Yes, actually, that is the reason why I can't play most MOBAs.
..so it is your problem, not a bad ergonomy.
At least we got that sorted out.
Mice are ergonomically horrible. They just are, and there's no way around it. That's fine if you don't use a mouse that heavily, but it's a problem if a game requires heavy mouse usage in order to play at all.
What MMO lets you play 100% with a keyboard? Its like all MMOs, one hand on the keyboard, one hand on a mouse.
...he means that bad ergonomy of click and point movement millions of DOTA and LOL players enjoy daily.
Complete fail.
Yes, actually, that is the reason why I can't play most MOBAs. If you don't use a computer very much other than for gaming, then maybe you can get away with heavy mouse usage while gaming. Or maybe also while you're still young. But as you get older, trying to use a mouse heavily for work and then also for gaming is a repetitive strain injury waiting to happen.
I work at a PC all day but I use a vertical mouse on my work PC. I wish I could get a vertical gaming mouse. I also been using the grip work out things 4 times a week. Also stretches as well for my forearm. My pain has gone from I thought i would need surgery to I am 100% pain free again.
My pain generally went away when I switched to using a mouse for work and mostly using a controller for gaming at home, at least for more demanding games. Different motions that work different muscles just aren't the same problem as using the same muscles for the same motions everywhere. In your case, it's quite possible that having very different mouse motions for work and home helps a lot.
For me, the problem with heavy mouse usage isn't in my hand or arm at all. It's either a particular muscle on my side near the bottom of the rib cage or else it's in my neck.
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For me, the problem with heavy mouse usage isn't in my hand or arm at all. It's either a particular muscle on my side near the bottom of the rib cage or else it's in my neck.