https://1-hp.org/blog/ Articles from the 1HP Doctors of Physical Therapy on hand, wrist and arm pain, gaming and desk work. en-us Thu, 22 Oct 2026 13:57:03 GMT https://1-hp.org/blog/injury-guides/can-you-get-carpal-tunnel-from-gaming/ https://1-hp.org/blog/injury-guides/can-you-get-carpal-tunnel-from-gaming/ Thu, 22 Oct 2026 13:57:03 GMT Dr. Elliot Smithson injury-guides Can you get carpal tunnel from gaming? It can happen, but most gamer wrist pain is tendon irritation. Learn how to tell the difference and what to do. https://1-hp.org/blog/pain-science/evidence-based-rsi-recovery/ https://1-hp.org/blog/pain-science/evidence-based-rsi-recovery/ Tue, 20 Oct 2026 06:44:52 GMT Dr. Elliot Smithson pain-science Evidence-based RSI recovery at 1HP combines assessment, capacity building, load management, pain education, and a graded return to life. https://1-hp.org/blog/medical-system/virtual-physical-therapy-for-rsi/ https://1-hp.org/blog/medical-system/virtual-physical-therapy-for-rsi/ Tue, 20 Oct 2026 06:42:00 GMT Dr. Elliot Smithson medical-system Virtual physical therapy for RSI can support assessment, capacity-building, load management, and a graded return to work and hobbies. https://1-hp.org/blog/pain-science/persistent-pain-and-central-sensitization/ https://1-hp.org/blog/pain-science/persistent-pain-and-central-sensitization/ Thu, 15 Oct 2026 19:13:00 GMT Dr. Matthew Hwu pain-science Persistent pain can involve tissue, nervous-system, and life-context factors. Learn the 1HP capacity-first approach to central sensitization. https://1-hp.org/blog/injury-guides/cubital-tunnel-syndrome-desk-work/ https://1-hp.org/blog/injury-guides/cubital-tunnel-syndrome-desk-work/ Wed, 14 Oct 2026 18:49:00 GMT Dr. Elliot Smithson injury-guides Explore the 1HP approach to cubital tunnel syndrome: forearm endurance, load management, and a graded return to the activity that matters. https://1-hp.org/blog/work-without-strain/dentist-hand-pain/ https://1-hp.org/blog/work-without-strain/dentist-hand-pain/ Mon, 05 Oct 2026 03:06:24 GMT Dr. Elliot Smithson work-without-strain Dentist hand pain can involve the thumb, wrist, forearm, or elbow. Learn what symptom patterns to notice and when to seek assessment. https://1-hp.org/blog/work-without-strain/esthetician-wrist-pain/ https://1-hp.org/blog/work-without-strain/esthetician-wrist-pain/ Tue, 29 Sep 2026 17:16:57 GMT Dr. Elliot Smithson work-without-strain Esthetician wrist pain can affect your hand, thumb, and forearm during facials, waxing, massage, brows, or lashes. Learn evidence-safe next steps. https://1-hp.org/blog/tendinopathy-spectrum-disorders/stem-cell-therapy-for-tendonitis-in-wrist-and-hand/ https://1-hp.org/blog/tendinopathy-spectrum-disorders/stem-cell-therapy-for-tendonitis-in-wrist-and-hand/ Sat, 26 Sep 2026 21:28:00 GMT Dr. Elliot Smithson tendinopathy-spectrum-disorders Stem cell therapy for tendonitis in wrist and hand lacks direct randomized evidence. Compare PRP, BMAC, clinic claims, and progressive loading. https://1-hp.org/blog/medical-system/physical-therapy-vs-1hp-wrist-pain-program/ https://1-hp.org/blog/medical-system/physical-therapy-vs-1hp-wrist-pain-program/ Fri, 25 Sep 2026 01:05:03 GMT Dr. Elliot Smithson medical-system Physical Therapy Vs 1HP compares traditional care with the 1HP wrist pain program for task testing, endurance dosing, and return planning. https://1-hp.org/blog/rehab-exercise-guides/rsi-recovery-after-two-weeks/ https://1-hp.org/blog/rehab-exercise-guides/rsi-recovery-after-two-weeks/ Tue, 22 Sep 2026 16:22:00 GMT Dr. Elliot Smithson rehab-exercise-guides RSI recovery after two weeks can bring fast relief. Learn why lasting capacity takes longer and how to avoid stopping too soon. https://1-hp.org/blog/rehab-exercise-guides/why-rsi-exercises-fail/ https://1-hp.org/blog/rehab-exercise-guides/why-rsi-exercises-fail/ Tue, 22 Sep 2026 