Managing Ulnar Wrist Pain While Using a Computer Mouse: Tips and Solutions - Rehabilitation

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Ulnar wrist pain while using a computer?


Hello Director Wang,
Last year, I experienced pain and numbness in my right hand's ulnar side while using the mouse for about two months.
Recently, the pain has recurred, but there is no numbness this time.
After researching online, I found that the symptoms are different from carpal tunnel syndrome, as the pain is primarily on the ulnar side.
It seems that I exert more pressure on the ulnar side when using a standard mouse.

In addition to adjusting the height of my desk and chair, I am considering other options for improvement.
I have seen vertical mice (though the area that gets pressed seems to be the same ulnar side that is currently painful, so I'm concerned it may not help) and trackballs (which don't require wrist movement, but I already experience pain just resting my hand on the wrist pad).
Should I first purchase a soft wrist pad like the Japanese Dimp Gel? Currently, my wrist pad is just a basic one priced at $199.

I would appreciate any suggestions you may have.
Thank you, and I wish you good health and happiness!

Mr. Huang, 30~39 year old female. Ask Date: 2023/10/19

Dr. Wang Zhaomin reply Rehabilitation


Using a trackball or improving mouse pad functionality can benefit wrist health.
Ulnar-sided wrist pain may be related to localized long-term pressure, which can cause discomfort due to associated soft tissue inflammation or ulnar nerve compression.
Wrist braces can be used for protection, along with heat therapy and stretching exercises, while also improving the wrist's working environment.
If symptoms persist, it is advisable to promptly visit an orthopedic, neurology, or rehabilitation specialist for accurate diagnosis and appropriate treatment.

Reply Date: 2023/10/19

More Info


Managing ulnar wrist pain while using a computer mouse can be a challenging issue, especially for those who spend long hours at their desks. The symptoms you describe, including pain and discomfort on the ulnar side of your wrist, may be indicative of several conditions, including ulnar nerve compression or repetitive strain injuries. Here are some tips and solutions to help alleviate your symptoms and improve your overall wrist health while using a computer mouse.


Ergonomic Adjustments
1. Desk and Chair Height: Ensure that your desk and chair are at the correct height. Your elbows should be at a 90-degree angle when your hands are on the keyboard or mouse. This position helps to reduce strain on your wrists and forearms.

2. Mouse Position: The mouse should be positioned at the same level as your keyboard and close enough that you do not have to reach for it. This minimizes the strain on your wrist and forearm.

3. Wrist Support: Consider investing in a high-quality wrist rest, such as the Dimp Gel wrist rest you mentioned. A soft, supportive wrist rest can help maintain a neutral wrist position and reduce pressure on the ulnar side of your wrist. Ensure that the wrist rest allows your wrist to remain straight rather than bent.


Mouse Alternatives
1. Vertical Mouse: A vertical mouse can help keep your wrist in a more natural position, reducing strain on the ulnar side. However, as you mentioned, it’s essential to ensure that it does not exacerbate your current pain. If possible, try one out before purchasing.

2. Trackball Mouse: A trackball mouse can be a good alternative as it requires less wrist movement. This can help alleviate pain associated with repetitive wrist motions. However, you should still monitor how your wrist feels when using it.

3. Touchpad or Stylus: If you have a laptop or a touchscreen device, consider using a touchpad or stylus for navigation. This can reduce the strain on your wrist from using a traditional mouse.


Regular Breaks and Exercises
1. Frequent Breaks: Take regular breaks every 30 minutes to stretch and move around. This can help reduce muscle fatigue and improve circulation in your arms and wrists.

2. Stretching Exercises: Incorporate wrist and hand stretches into your routine. Simple stretches such as wrist flexor and extensor stretches can help alleviate tension. For example, extend your arm in front of you with your palm facing up, and gently pull back on your fingers with your other hand to stretch the wrist flexors.

3. Strengthening Exercises: Strengthening the muscles around your wrist and forearm can help provide better support. Exercises such as wrist curls and grip strengthening can be beneficial.


Pain Management
1. Cold and Heat Therapy: Applying ice to the affected area can help reduce inflammation, while heat can help relax tight muscles. Experiment with both to see which provides more relief.

2. Over-the-Counter Pain Relief: If necessary, consider using over-the-counter pain relief medications like ibuprofen or acetaminophen, but consult with a healthcare provider before starting any medication.

3. Consult a Specialist: If your symptoms persist or worsen, it may be beneficial to consult with a healthcare professional, such as a physical therapist or an orthopedic specialist. They can provide a tailored treatment plan and may suggest additional therapies, such as ultrasound or electrical stimulation.


Conclusion
Managing ulnar wrist pain while using a computer mouse requires a multifaceted approach that includes ergonomic adjustments, alternative devices, regular breaks, and appropriate pain management strategies. By implementing these tips, you can help alleviate your symptoms and improve your comfort while working at your computer. Remember to listen to your body and seek professional advice if your pain continues or worsens.

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