Anybody experience this? We may have to push for more voice-command units.
Handheld devices linked to rise in joint injuries By Amy Joyce
Updated: 10:25 a.m. ET April 23, 2005Sandy Boyd's BlackBerry had become her
passion. Now it has also become a source of pain.
About three months ago, the National Association of Manufacturers vice
president noticed that, as she started to type, the area between her thumb and
wrist would begin to throb.
Orthopedists say they are seeing an increasing number of patients with similar
symptoms, a condition known as "overuse syndrome" or "BlackBerry thumb." In
some patients, the disability has become severe.
Bette R. Keltner, dean of the Georgetown University School of Nursing & Health
Studies has been forced to put her BlackBerry down. After two years of constant
use, her hands were in so much pain, she had to stop typing. She remembers the
trigger point: It was a 10-hour conference one Saturday where she answered
about 150 e-mails. "Days later, I was in excruciating pain," she said.
Consumers warned
The American Society of Hand Therapists issued a consumer alert in January
saying that handheld electronics are causing an increasing amount of carpal
tunnel syndrome and tendinitis. With that warning, the society included
directions on how to properly hold the devices, urging users to take breaks
and, if possible, place pillows in their laps so their wrists are in a more
upright position.
But at airports and hearing rooms and other places where handheld users while
away pauses by thumbing their keyboards, there are no pillows in evidence and
very few breaks from the tap-tap-click of e-mailing.
"You become so accustomed to the convenience. This is a kind of tool where you
can get five things done while waiting for another meeting to happen," said
Keltner.
Keltner now has tendinitis and has spent months in various therapies, including
acupuncture, acupressure and a magnetic bracelet. After she realized the
BlackBerry had caused her tendinitis, she still tried to use it — but less
often. Shorter notes, more breaks between e-mails. But that brought no relief.
She recovered after 12 weeks of therapy. But three months later, even though
she has quit messaging, she said her tendinitis is back.
BlackBerry subscribers now total 2.51 million, more than double the 1.07
million subscribers a year ago. Research in Motion Ltd., the maker of the
BlackBerry, declined through a spokeswoman to comment on the disability issue.
Some other handheld devices, such as PalmOne Inc.'s Treo and T-Mobile Inc.'s
Sidekick phones, use similar thumb-operated keyboards. The small keyboards are
tough on hands and wrists, according to Paige Kurtz of the American Society of
Hand Therapists.
‘The thumb generation’
The pains associated with BlackBerrys and other handhelds used to be common
among video game players, but Stuart Hirsch, clinical assistant professor of
orthopedics at St. Joseph's Hospital and Medical Center in Paterson, N.J.,
believes teens who are frequent gamers are a little more immune. Also, though
many handheld game devices also use thumb-operated controls, they typically
don't require as much range of motion as keyboards spanning the entire alphabet
as well as punctuation marks.
"Tendinitis won't affect your teenage son the way it will a parent," Hirsch
said. "Children are more tolerant of overuse than adults because they are
younger."
XBox includes a "Healthy Gaming Guide" message on its Web site, encouraging
users to be aware of pain when they overuse the video game device: "When
playing video games, as with many activities, you may experience occasional
discomfort in your hands, arms, shoulders, neck or other parts of your body.
However, if you experience symptoms such as persistent or recurring discomfort,
pain, throbbing, aching, tingling, numbness, burning sensation, or stiffness,
DO NOT IGNORE THESE WARNING SIGNS. PROMPTLY SEE A QUALIFIED HEALTH
PROFESSIONAL."
However, a British researcher of cyber culture, Sadie Plant, found that
teenagers and young adults throughout the world are becoming so adept at using
their thumbs for messaging, they have started to use them for ringing doorbells
and pointing. Japanese teenagers are sometimes called "the thumb generation"
because of their heavy-duty messaging. Plant has said that teens use their
thumbs more than index fingers, making them faster and more muscled.
Hirsch, who said he has seen at least a couple of patients with injuries
related to their PDA or thumb keyboard, said he tells patients to send short
answers on the devices. "Many people who are traveling use their BlackBerry to
save them time," he said. "Thumbs were not designed for individuals to do this
without certain limits. I'm not sure why some people have trouble with it and
some don't. Some people are going to be more sensitive to this product."
Ergonomic epidemic
Workplace injuries in white-collar jobs have grown with the widespread use of
mobile communications technology. It used to be that worker's compensation was
reserved mostly for blue-collar workers who smashed fingers in heavy machinery
or fell off ladders. Factory workers complained for years of what were then
mysterious ailments — carpal tunnel, tendinitis and "trigger finger." Today,
those injuries have spread across cubicle-land.
According to the Bureau of Labor Statistics, ergonomic disorders are the
fastest-growing category of work-related illnesses for which it receives
reports. In 1981, only 18 percent of all reported illnesses were repetitive
strain injuries, known as RSI. By 1992, that figure had grown to 52 percent.
That number has leveled off, said Emil Pascarelli, author of "Dr. Pascarelli's
Complete Guide to Repetitive Strain Injury: What You Need to Know About RSI and
Carpal Tunnel Syndrome" and professor emeritus of clinical medicine at Columbia
University.
He attributes the change to companies and employees becoming more knowledgeable
about setting up a work station to prevent injuries. However, with the
onslaught of tiny handheld devices, Pascarelli said there is a "potential for
an epidemic" for new repetitive strain injuries. "These new devices are really
introducing a new potential injury issue. I think it has the potential for
being an explosive issue in the next few years," he said.
Boyd is trying to wean herself from her BlackBerry by writing fewer and shorter
messages. "I was writing treatises on my BlackBerry," she said. "I have to not
bring it with me. Because if it's near me, I'm not always so good about not
using it."
Keltner, who found similar strategies didn't work, has gone cold turkey. No
more BlackBerry. I'm breaking the addiction," she said. "But I'm frustrated.
I'm making more phone calls. . . . I hate not being efficient."
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