07:03:50 GMT Dr. Elliot Smithson rehab-exercise-guides RSI exercises can fail when capacity, dosing, and flare response are overlooked. Learn how progressive endurance training can support recovery. https://1-hp.org/blog/injury-guides/claw-grip-hand-pain-wrist-thumb-symptoms-in-controller-players/ https://1-hp.org/blog/injury-guides/claw-grip-hand-pain-wrist-thumb-symptoms-in-controller-players/ Fri, 18 Sep 2026 14:30:00 GMT Dr. Elliot Smithson injury-guides Claw grip hand pain from controller play? Learn how to respond to thumb, wrist, or hand symptoms, and when to get professional guidance from 1HP. https://1-hp.org/blog/work-without-strain/work-with-rsi-pain/ https://1-hp.org/blog/work-without-strain/work-with-rsi-pain/ Thu, 17 Sep 2026 19:48:23 GMT Dr. Elliot Smithson work-without-strain Work with RSI pain using a capacity-first plan. Learn to measure endurance, modify your workday, and respond to flares without full shutdown. https://1-hp.org/blog/pain-science/sensitization-and-rsi-pain/ https://1-hp.org/blog/pain-science/sensitization-and-rsi-pain/ Tue, 15 Sep 2026 20:27:01 GMT Dr. Elliot Smithson pain-science Sensitization and RSI pain can make typing hurt even when strength is good. Learn how capacity, education, and graded practice work together. https://1-hp.org/blog/work-without-strain/repetitive-strain-injury-recovery-reddit-doom/ https://1-hp.org/blog/work-without-strain/repetitive-strain-injury-recovery-reddit-doom/ Thu, 10 Sep 2026 02:01:39 GMT Dr. Elliot Smithson work-without-strain Repetitive strain injury recovery is about measuring capacity, managing load, and building endurance, not quitting what you love. https://1-hp.org/blog/pain-science/mind-body-approach-to-rsi-recovery/ https://1-hp.org/blog/pain-science/mind-body-approach-to-rsi-recovery/ Wed, 09 Sep 2026 00:19:00 GMT Dr. Elliot Smithson pain-science A mind-body approach to RSI recovery pairs physical capacity training with control, accurate beliefs, daily tracking, and focused practice. https://1-hp.org/blog/tendinopathy-spectrum-disorders/computer-related-golfers-elbow/ https://1-hp.org/blog/tendinopathy-spectrum-disorders/computer-related-golfers-elbow/ Sat, 05 Sep 2026 02:03:00 GMT Dr. Elliot Smithson tendinopathy-spectrum-disorders Computer-related golfer's elbow can come from mouse and keyboard demands. Learn why inner-elbow pain develops and how to rebuild capacity. https://1-hp.org/blog/rehab-exercise-guides/rsi-recovery-goldilocks-zone-building-tolerance/ https://1-hp.org/blog/rehab-exercise-guides/rsi-recovery-goldilocks-zone-building-tolerance/ Thu, 03 Sep 2026 05:54:00 GMT Dr. Elliot Smithson rehab-exercise-guides Learn how the Goldilocks zone, graded activity, and general and specific endurance work together to support RSI recovery. https://1-hp.org/blog/ergonomics/how-much-ergonomics-matter-repetitive-strain-injury-recovery/ https://1-hp.org/blog/ergonomics/how-much-ergonomics-matter-repetitive-strain-injury-recovery/ Thu, 03 Sep 2026 03:32:00 GMT Dr. Matthew Hwu ergonomics Learn how ergonomics can support repetitive strain injury recovery, why setup changes help, and how to pair them with capacity building. https://1-hp.org/blog/injury-guides/rsi-recovery-time/ https://1-hp.org/blog/injury-guides/rsi-recovery-time/ Thu, 20 Aug 2026 15:18:00 GMT Dr. Matthew Hwu injury-guides What's the real RSI recovery time? See 1HP's actual case studies, from 6-week wins to 7-month chronic cases, and what a Doctor of PT expects for you. https://1-hp.org/blog/tendinopathy-spectrum-disorders/tennis-elbow-from-computer-use/ https://1-hp.org/blog/tendinopathy-spectrum-disorders/tennis-elbow-from-computer-use/ Tue, 18 Aug 2026 23:04:00 GMT Dr. Elliot Smithson tendinopathy-spectrum-disorders How can you have a tennis injury from sitting at a desk? The actual cause is repetitive loading of a specific group of forearm muscles, and it turns out