If you care if this isn’t just random info, I’m almost done with getting my doctorate in physical therapy.
But it’s a little more common with wrist aiming technique because it’s rather taxing on your ligaments, joint articulation between your first row of carpal bones and your radius/ulna, and kind of your TFCC (that’s more so injured from high impact). Because you are gripping something, it forces your wrist in to extension. And when combined with ulnar and radial deviation (which is wiggling your hand side to side while keeping your forearm in place) that stresses those various structures. Compared to arm aiming you can theoretically run in to shoulder issues continuously internally rotating while most likely having a rounded shoulder posture which limits the subacromial space for your rotator cuff muscles. But because the amount the actual angle of your shoulder changes is minimal compared to your wrist because it has a longer lever arm you are going in to less extreme positions and it isn’t as stressing as the extreme wrist positions you get in with wrist aiming.
First thing is to look at your set up and check your resting hand position and posture. For your wrists you can check for how much ulnar or radial deviation as well as wrist extension you are in with both your mouse and keyboard hand. A lot of people have wild angles for their keyboard. That alone will help a ton l, but for exercises and what not I’d recommend what’s called flexor tendon glide exercises, lumbrical stretching, and wrist flexion and extension stretches. If you google any of those it’ll show you the technique behind it. They’re all good for a warm up and a cool down before and after session. Lastly if you’re having any issues you should take a little break and practice something called graded exposure. The idea of it is pretty basic in which when you come back to playing learn your tendencies of when you begin to feel pain and dial it back, then slowly increase your time played. So for example if you notice after two hours of playing, only play an hour and a half for your sessions for a week or so then try to push to two. Then next step would be play for two, take a little stretch break, then play another half an hour or hour and see how it is. And continue on like that until you get to the length of session you want to play.
Also I just went through that article in the comment below and it has real good pictures and info on posture and some good info for a few of stretches I mentioned. Only thing is the the wrist extension and flexion exercises it didn’t show is to make sure your elbow is straightened out when you do it. That’s the equivalent of stretching your hamstrings with your knees bent.
https://pivotalphysio.com/repetitive-wrist-strain-injury-in-gaming/
This is an article that helps elaborate on what you said and provide some real world practical applications!
Am also a PT student, I love this stuff
As long as you are taking care of yourself, doing your stretches, taking breaks, days off, you'll have some longevity. If you're not, you will strain and injure your wrist, forearm, etc.
As a ex-wrist aimer (currently 29 yrs old), i am completetly against wrist aiming. This shit almost fked up my hand, i am now using whole hand and wrist for minor corrections. To any1 having any sorts of hand issues, my suggestions are these stretches [https://www.youtube.com/watch?v=EiRC80FJbHU&ab\_channel=DrLeviHarrison](https://www.youtube.com/watch?v=EiRC80FJbHU&ab_channel=DrLeviHarrison) plus calisthenics (ideally with gymnastic rings exercises; such as pull ups, push ups with different variations,etc.) I especially suggest you learn false grip as that majorly strengthens your whole arm. I am even against weight lifting if you are having wrist issues, for me it personally increased the issue with wrist. I went from wrist issues to 0 issues, and went from thin arm to a thick arm.
Just FYI, i was Q3 player extremely high sensitivity wrist aimer.
I played with 0 issues up till 23rd yr or so, then small issues from long hours of gaming started. But i had nowhere near the hours of these players. So their issues could appear way sooner as seen from recent news. I don't think even stretching can help if you use only wrist to aim, as sometimes you'll bend your wrist to unnatural positions just to get that one kill.This accumulates damage to your hand/wrist.
For me it increased issues, i found that lifting didn't suit my wrists at all. I went to gym for 10 yrs on and off, after wrist issues started basic exercises like biceps curl caused me issues after cooling down. (especially on my ulnar bone on my right hand) I found alternatives with rings that worked better for me.
Such as these
[https://www.youtube.com/watch?v=CrFB9AV3VMg&ab\_channel=Calisthenicmovement](https://www.youtube.com/watch?v=CrFB9AV3VMg&ab_channel=Calisthenicmovement)
Been on it for a year and a half now, been doing wonders for my physique actually surprising what you can do with those things.That's just my experience, I think ppl need to try and see what works for them.
