Ergo solutions

To schedule an ergonomic evaluation either at your home or office, please contact us @

For workers comp cases we would need authorization from your workers comp to schedule such appointment.

Specializing in Shoulder, Elbow, Wrist and Hand Therapy

  • A keyboard tray, mouse and keyboard should be customized for each person depending on their need and injury.
  • Based on our experience at Hands-On-Care we recommend the following products for the general population to avoid any injuries
  • In addition to having a good setup, one should learn to type/mouse correctly. That is typing without resting the wrist (playing it like a piano), mousing by small movement of the shoulder
  • Take breaks frequently. Use break software’s, list given below
  • Perform regular cardio
  • Ice if needed
  • These links will take you out of this website.

Desktop Solutions

Keyboard arm and tray

Keeps the mouse closer Use without the wrist rest. You can also choose a keyboard tray arm that provides negative tilt


Goldtouch keyboard splits to keep the wrist in neutral. No need to tint it. Has a separate number keypad, which can be moved to keep the mouse closer to the keyboard or keep 1/2 day on the right and 1/2 day on the left to distribute the work load


A mouse should be the size of the hand. The larger the mouse the better as it will help keep the wrist straight. Depending on the condition you need to choose a proper mouse. Majority of times the problem occurs if the mouse is not positioned correctly and used the correct way. So in-order to avoid such problems try the mousemate, which eliminates such problems.

Mousebridge can be used in certain situations. What needs to be watched is that when a mousebridge is used to keep the mouse on top of the number keypad it raises the height of the mouse which may give rise to problems at the elbow and numbness in the small and ring finger. So make sure the height of the keyboard is appropriate. Or simply use a keyboard without numbers


Document Holder

Use headset instead of shrugging shoulder and hurting neck


Laptop Solutions

Laptops aren’t designed to use for long term. If you need to use laptop for long term you need to set it up the following way to avoid injuries.

Easy roller a must to carry all laptop accessories.

Place the laptop on the table on a riser like this or phone books to keep the monitor at eye level

Use an external keyboard. Place it on your lap (lap functions as a natural keyboard tray as it is negatively tilted) For quicker setup use wireless keyboards and mouse

Use mouse with mouse mate.

Clamping mouse tray, easy setup keep the mouse lower and close to you


Your Personal Assessment:When seated with feet on the floor/ or foot rest.

An articulating keyboard platform with negative tilt, that easily adjusts to individual height, angle and distance from the screen, with neutral wrist position to avoid carpal tunnel pressure and tissue trauma.

  • Repetitive zone: 0-10
  • Occasional zone: 10-20
  • Rare zone: 20-26
Avoid long reaches by locating the items that you use most close to you.

Keep the Mouse and Keyboard at the same level. No wrist rest. Do not rest and type.

Play keyboard like a piano with neutral wrist When mousing do not lever on the wrist. Move the whole arm while still keeping the elbow by your side. If wearing bifocals keep the monitor low to avoid tilting your head up.

Mouse should be size of your hand.

An integrated system that includes these points will improve body posture and prevent RSI.

Tips: Don’t Ignore

Early warning signs of RSI.

Headaches – Fatigue – Discomfort or pain – Swelling, Numbness or tingling – Muscle weakness – Changes in dexterity

If symptoms arise

Don’t grin and bear it. It’s NOT part of getting older, inform your manager Seek Medical attention ASAP.

  • Name:__________________
  • Height:________________
  • Eyeglasses_______________
Personal Assessment (in inches)
Floor to elbow ADD 2 Good desk height while performing handwriting and table task activities
Floor to elbow Minus 1 Good height for keyboard and mouse tasks while minimizing wrist extension and encouraging neutral wrist posture
Floor to eye level Visual height for viewing text on the screen while maintaining neutral neck posture
Elbow to elbow Minus 2 Armrest width for support of UE (optional)
Chair seat to elbow Armrest height for support of UE & to avoid shoulder elevation and stress (optional)