I have significant RSI (Repetitive strain injury (RSI)) in my hands/arms. For me, this means that I have a hard time typing for more than a few hours per day, particularly on non-ergonomic keyboards.

I mostly feel it in the ulnar nerves on both hands/elbows, about equally. Doctors have scanned my rotator cuff muscles and said they show signs of wear/damage.

If it gets significantly better (50%+) in the next 5 years, AND if I believe I know the majority cause, what will that cause be?

This has been going on for the last ~10 years or so. It's been fairly stable for the last ~8.

I plan to spend around 20-100 hours yearly on new techniques/attempts.

Some things I've tried:

• Physical therapy (A lot of help at first, then leveled off quickly)

• Read books by John Sarno (No help)

• Back/shoulder massage tools (fairly useful day-to-day)

• Basic back/shoulder workouts (fairly key to get to my current state, not sure about more)

• Occupational/hand therapy (no help)

• Voice dictation (my voice gets sore quickly, have a hard time using this for writing)

• Platelet-Rich Plasma (PRP) Injections (Tried once, no effect)

• Mindfulness (Tried meditation for 1-3 weeks, no impact)

• Low stress (Doesn't seem to be a big change in periods I'm less stressed)

• Better mattress (Good for back, the problem still persists)

• Pain Relief Rub/cream (No clear impact)

• Professional Massage (Sometimes a big improvement for one day, then little)

• Osteopath (Helped a lot on my back, still working with, minor effect on hands yet)

• Blood testing (Took a bunch of tests, no clear issues)