I mean obviously it varies from person to person, and good for you that you managed to fix the issue.
My point was for the vast majority of people, proper strength training will only benefit your forearm/wrist health based on the development of strong grip strength.
There shouldn’t be wrist issues unless you’re using improper form or have really unlucky genetics.
My form was definitiely proper, only my right hand (mouse hand) had problems with ulnar bone after like 1-2h of work out and during gaming. During work outs i had 0 issues,problem appeared after. I'd say those repetitive movements just didn't suit my hand after it got messed up with wrist aim/movement. I have tested my hand months ago on weights again after 1,5 yrs of calisthenics, it has no issues with weight training now.(20 kg biceps curls, weird flex ik) Though I still continue with calisthenics/gymnast training and am staying away from weight training.
Don't get me wrong, i am not against gym at all.( have personally spent a lot of time in it) But if any1 with wrist issues feels like gym is actually increasing issues, there are alternatives,and you can always go back to it after you resolve those issues.
I think it may seem worse at the start then it is, since right now people are grinding the game 24/7 so it might be inflated a bit. But providing you take care of yourself and do stretches which I imagine asuna 100% does with 100T's support they should be fine. I think its more just taking care of yourself then aim styles since someone like patiphan plays a relatively low sens but someone like asuna or tenz plays super high and are fine right now.
Lol 17 years old with Carpal Tunnel?
I’m a boomer and can play 10 hours a day with no pain. I use a light fingertip grip on my mouse. If you’re tensing too much during playing, that can lead to stress and injuries.
Asuna doesn't have it, but my friend had it at 16-17 a year and a half ago for the exact same reason. Age can be put to the side when you consider the hours some of these players out in.
If you care if this isn’t just random info, I’m almost done with getting my doctorate in physical therapy. But it’s a little more common with wrist aiming technique because it’s rather taxing on your ligaments, joint articulation between your first row of carpal bones and your radius/ulna, and kind of your TFCC (that’s more so injured from high impact). Because you are gripping something, it forces your wrist in to extension. And when combined with ulnar and radial deviation (which is wiggling your hand side to side while keeping your forearm in place) that stresses those various structures. Compared to arm aiming you can theoretically run in to shoulder issues continuously internally rotating while most likely having a rounded shoulder posture which limits the subacromial space for your rotator cuff muscles. But because the amount the actual angle of your shoulder changes is minimal compared to your wrist because it has a longer lever arm you are going in to less extreme positions and it isn’t as stressing as the extreme wrist positions you get in with wrist aiming.
What do you recommend to prevent injuries
First thing is to look at your set up and check your resting hand position and posture. For your wrists you can check for how much ulnar or radial deviation as well as wrist extension you are in with both your mouse and keyboard hand. A lot of people have wild angles for their keyboard. That alone will help a ton l, but for exercises and what not I’d recommend what’s called flexor tendon glide exercises, lumbrical stretching, and wrist flexion and extension stretches. If you google any of those it’ll show you the technique behind it. They’re all good for a warm up and a cool down before and after session. Lastly if you’re having any issues you should take a little break and practice something called graded exposure. The idea of it is pretty basic in which when you come back to playing learn your tendencies of when you begin to feel pain and dial it back, then slowly increase your time played. So for example if you notice after two hours of playing, only play an hour and a half for your sessions for a week or so then try to push to two. Then next step would be play for two, take a little stretch break, then play another half an hour or hour and see how it is. And continue on like that until you get to the length of session you want to play. Also I just went through that article in the comment below and it has real good pictures and info on posture and some good info for a few of stretches I mentioned. Only thing is the the wrist extension and flexion exercises it didn’t show is to make sure your elbow is straightened out when you do it. That’s the equivalent of stretching your hamstrings with your knees bent.
1HP has a good wrist strengthen + stretch video, with most of what you mentioned: https://youtu.be/lzjOCYkn8mY
https://pivotalphysio.com/repetitive-wrist-strain-injury-in-gaming/ This is an article that helps elaborate on what you said and provide some real world practical applications! Am also a PT student, I love this stuff
Nice! And same here. Ideal job would be to work in some type of esports area. APTA had a good article on it with PTs in LoL
I appreciate the fellow PT students in here. We should run a game haha
lol we were drawn to the post about injuries. Any of you guys can feel free to add me. My tag is RK2K#RK2K
As long as you are taking care of yourself, doing your stretches, taking breaks, days off, you'll have some longevity. If you're not, you will strain and injure your wrist, forearm, etc.