that a full day of typing, clicking, and mousing loads those exact muscles. https://1-hp.org/blog/tendinopathy-spectrum-disorders/intersection-syndrome-forearm-pain-exercises/ https://1-hp.org/blog/tendinopathy-spectrum-disorders/intersection-syndrome-forearm-pain-exercises/ Wed, 22 Jul 2026 18:41:00 GMT Dr. Elliot Smithson tendinopathy-spectrum-disorders Intersection syndrome causes squeaking forearm pain 2-3 inches above the wrist. Learn what it is, how to recognize it, and the 3-step exercise fix. https://1-hp.org/blog/tendinopathy-spectrum-disorders/tendon-imaging-xray-mri-ultrasound-emg/ https://1-hp.org/blog/tendinopathy-spectrum-disorders/tendon-imaging-xray-mri-ultrasound-emg/ Wed, 22 Jul 2026 18:13:00 GMT Dr. Elliot Smithson tendinopathy-spectrum-disorders Normal scan but still in pain? Learn what tendon imaging like X-ray, MRI, ultrasound, and EMG can and cannot show about repetitive strain injury. https://1-hp.org/blog/injury-guides/how-to-sleep-with-wrist-pain-without-making-it-worse/ https://1-hp.org/blog/injury-guides/how-to-sleep-with-wrist-pain-without-making-it-worse/ Wed, 22 Jul 2026 15:45:09 GMT Dr. Matthew Hwu injury-guides Wrist and hand pain often feels worse at night. Learn why, which sleep positions make it worse, and how to protect your wrist while you sleep. https://1-hp.org/blog/tendinopathy-spectrum-disorders/rheumatoid-arthritis-vs-tendinopathy-wrist-pain/ https://1-hp.org/blog/tendinopathy-spectrum-disorders/rheumatoid-arthritis-vs-tendinopathy-wrist-pain/ Thu, 16 Jul 2026 18:24:12 GMT Dr. Elliot Smithson tendinopathy-spectrum-disorders Learn the crucial differences between rheumatoid arthritis and severe reactive tendinopathy, why they are so easily confused, and how to avoid the diagnostic rabbit hole. https://1-hp.org/blog/pain-science/pain-flare-up-recovery-data-not-damage/ https://1-hp.org/blog/pain-science/pain-flare-up-recovery-data-not-damage/ Tue, 14 Jul 2026 07:47:00 GMT Dr. Elliot Smithson pain-science A pain flare-up during recovery does not mean damage. Learn why flares are feedback, why complete rest backfires, and how to keep progressing through them. https://1-hp.org/blog/injury-guides/wrist-pain-after-injury-healed-capacity-deficit/ https://1-hp.org/blog/injury-guides/wrist-pain-after-injury-healed-capacity-deficit/ Tue, 07 Jul 2026 03:02:00 GMT Dr. Elliot Smithson injury-guides Your wrist injury healed months ago but the pain persists. Learn why a capacity deficit from immobilization causes ongoing wrist pain after injury healed. https://1-hp.org/blog/work-without-strain/envelope-of-function-voice-to-text-wrist-recovery/ https://1-hp.org/blog/work-without-strain/envelope-of-function-voice-to-text-wrist-recovery/ Wed, 24 Jun 2026 06:13:00 GMT Dr. Elliot Smithson work-without-strain The envelope of function is the Goldilocks zone for recovery. Learn how to use voice-to-text to stay inside it and rebuild wrist capacity. https://1-hp.org/blog/work-without-strain/keep-working-gaming-while-recovering-wrist-pain/ https://1-hp.org/blog/work-without-strain/keep-working-gaming-while-recovering-wrist-pain/ Thu, 18 Jun 2026 19:00:18 GMT Dr. Elliot Smithson work-without-strain Do you have to quit typing or gaming to recover from wrist pain? 1HP's Doctors of Physical Therapy talk why total rest backfires and how to keep working safely. https://1-hp.org/blog/pain-science/health-anxiety-and-pain-hand-wrist-injury/ https://1-hp.org/blog/pain-science/health-anxiety-and-pain-hand-wrist-injury/ Thu, 18 Jun 2026 16:40:00 GMT Dr. Elliot Smithson pain-science Health anxiety and pain feed each other. Learn why fear amplifies hand and wrist pain, and the simple steps that calm both at once. https://1-hp.org/blog/injury-guides/nerve-compression-in-the-arm-carpal-cubital-radial/ https://1-hp.org/blog/injury-guides/nerve-compression-in-the-arm-carpal-cubital-radial/ Tue, 16 Jun 2026 07:42:00 