Computer Ergonomics: Work Pain Free

Question from Karen: Should your arm be lying flat on the desk to use your keyboard and mouse or should you be seated really  high so its just a slight move?

Hello Karen,

Your question does not have a straightforward answer. When you go through the Work Pain Free program, you will learn how to pick the best position for you……and that may vary throughout the day. The bottom line is the position that feels best, and has you feeling better at the end of the day is your best position.

The general rule is your elbows are relaxed at your side, there is a slightly open angle at the elbow, and the wrist is straight.

The wrist rest helps maintain the straight wrist and gives all of the arm, shoulder, neck and upper back muscles a rest when you pause, even for a moment.

Another option is that your arms are able to relax on the desk top while typing. The seat height desk top relationship must be such that the arms and shoulders are relaxed.

There are then other factors to take into consideration, such as low back support, leg support, etc.

The work Pain Free training is a system that will correlate all factors so you feel the best and are the most relaxed and productive

I hope this information helped you and I look forward to hearing back how good you feel.

Yours in health,

Dr. Barry Carlin

Tags: ergonomics, Neck Pain, shoulder pain, workstation ergonomics

Question From Letitia: After years of heavy computer usage, I developed hand, wrist, and arm pain. Despite quitting my job, seeking various forms of therapy and minimizing time on the computer, I still experience pain three years later. Is there hope for me to recover, or is it too late?

Dear Letitia,

First of all, every musculoskeletal problem can be cured. The problem is, once hand-wrist-arm [tag]pain from computer work[/tag] is an advanced condition, such as yours obviously is, it is hard to fix, there are several possible components of the cure that works for you, and it takes a long time. You must be patient and continue with the treatment path even though there is little improvement in the beginning.

You mentioned you have tried various forms of therapy. A common problem is someone in your condition may try physical therapy for a while, then a chiropractor, then an MD for medication and rest, then an acupuncturist, etc. The problem here is your condition probably has several components, and you need to see several different practitioners at the same time. They must be in contact with each other and all be contributing to your cure. It is worth it because as you have discovered, it affects your entire life.

Treatment is difficult, and prevention is simple. That prevention is what the work pain free program is about. You will need to learn the lessons of work pain free because you mentioned that you still do some computer work, so you must stop the stress from that activity in order to get better.

There are several issues that you must explore.

1. You need to find health care providers that are secure enough and have relationships with other health care providers to refer you to if they cannot cure you.
2. Despite pain location, is the problem caused by hand, wrist, arm or neck dysfunction?
3. Other conditions to explore as possible contributory causes of the condition are: Pinched nerve in Neck, Brachial Plexus, Thoracic Outlet, Elbow, or Wrist; Muscular imbalance and spasm in forearm, Muscular trigger Point, Chronic Dehydration from not drinking enough water, True Carpel Tunnel, A bony distortion (Subluxation) in the hand, wrist or elbow, Neck Disc Pathology, TMJ Dysfunction,
4. Have you truly customized your computer workstation and technique to eliminate physical stress? (these are the lessons of “Work Pain Free”)
5. You will need to be evaluated for imbalances in your posture due to muscular strength imbalances. These will need to be corrected through a customized stretching and strengthening Rehabilitative exercise program.

Please feel free to contact me with what city you are in. I will help you find you a quality health care referral to help solve your problem.

Good luck.

Regards,

Dr. Barry Carlin