons

- Keep warm. Wear a sweatshirt while typing. My RSI flares when my arms become cold. I suspect it’s because of the generic tightening of muscles with temperature

- As odd as it seems, weightlifting seems to really help

- Use a mouse, but alternate hands regularly to give your clicking muscles a break. This one may take some practice

- Wear wrist braces while sleeping. I found out pretty late that I was sleeping while putting some weird pressures on my wrists and hands. I rarely wake up with pain in the mornings now

- Spend less time messing around on your phone. It’s never as bad as using a full computer, but it’s certainly less productive

- Work less. Your health isn’t worth it

When circulation is poor, the extremities take it the hardest. That includes hands, feet, ears and nose.

Improving my circulation has helped resolve a lot of the hand issues I once had. I have visibly healthier, stronger nails. My hands and feet don't readily get cold like they once did.

Etc.

If you have a "cup half full," it's the same areas that consistently get less oxygen, fewer nutrients, etc. Over time, that takes a very big toll.

I used to read medical records as part of my job. Diabetes, which is a blood issue, significantly impacts the feet. After many years of poor blood sugar control, feet issues become so serious that diabetics can end up needing to have a foot amputated.

I don't think it matters that much how much you move your arms per se. If you do aerobic exercise to strengthen your circulatory system, it eventually impacts the feet and hands significantly.

I was born with a serious medical condition that negatively impacts my circulation. After getting diagnosed, I began redressing a backlog of lifelong issues.

As circulation to my hands improved, I had pus appear under my cuticles. I spent weeks or months waking up with very painfully sensitive fingertips. My hands began to slough dead skin.

This stuff went on for a long time. I wasn't exercising my hands particularly. I was just improving my baseline health, including my circulation.

N=1 (sort of -- my son with the same condition also had a lot of hand drama as we got healthier)

I use a Kinesis Advantage 2 ergonomic keyboard. They're not cheap, but they greatly help with comfort IMHO. I greatly regret not buying one ten years earlier (I almost did, but put it off due to the cost). I use it with a foot pedal for shift and other things. I would highly recommend that any programmer seriously consider getting or trying one out.

If I feel stain or pain, I will sleep while wearing wrist braces to keep the joints straight at night. Its a bit weird and uncomfortable, but you get used to it. I haven't needed to do it in about a year.

Regular breaks and stretches are also good and keeping your joints warm helps prevent damage. Also, I see a lot of people at conferences and in the office hammering their keyboards as if on an old-school typewriter. Don't do that.

Also, as others have mentioned, keeping your keyboard (and everything else) at a proper height is important. Exercise (for your hands an in general) are great too, as others have said. Some great advice here today!

Finally, if you have carpel tunnel specifically, I recommend trying these out: https://www.mycarpaltunnel.com/carpal-tunnel-treatment/ligam... They're a bit pricey and not guaranteed to work, but they did for me. The pain went away after about 3 to 4 weeks and hasn't really come back (after heavy typing on a bad keyboard without breaks maybe, but nothing a wrist brace for the night didn't sort out). I've been pretty much pain free for 1.5 years since using that. Anecdotal, I know...

I've played the former since I was a child and apart from the benefits to your brain and skillset, the muscular development in the fingers (esp the ring and pinkie) greatly enhances overall finger/hand strength, stretching, dexterity, tone, and vascularity – especially as you age.

Pick up martial arts if you can.

I practice Karate but hairline fractures in the knuckles are a bit of a risk due to the hard nature of the style. I recommend something a bit more fluid like Kung Fu or Jiu Jitsu to increase overall strength and mobility for the fingers, hands, and wrists.

Use Kettlebells, and do swings.

I use KB's almost exclusively and they help to build gripping strength and stability for both the hands and forearms. Kettlebell swings specifically help to strengthen the posterior chain and correct bad posture – which is crucial for those of us who are sitting in front a screen for most of the day. It's also an excellent form of high-intensity interval training that won't take up much of your time.

Use Epsom salts.

A few times a week I'll mix some Epsom salts in a basin of lukewarm water and let my hands soak for up to 15 minutes. Very therapeutic.

Take Collagen protein.

I make my own bone broth using a slow cooker– cheap and easy. Collagen is highly beneficial for joints and ligaments, including of course the wrist, elbows, fingers, etc. You can also get the tabs or powder too if that's easier than making broth.

I also rock climb, so I regularly stretch & exercise my fingers. Things like fingertip pull-ups & pinch-grip lifting.

I've had a few finger injuries related to climbing but none of them disabling in any way (I had to go off climbing for a week or two once but typing was always ok).

I guess the fact that I used to play basketball a lot in my teen years has also helped strengthen my tendons. It's not fun when the ball hits the tip of a stretched finger bang on and your tendons are not up to par.

