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Mouse and Keyboard Setup for Tennis Elbow Pain

Published: 9/29/2025Reading time: 5 min readBy: Tenease Medical Team
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Optimising Your Mouse and Keyboard Setup to Manage Tennis Elbow Pain

Tennis elbow, or lateral epicondylitis, is a painful condition caused by overuse of the forearm muscles, leading to inflammation of the tendons. For many UK office workers, this condition can be exacerbated by poor ergonomics when using a computer. By optimising your mouse and keyboard setup, you can significantly alleviate discomfort and prevent further strain on your elbow. This article provides comprehensive, evidence-based guidance tailored to UK readers on how to adjust your workstation to manage and prevent tennis elbow pain effectively.

Understanding the Impact of Ergonomics on Tennis Elbow

The Role of Ergonomics

Ergonomics is the science of designing a workspace to fit the user's needs, promoting efficiency and reducing discomfort. Poor ergonomics can lead to repetitive strain injuries like tennis elbow. Ensuring your workspace is ergonomically sound is crucial for managing symptoms and preventing further injury.

How Computer Use Affects Tennis Elbow

Regular computer use involves repetitive movements of the wrist and forearm, which can aggravate the tendons affected by tennis elbow. Incorrect mouse and keyboard positioning can increase strain, causing pain and discomfort. By adjusting your setup, you can reduce these stressors and promote healing.

Practical Steps for Optimising Your Mouse and Keyboard Setup

Choosing the Right Mouse

  • Ergonomic Mouse: Consider purchasing an ergonomic mouse designed to reduce wrist strain. Vertical mice allow for a handshake grip, reducing forearm pronation and tension on the elbow.
  • Size and Fit: Ensure the mouse fits comfortably in your hand. A mouse that is too large or too small can cause additional strain.
  • Wireless Options: A wireless mouse eliminates the need for a restrictive cable, allowing more natural movement and reducing strain.

Optimal Mouse Placement

Position your mouse close to your keyboard to minimise reaching. The mouse should be at the same height as your keyboard and directly in front of your dominant hand. This setup helps maintain a neutral wrist position, reducing tension on the forearm muscles.

Adjusting Your Keyboard

  • Keyboard Height: Position your keyboard so your forearms are parallel to the floor, and your elbows are at a 90-degree angle. This alignment reduces strain on the forearm muscles.
  • Keyboard Angle: Use a flat keyboard or one with a negative tilt to maintain a neutral wrist position. Avoid using keyboard legs that elevate the back of the keyboard, as this can increase wrist extension.
  • Compact Keyboards: A compact keyboard without a numeric keypad can help reduce the reach distance to the mouse, promoting a more ergonomic posture.

Incorporating Breaks and Exercises

Regular breaks are essential to prevent overuse injuries. The NHS recommends the 20-20-20 rule: every 20 minutes, take a 20-second break and look at something 20 feet away. During these breaks, perform gentle stretching exercises to relieve tension in the forearm muscles.

  • Wrist Flexor Stretch: Extend your arm in front of you with your palm facing up. Use your other hand to gently pull back on your fingers, feeling a stretch in your forearm.
  • Wrist Extensor Stretch: Extend your arm with your palm facing down. Gently pull back on your fingers with your other hand.

Common Mistakes and How to Avoid Them

Ignoring Ergonomic Guidelines

One of the most common mistakes is neglecting ergonomic principles due to a lack of awareness or prioritisation. Investing time in setting up your workspace can prevent long-term discomfort and injury.

Using Non-Ergonomic Equipment

Using a standard mouse and keyboard without considering ergonomic alternatives can exacerbate symptoms. Invest in ergonomic equipment that supports a natural hand position.

Failing to Take Regular Breaks

Continuous computer use without breaks can lead to increased strain. Set reminders or alarms to prompt regular breaks, allowing your muscles to rest and recover.

Long-Term Strategies for Managing Tennis Elbow

Implementing Ergonomic Education

Consider attending a workplace ergonomic assessment or workshop, which can provide personalised advice. Many UK employers offer such services, and your GP or occupational health department can provide recommendations.

Utilising UK Healthcare Services

If symptoms persist, consult your GP for advice. Physiotherapy may be recommended, and NHS physiotherapists can provide exercises tailored to your condition. In some cases, a referral to an orthopaedic specialist may be necessary.

Investing in Adaptive Technology

Voice recognition software can reduce reliance on a keyboard and mouse, minimising strain on the forearm. This technology is increasingly accessible, with options like Dragon NaturallySpeaking and built-in dictation software on many computers.

Conclusion: Key Takeaways for Managing Tennis Elbow

Optimising your mouse and keyboard setup is a crucial step in managing tennis elbow pain. By prioritising ergonomic principles, choosing suitable equipment, and incorporating regular breaks and exercises, you can significantly reduce discomfort and promote healing. Avoid common pitfalls by maintaining awareness of ergonomic guidelines and making use of UK healthcare resources when necessary. Implementing these strategies not only helps manage current symptoms but also prevents future injuries, ensuring a healthier, more comfortable work environment.

Important: This article is for informational purposes only. Always consult with qualified healthcare professionals for personalized medical advice.