GMT Dr. Elliot Smithson injury-guides Carpal, cubital, or radial tunnel? Learn where nerve compression in the arm actually happens, how to locate yours, and why endurance is the real fix. https://1-hp.org/blog/tendinopathy-spectrum-disorders/tfcc-tear-wrist-pain-active-stability/ https://1-hp.org/blog/tendinopathy-spectrum-disorders/tfcc-tear-wrist-pain-active-stability/ Wed, 10 Jun 2026 23:09:02 GMT Dr. Elliot Smithson tendinopathy-spectrum-disorders Learn why a TFCC tear may not be the real source of your daily wrist pain and how building active stability through endurance training restores function. https://1-hp.org/blog/tendinopathy-spectrum-disorders/tendinopathy-continuum-wrist-tendon-recovery/ https://1-hp.org/blog/tendinopathy-spectrum-disorders/tendinopathy-continuum-wrist-tendon-recovery/ Mon, 08 Jun 2026 23:03:35 GMT Dr. Elliot Smithson tendinopathy-spectrum-disorders Learn the tendinopathy continuum model, why you don't need to fix tendon damage, and how progressive loading builds real recovery. https://1-hp.org/blog/pain-science/fibromyalgia-sensitization-wrist-pain/ https://1-hp.org/blog/pain-science/fibromyalgia-sensitization-wrist-pain/ Fri, 05 Jun 2026 15:50:15 GMT Dr. Elliot Smithson pain-science Discover how persistent wrist or hand pain can lead to central sensitization and widespread pain patterns, and how to address both local and nervous system drivers. https://1-hp.org/blog/pain-science/stress-shielding-wrist-pain-rehab/ https://1-hp.org/blog/pain-science/stress-shielding-wrist-pain-rehab/ Wed, 03 Jun 2026 20:17:00 GMT Dr. Elliot Smithson pain-science Discover why traditional advice like rest, bracing, and ice can actually weaken your wrist tissues through stress shielding, and how to use the Goldilocks zone to recover. https://1-hp.org/blog/rehab-exercise-guides/role-science-isometrics-wrist-hand-rsi/ https://1-hp.org/blog/rehab-exercise-guides/role-science-isometrics-wrist-hand-rsi/ Wed, 03 Jun 2026 20:00:41 GMT Dr. Matthew Hwu rehab-exercise-guides Discover the clinical science behind isometric exercises for wrist and hand RSI. Learn how the 1HP Protocol provides immediate pain relief and tendon loading. https://1-hp.org/blog/rehab-exercise-guides/rice-bucket-training-wrist-hand-rsi/ https://1-hp.org/blog/rehab-exercise-guides/rice-bucket-training-wrist-hand-rsi/ Wed, 03 Jun 2026 19:44:53 GMT Dr. Matthew Hwu rehab-exercise-guides Discover how rice bucket training can be a highly effective and accessible method for improving muscular endurance and addressing wrist and hand RSI issues. https://1-hp.org/blog/pain-science/initial-pain-exercise-rsi-recovery/ https://1-hp.org/blog/pain-science/initial-pain-exercise-rsi-recovery/ Wed, 03 Jun 2026 19:41:01 GMT Dr. Matthew Hwu pain-science Experiencing an initial increase in pain during exercises for conditions like wrist pain in gamers or other RSIs can be concerning, but it's often a normal part of the recovery process. This article explains why this happens and how to approach your rehabilitation effectively. https://1-hp.org/blog/pain-science/flare-ups-normal-part-rsi-recovery/ https://1-hp.org/blog/pain-science/flare-ups-normal-part-rsi-recovery/ Wed, 03 Jun 2026 19:39:43 GMT Dr. Matthew Hwu pain-science Understanding why flare-ups are a normal part of repetitive strain injury (RSI) recovery is crucial for long-term success. Learn how to manage them effectively. https://1-hp.org/blog/pain-science/how-to-manage-wrist-pain-flareup/ https://1-hp.org/blog/pain-science/how-to-manage-wrist-pain-flareup/ Wed, 03 Jun 2026 19:31:51 GMT Dr. Matthew Hwu pain-science Experiencing a wrist pain flare-up can be frustrating, especially for gamers. This comprehensive guide provides a step-by-step approach to effectively manage wrist pain flare-ups and get back to your game. https://1-hp.org/blog/pain-science/rsi-recovery-takes-time-patience/ https://1-hp.org/blog/pain-science/rsi-recovery-takes-time-patience/ Wed, 03 Jun 2026 19:31:26 GMT Dr. Matthew Hwu pain-science Understanding that repetitive strain injury (RSI) recovery takes time and patience is crucial for long-term success. Learn why tissue adaptation and mindset are key. https://1-hp.org/blog/case-study/chronic-pain-central-sensitization-case-study/ https://1-hp.org/blog/case-study/chronic-pain-central-sensitization-case-study/ Wed, 03 Jun 2026 19:31:04 GMT Dr. Matthew Hwu case-study Explore how central sensitization impacts chronic wrist pain in gamers, and how a comprehensive approach to physical therapy can lead to lasting relief. https://1-hp.org/blog/case-study/why-rsi-recovery-isnt-linear-case-study/ https://1-hp.org/blog/case-study/why-rsi-recovery-isnt-linear-case-study/ Wed, 03 Jun 2026 19:30:20 GMT Dr. Elliot Smithson case-study Explore a compelling case study illustrating why Repetitive Strain Injury (RSI) recovery is rarely linear, offering insights into fluctuating symptoms and effective management strategies. https://1-hp.org/blog/ergonomics/guide-choosing-vertical-mouse-wrist-pain/ https://1-hp.org/blog/ergonomics/guide-choosing-vertical-mouse-wrist-pain/ Wed, 03 Jun 2026 19:28:00 GMT Dr. Matthew Hwu ergonomics Considering a vertical mouse for wrist pain? This guide, by Dr. Matthew Hwu, a leading PT in esports, explains when and if a vertical mouse is truly beneficial for managing and preventing wrist and hand pain. https://1-hp.org/blog/pain-science/cortisol-stress-wrist-pain-recovery/ https://1-hp.org/blog/pain-science/cortisol-stress-wrist-pain-recovery/ Wed, 03 Jun 2026 01:56:00 GMT Dr. Elliot Smithson pain-science Learn how the stress hormone cortisol impairs tendon healing and amplifies wrist pain, and how to break the stress-pain cycle for a complete recovery. https://1-hp.org/blog/pain-science/its-all-in-your-head-why-your-doctor-is-both-right-and-completely-missing-the-point/ https://1-hp.org/blog/pain-science/its-all-in-your-head-why-your-doctor-is-both-right-and-completely-missing-the-point/ Mon, 01 Jun 2026 04:11:00 GMT Dr. Elliot Smithson pain-science Neuroplastic pain is real, measurable, and treatable. Learn why 'it's all in your head' is both true and completely missing the point for chronic RSI recovery. https://1-hp.org/blog/tendinopathy-spectrum-disorders/degenerative-tendinopathy-recovery-without-surgery/ https://1-hp.org/blog/tendinopathy-spectrum-disorders/degenerative-tendinopathy-recovery-without-surgery/ Mon, 01 Jun 2026 03:25:05 GMT Dr. Matthew Hwu tendinopathy-spectrum-disorders Is permanent damage real? Learn why degenerative tendinopathy recovery is highly achievable and why your pain does not equal permanent tissue damage. https://1-hp.org/blog/rehab-exercise-guides/why-wrist-tendonitis-exercise-heals-rsi/ https://1-hp.org/blog/rehab-exercise-guides/why-wrist-tendonitis-exercise-heals-rsi/ Mon, 01 Jun 2026 03:24:40 GMT Dr. Matthew Hwu rehab-exercise-guides Learn the scientific reason why wrist tendonitis exercise is essential for remodeling irritated tendon tissue and building long-term wrist resilience. https://1-hp.org/blog/injury-guides/carpal-tunnel-syndrome-symptoms-real-cause/ https://1-hp.org/blog/injury-guides/carpal-tunnel-syndrome-symptoms-real-cause/ Mon, 01 Jun 2026 03:24:26 GMT Dr. Matthew Hwu injury-guides Struggling with carpal tunnel syndrome symptoms? Discover why the real cause might be tendon irritation rather than ligament issues, and how to heal. https://1-hp.org/blog/healthy-movement/how-sedentary-lifestyle-rsi-affects-wrist-pain/ https://1-hp.org/blog/healthy-movement/how-sedentary-lifestyle-rsi-affects-wrist-pain/ Mon, 01 Jun 2026 03:24:00 GMT Dr. Matthew Hwu healthy-movement Discover how a sedentary lifestyle rsi connection can silently trigger wrist and hand pain, and learn how active movement can restore your tissue health.