How to Avoid Mouse Hand Pain
A friend got mouse hand pain, and asking me for suggestion.

Here's another person who got mouse hand pain, and asking for suggestion.
As you can tell, I am an avid gamer. But what I spend most of my time doing is work — a constant cycle of mouse → keyboard → moused keyboard… 1000s of times a day.
My wrists are on fire and I want to prevent any further damage if possible.
[from reddit mouse nerd looking for first trackball trigger]
Here is some suggestions.
How You Hold Mouse Can Cause Pain
How you hold the mouse can have major impact on hand health.
- Don't palm hold. Don't have your whole palm covering mouse.
- Use finger-tip grip. That is, just finger tips touching the mouse.
- Don't touch the mouse when not actively moving cursor. Just nudge it when you use it. Imagine the mouse is very hot, you should not have finger on it for more than 5 seconds.
Turn on Auto Click
Turn on Mouse Hover Activate Window or Auto Click. I've been using auto click for about 11 years (since 2009).
This lets you to move cursor to a window to activate the window. Or, it'll does a click when the cursor stops moving.
This will take 2 weeks to get used to. But is extremely helpful for avoiding mouse pain. With the feature on, you almost never need to click.
You need to be persistent. Also, the delay time for the auto click should be at least 0.5 seconds.
For setup, see:
- Windows: Mouse Hover to Activate Window
- Mac: Hover Mouse Auto Click
- Linux: Mouse Hover to Raise Window
- Linux: Mouse Hover-Click
Ban Double Click
Make every thing single click.
To setup, see:
MacOS does not have single click feature. You can buy a programable mouse and program one of the button to do double click. See Mouse Reviews
Trackball, Touchpad, Drawing Tablet
Try to use a ergonomic mouse, or trackball or touchpad.
- Best Trackballs, Xah Pick
- Ergonomic Mouse
- Trackball vs Mouse, How to Choose Trackball
- Drawing Tablet
Try Left Hand
If you have bad hand pain, learn to use a mouse/trackball/touchpad on left hand. Try it for a month.
You can also have 2 pointing devices, one of left hand one of right hand. Use whichever is convenient.
Programable Keypad
Get a programable keypad. It can be 20 keys or 30 keys keypad. Program all Control Alt Cmd combinations to a single key press. Such as all shortcuts used in browser or photoshop, closing tab, switching tab, switch window, etc. This way, mouse activities of aiming and clicking becomes single key press.
[see Programable Keypad]
Holding Trackball
Note about trackball, there are similar issues about how you hold it. Bad habit can create hand pain.
For thumb trackball, many people got thumb pain due to moving thumb too much. Try to not move your fingers or wrist, but use whole hand to move ball, so reducing thumb movement.
For fingertip trackball, you are prone to have same issue as mouse, namely, pronation. (palm down) Solution is, again, try to use trackball while palm is 30 degree. Or put a wedge under it so it tilts 30 degree. And when not actively actually using it, don't touch the trackball.
Trackpad
If using a trackpad, make it touch to click.
Problem with Vertical Mouse
With vertical mouse, when you press the button, now you have to exert force. Before, you just press down, but now, you have to squeeze it, with your thumb. This creates stress.
So, i don't recommend mouse that's too vertical.
How to Chose a Mouse
Typing Habits, Repetitive Strain Injury
Typing
What is Touch Typing?
How to Touch-Type- Does Touch Typing Cause RSI? (Repetitive Strain Injury)
Typing Games, Typing Tests
Typing of the Dead- Bad Advices from Programer
- How People Actually Type?
Habit, Injury
How to Press Control Key (Palm-Control)
Proper Sitting Posture- How Many Words Do You Type a Day?
- Undo Cut Shortcut Keys Are Bad
- Mechanical Keyboard and RSI
Keyboard Tenting, Forearm Pronation
RSI Toys- Touch-Typing, a Relic of Keyboard Design?
- How to Increase Efficiency in Using Mac, Linux, Windows