Hi Vaughan,

I have experienced exactly what you describe here. I am battling RSI for more than a decade, it has nearly cost me my career. Like you and many others, I have tried all sorts of things. I got the most improvement from:

- An ergonomic split keyboard, with a custom layout - An ergonomic chair and desk setup - Relearning to type from the home row - Using dozens of custom shortcuts to reduce awkward hand movements - Yoga and stretching - Building a more active lifestyle with total body movement as a focus - Improving diet to reduce inflammation

Despite all those interventions I still suffered debilitating hand and wrist pain, which eventually crept into my shoulder blades and back muscles. Doctors and physios were useless or clueless. One doctor refused to acknowledge that RSI exists. No amount of physiotherapy helped.

Using LLMs to do (almost) all of my coding tasks has reduced my RSI pain and stress by half or more. I feel so much better and healthier. I still have pain, and I still have to work hard to manage it, but I will never go back to writing everything by hand.

Thank you for sharing, and for reading. Wishing you good health.

Long ago I worked on a project where the whole team was so productive I gave myself cubital tunnel from typing so fast for so long. I'd feel needle jabs in my forearms randomly. Like while standing around. Doctor recommended surgery.

Avoiding surgery involved months of finger stretches, forearm massage, 2 keyboards and 2 mice at different elevations, typing with my hands hanging slack like a zombie. It worked. But, even typing this out 20 years later I can still feel the RSI hiding in the shadows. Since then I've avoided RSI by spending 10x more time thinking about code than typing it.

All that is setup for: There have been many times recently where I've thought "I know exactly what I want this code to look like. But, damn. That's going to be a lot of keypresses..." The effort is nothing. Risking nerve damage is the concern.

In those cases I have been thrilled be able to tell AI exactly what to make, how to refactor it, how to clean it up, clean it up more, yet more, still not done. All in less than 10% of the keypresses that would have been required to type it by hand.

I'm not saying this to be snooty or whatever, but RSI is also solvable via a custom keyboard or learning Vim motions (or both). I had really bad RSI and it totally went away after the combo of learning to type properly (which you mentioned in your post) and switching to Vim full time. Vim motions reduce the amount of stretching you need to do by a LOT. Snippets also helped. I am of course talking about in The Before Times.

It's generally also just less typing if you are using long running agents, you can input the goals, steer it a bit then go for a nice walk and check in again on it in 30-40mins. I hope we can normalise this workflow as it will be much better for everyones health and longevity in the field.

IMO LLMs are the best thing to happen to coding in my ~15 years of being in the game.

I wager they have probably added on another 5-10 years to my engineering career as I was contemplating getting out before they showed up.

Have also been convincing some friends that have "gone woods" over the years to put the woodworking tools down for a day or two and give them a go. So far so good, a few folks have found the spark again and it's been awesome to see them make digital things again too.

This has been a welcome benefit from the agentic coding era for my RSI. Thanks for sharing.

That's been my experience as well. I remember the pain from the keyboard and also doing too much clicking when making wordpress websites. Now that I do more agentic development, I type a lot less and am working to dictate more with voice also.