"Mix it up. Switch from a PC, to a laptop, to a smartphone, to a tablet, offsetting the pressure on your damaged hands, neck, arms, etc. Go back to pencils and paper. Type up your work when you’ve recovered or ask someone else do it for you."
Marianne Sciucco, from an article on RSI written for TheCreativePenn blog
So much of the daily physical pain felt by writers stems from hours hunched over in a chair, bashing the keyboard. If we think of becoming healthy in layers, this might be the first step where you can make some positive changes quickly.
Here are some suggestions that you might want to consider to get your workplace sorted out to be a healthy writer. Many writers in The Healthy Writer survey offered tips and advice that followed these principles, and these are also discussed in this section.
Posture and ergonomic tips and tricks
When discussing RSI in Chapter 1.4, we highlighted how laptops are incredibly bad for your posture. They get it all wrong: the screen is at the wrong height and the angle of your wrists and arms is appallingly bad in ergonomic terms. Getting educated about good ergonomic practice has been shown to help reduce pain and discomfort.
Laptop tips
- Use a riser to bring the laptop up so you are not looking all the way down at it. You could use portable products like StandStand and other options to do this if writing in cafés.
- When possible, use your laptop with an external keyboard.
Check your posture
- Be aware of what the normal shape of your back should be. The rounding off in the lower back is something many people do. Try to practice sitting with a posture where the normal back curves are maintained. A chair with a back support will make a big difference to the time you spend in proper posture.
- Make sure your feet are on the floor or on a foot rest.
- Are your shoulders relaxed? Be aware of what your upper body is doing as well.
- When typing, try to keep your forearms parallel with the floor (at right angles to your body).
- When using the keyboard your wrists should be in a neutral position and they should hover above the keyboard to keep them straight.
- Try to avoid resting your wrists or forearms on the edge of the keyboard or table.
- Position your monitor so that it keeps your neck in a neutral position. Usually that will mean the top of the computer screen will be at eye level and you are looking slightly down at it.
- Think about your physical writing style. Holding your mouse in a death grip or banging the keyboard with brutal force are not good habits. Relax.
Vary the work you do in a session
- If you can do some first draft work, then some editing, perhaps some dictation, then the variety is helpful.
- If you are reviewing written documents such as paper copies you have edited up, place them in line with your screen and keyboard. You don't want to be moving excessively or twisting around. You can get simple document holders for just a few dollars that hold paperwork up.
Take regular breaks
- I know it is hard when in the flow, but find out what works for you. A couple of minutes every half an hour with a slightly longer break after an hour will help.
- Do something different in those breaks. Walk a hundred paces or stretch. Get up and move around. Looking at Facebook or Twitter may give you a rest from the writing work but won’t help your body at all.
- There can be a great deal of benefit from taking regular aerobic exercise (the exercise that makes you out of breath rather than pushing weights). It builds core strength, and good muscles equal better posture.
- At the end of it, you could simply stand up. Standing and treadmill desks may not be the answer to all your problems, but they do change up your posture. That change may be enough to give your hands, wrists and forearms the chance to settle down again.
"More words while being unhealthy is self-defeating in the long run. You'll damage your wrists, your arms, even your hands if you don't train for it first. And part of that training is teaching yourself how to stop and start the flow so you can take breaks. Breaks are essential to your long term health."
Leah Cutter, The Healthy Professional Writer
Stand-up desks
A systematic review of stand up desks found they had benefits in a number of areas. They weren’t quite as good as treadmill desks, but there were clear advantages over sitting down. People who used a stand-up desk burned more calories and people who were overweight burned even more than those who weren't.
Some studies have also found improvements in tiredness and energy levels even after just a few weeks with a sit-stand desk. Participants reported they felt happier and more comfortable, they were energized, more focused and less stressed using the sit-stand desk. There seems to be some evidence that changes in posture are helpful in reducing drowsiness.
However, a 2016 Cochrane review of the evidence around sit-stand desks did not find high-quality evidence of much of an effect. Part of this might be down to motivations. Individuals given a sit-stand desk at work do not necessarily have any desire to change their behavior. That’s always going to be key in getting people to do things differently. Certainly, many of the studies around this are small scale. If you are enthusiastic, then you may well get a lot of benefit.
There is also some evidence that people who spend all day standing in their occupation are more likely to get some low back pain. It’s probable that a sit-stand desk is going to be best when you use it to mix up and vary your posture throughout the course of the day.
"I use a tennis ball rolling under the feet regularly to reduce pain and swelling in feet ankles and calves."
Jade Campbell, The Healthy Writer survey
Treadmill desk
A treadmill desk is not going to be possible for many people for the simple reason that they don’t have the space at home and the cost can be prohibitive. But there has been some interest in this kind of 'active workstation' to counteract the sedentary nature of many jobs.
A systematic review of treadmill desks found that they improved cholesterol and glucose levels. People who used a treadmill desk had reductions in their waist circumference and lower blood pressure. It also helped their mental state and they were in a better mood.
There has also been interest in whether the walking causes reductions in the ability to do maths and reading tasks. Some evidence has suggested that is the case. One study in 2015 did find some reduction in cognitive abilities but the differences were minor. There was a clear reduction in typing speed.
Overall, though, these differences seem to be modest and the gains in terms of activity and reduced sedentary time are likely to outweigh them.
"My do-it-yourself treadmill desk has been a lifesaver. I usually walk in the morning when answering emails or doing other mind-numbing tasks."
Abigail Dunard, The Healthy Writer survey
Screen filters and light filtering glasses
As discussed earlier in Chapter 1.8, these have been shown to reduce eye strain and will help reduce headaches. Don’t forget the eye drops to help keep dry eyes and eye strain at bay. Even if you are working at a café, you can slip some drops into your bag.
Ergonomic keyboards and other devices
There is no clear evidence for these kind of devices, but many people feel they get benefit from their use. Some readers also commented on the use of a left-hand mouse (for those who were right-handed). It can take time to get comfortable but being ‘ambi-moustrous’ and being able to use a mouse in either hand may help some repetitive strain patterns.
"Ergonomic keyboards for the win. I switched years ago and can't go back. While it takes some getting used to, I haven't had any problems with wrist strain since."
Joe Baird, The Healthy Writer survey
Working on the move
Writing in cafés is popular for writers. It can be beneficial to get out of the house in order to escape chores and family distractions, find a place for dedicated writing, and also to get some social connections. But if you're slumped in a saggy sofa or hunched over at a table that's at the wrong height, you're going to get back pain.
But wherever you're writing, you can still follow some of the basic principles of good ergonomics. Try to be conscious of the normal curvature of the spine, the position of your forearms and wrists, and keeping your feet on the floor. It may still be feasible to use a riser and an external keyboard with your laptop.
"The idea of just wandering off to a café with a notebook and writing and seeing where that takes me for awhile is just bliss."
J.K.Rowling, who wrote Harry Potter in cafés
Questions:
- What is wrong with your workspace right now? Consider external assessment if you think it's perfect and you are still getting pain.
- Are there ways your workspace could be improved? Could you make space for a standing desk or even a treadmill desk?
- Are you taking enough breaks? How can you ensure that you are?
Resources:
- Timers for taking breaks: Timeout for the Mac, Workrave.org for PC. Or consider putting your phone timer across the room, or in another room, so you have to get up to turn it off.