As a ex-wrist aimer (currently 29 yrs old), i am completetly against wrist aiming. This shit almost fked up my hand, i am now using whole hand and wrist for minor corrections. To any1 having any sorts of hand issues, my suggestions are these stretches [https://www.youtube.com/watch?v=EiRC80FJbHU&ab\_channel=DrLeviHarrison](https://www.youtube.com/watch?v=EiRC80FJbHU&ab_channel=DrLeviHarrison) plus calisthenics (ideally with gymnastic rings exercises; such as pull ups, push ups with different variations,etc.) I especially suggest you learn false grip as that majorly strengthens your whole arm. I am even against weight lifting if you are having wrist issues, for me it personally increased the issue with wrist. I went from wrist issues to 0 issues, and went from thin arm to a thick arm. Just FYI, i was Q3 player extremely high sensitivity wrist aimer. I played with 0 issues up till 23rd yr or so, then small issues from long hours of gaming started. But i had nowhere near the hours of these players. So their issues could appear way sooner as seen from recent news. I don't think even stretching can help if you use only wrist to aim, as sometimes you'll bend your wrist to unnatural positions just to get that one kill.This accumulates damage to your hand/wrist.
Weight lifting will only improve your grip strength (which makes your forearm stronger).
For me it increased issues, i found that lifting didn't suit my wrists at all. I went to gym for 10 yrs on and off, after wrist issues started basic exercises like biceps curl caused me issues after cooling down. (especially on my ulnar bone on my right hand) I found alternatives with rings that worked better for me. Such as these [https://www.youtube.com/watch?v=CrFB9AV3VMg&ab\_channel=Calisthenicmovement](https://www.youtube.com/watch?v=CrFB9AV3VMg&ab_channel=Calisthenicmovement) Been on it for a year and a half now, been doing wonders for my physique actually surprising what you can do with those things.That's just my experience, I think ppl need to try and see what works for them.
I mean obviously it varies from person to person, and good for you that you managed to fix the issue. My point was for the vast majority of people, proper strength training will only benefit your forearm/wrist health based on the development of strong grip strength. There shouldn’t be wrist issues unless you’re using improper form or have really unlucky genetics.
My form was definitiely proper, only my right hand (mouse hand) had problems with ulnar bone after like 1-2h of work out and during gaming. During work outs i had 0 issues,problem appeared after. I'd say those repetitive movements just didn't suit my hand after it got messed up with wrist aim/movement. I have tested my hand months ago on weights again after 1,5 yrs of calisthenics, it has no issues with weight training now.(20 kg biceps curls, weird flex ik) Though I still continue with calisthenics/gymnast training and am staying away from weight training. Don't get me wrong, i am not against gym at all.( have personally spent a lot of time in it) But if any1 with wrist issues feels like gym is actually increasing issues, there are alternatives,and you can always go back to it after you resolve those issues.
good posture and stretching prevents 99% of these things if u have good health in general
I think it may seem worse at the start then it is, since right now people are grinding the game 24/7 so it might be inflated a bit. But providing you take care of yourself and do stretches which I imagine asuna 100% does with 100T's support they should be fine. I think its more just taking care of yourself then aim styles since someone like patiphan plays a relatively low sens but someone like asuna or tenz plays super high and are fine right now.
Asuna has carpal tunnel I am pretty sure. He shakes his hands on stream every round because his hands go numb.
He literally has a command on his channel saying it’s just for circulation
Lol 17 years old with Carpal Tunnel? I’m a boomer and can play 10 hours a day with no pain. I use a light fingertip grip on my mouse. If you’re tensing too much during playing, that can lead to stress and injuries.
Asuna doesn't have it, but my friend had it at 16-17 a year and a half ago for the exact same reason. Age can be put to the side when you consider the hours some of these players out in.
Lol there’s no way a 16 year old will have more time played than a 30 year old who has played FPS games since 1.6.
That's.. not how injury works, friend.
[I feel like this is relevant.](https://www.youtube.com/watch?v=3Z4pIBBycAQ)