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I also fixed my RSI issues with exercise, though I get a lot more benefit from cardio.

I find it extremely helpful to take a mid-workday walk, ~20 minutes, usually after lunch. My brain turns off to digest anyway, so I lose little useful work time. Adopting the walk pretty much solved my issue.

I speculate that my issues are blood-flow related - I’ve always had cold hands/feet, suggesting suboptimal circulation. All the prolonged sitting then starves the muscles in my wrists of the oxygen needed to keep typing. Roughly in line with this study: https://pubmed.ncbi.nlm.nih.gov/16640514/

Obviously, there are many possible root causes for RSI conditions. But a midday walk is a nice thing regardless, and may be worth a try.



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