How long have you been using Dvorak? Is your keyboard placed too high above your waist? Try using proper typing posture if you haven't, or you have only been using the layout for a short time?
Been touch typing for about 15 months. Attempted many varied positions and postures in the pursuit of comfort. I acknowledge that one will experience a certain amount of teething trouble - and this might have aggravated my previous condition. I have moved from resting the wrists to floating the hands. I avoid the mouse and have used it on the left for about 5 years. I use many keyboard shortcuts, and probably sit at the computer for about 6 hours a day.
I've tried:
* an adjustable standing desk
* resting the keyboard on my lap
* placing the keyboard on the edge of the desk
* placing the keyboard further back on the desk
* tilting the keyboard with positive and negative inclines
* I have raised my seat to lower the keyboard (placing fat books under my feet)
My keying technique has gotten softer with practice (a lot of practice!) Some days I'm comfortable other days I'm not.
Regarding posture, I've spent days looking for good resources on the web - you get the same old info regurgitated in a thousand forms. I've spoken to pianists and looked up piano technique, and avidly searched for videos of correct typing technique. I repeatedly stumble across intros to touch typing - and kids doing XYZ layout in a rather crude manner!
I'm particularly curious about finger posture and placement - close ups.
What I have learnt is that there are many varying techniques and one persons comfort is another's misery.
As I've said in other posts, and sorry to go on - I am a bit of a special case, as I was drawn to touch typing and Dvorak after experiencing chronic pain, which was probably a result of years of bad posture and laptop use (I used to be a tech support worker, which meant I hadn't much control over my environment.)
I'm sure there is good quality info out there to be had - but it's hard to find amongst the simple typing intros, commercial interest and amateur advice.
If you have typed for over a decade - and don't experience any pain from typing I'd be interested in seeing and hearing about your technique. Could you become a touch typing ambassador? If so get some videos online.
I guess many others are here looking for a solution to work related injury - so it might not be the best place to ask. Those that mundanely type and don't even feel it - are probably the ones that are doing something right.
Thanks for listening.
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Physicians deafen our ears with the Honorificabilitudinitatibus of their heavenly Panacaea, their sovereign Guiacum.