Rock on!

- Don't use keyboard on weekends (Your body needs time to recover)

- Have a decent setup. Desk and chair height, arm rest position, keyboard and good size mouse.

- Invest on a good keyboard. I use Kinesis-Advantage-2. You can also go extra miles with Dvorak.

- Use vim key bindings. (You can use it on any editor even on your web-browser)

- At least 15 mins daily exercise for your hands, neck, and shoulders.

- Do physical activities to maintain muscle health.

- Do sport but not too hard.

For hangnails, use a normal hand cream every morning and every night before going to bed. The first few days is annoying to have greasy hands if you are not used to it. After some minutes it vaporizes or absorbs into the skin.

It took me less than a month to get rid of hangnails. After that I only apply a little bit before going to sleep.

Apart from the above, I ensure that I'm going to the gym/doing physical activities at least 4 days a week.

Pt

Chiro

Acupuncture

Sticky keys

Advantage 2

Adjustable desk and special chair (capisco and gaming chair with a high back) https://www.fully.com/chairs.html

Exercise daily

Martial Arts (wing chun need to do more)

Weightlifting (need to do more)

Braces if necessary while working or at night

Elbow wraps while working and at night if necessary

Sleeping on the back mostly

Regular breaks

Vacation (never enough to heal)

Using phone and tablets less (need more commitment)

Scraper on arms and cupping

Still have pain at times but usually I can relieve and minimize it. Working to adopt more of these techniques into a daily or semi daily routine.

That being said, definitely invest in an excellent keyboard and mouse. If you are going to spend 8+ hours a day using it, make sure it's comfortable. I can't stand anything which isn't a mechanical keyboard. I have tried various funny looking ergonomic models but haven't found them necessary yet.

Also, don't overlook your chair and desk. They might be forcing your hands into an awkward position.

  * trackpad not mouse and use sparingly
  * avoid emacs bindings - use evil/viper/... in Emacs and `set -o vi` in the shell.
  * elbow height at desk height
  * eye level near top of monitor level - this implies minimal use of a laptop without external accessories
  * I actually like the very short travel keyboards (e.g. mac)

Not to brag, just a data point. Also I'm kinda curious how common or uncommon it is.

In the past I used normal height mechanical keyboards and I could feel my wrists hurting after 15 minutes of using them.

This year I started strength training which turned out to help as well.

2) make sure your keyboard and mouse are close enough to you, and that your chair is close enough to your desk, that you aren't forcing yourself to hunch over to type or mouse. bend your elbows at 90 degrees beside you, with your arms forward as if you would use it. This is the most natural and least damaging long term arm position. Set your adjustable arm rests to this height.

3) This or slightly lower is an ergonomic height to minimize weird bending in shoulder, elbows, and wrists. This is roughly your optimum desk height. For most people, non adjustable desks are way way too high to be ergonomic.

4) you can consider dropping the height another 1/2 inch ("slightly lower") and get a wrist rest for your keyboard and an arm wrest for your mouse, which minimize wrist bending if set up right and support your arm intermediataly, but these are not for everyone.

5) If you're really into preserving your long term health, purchase a vertical mouse or scroll mouse to use during non gaming times. They take some getting used to but then you aren't always using the same muscles in the same position. The goal here is to vary the use.

7) the top of your monitor(s) should be roughly around your comfortable eye level so you aren't looking up.

8) Stretch your wrists and forearms every hour or two. One stretch I like to do that has helped me with my tennis elbow is veru simple. Stand up with room in front of you to swing your arms. Hold your arms all the way down with your elbows straight or near straight and your fingers facing forward, palm down.

Slowly swing your arms forward and up, keeping your fingers facing forward.

As you get to the top of the arc, tilt your wrist forward and curl your fingers. No need to make a fist.

Hold for 10-30 seconds where it feels like its stretching in your inner and outer elbow, and in the tendons around your hand and wrist. Repeat a handfull of time a day while working on a computer.

9) If something is hurting, this is an injury. Figure out what's causing it and treat the cause, not just the injury, or it won't get better. Consider reducing computer usage or activities with repetitive motions to let your arm recover.

10) If the injury is accute (preferably before then, but definitely if it is intefering with your day to day life) consider seeing a doctor. if you have health benefits massage and physiotherapy are both very helpful along with activity reduction. A doctor may recommend temporary use of NSAIDs topically or as pills, or in more serious cases direct injection of anti inflammatory steroids like cortisone. In cases with severe existing damage, they may recommend surgery.

Look up some guides and get a desk you can adjust - even if with difficulty so you only set it once - or something fancy with motors and control panel. Spend money and time on the ergonomics of the things you use all the time - chair, desk, monitor, keyboard, mouse. Your body will thank you for it.