Preventing Repetitive Strain Through Balance and Body Awareness
Whether you’re battling it out in an online tournament, exploring immersive worlds, or leveling up your reflexes in a high-speed shooter, gaming takes skill, focus, and endurance. But just like any other sport, gaming comes with physical demands. And if you’re not training your body to keep up, you may start to feel the effects: hand and wrist pain, neck tension, eye strain, or even full-body fatigue.
At Katherine Jackson Occupational Therapy, PLLC, we believe that gaming is a sport, and if you want to keep playing strong for the long haul, you need a lifestyle that supports recovery, balance, and injury prevention.
Repetitive Strain: The Hidden Risk in Gaming
Gaming is often repetitive by nature. Long sessions mean prolonged sitting, sustained hand positions, and constant micro-movements in the fingers, wrists, and forearms. Over time, this can lead to overuse injuries like:
- Carpal tunnel syndrome
- Tendonitis
- Trigger finger
- Neck and shoulder pain
- Lower back discomfort
Even fatigue and reduced reaction time can result from poor physical conditioning. Just like a runner wouldn’t hit the track without warming up or recovering properly, gamers need a body-wise approach to performance and prevention.
Balance Is Your Best Ally
The best way to prevent injury is to take a balanced approach to your lifestyle. This means giving your body the movement, strength, and recovery it needs to handle long sessions at the console or computer. Here’s how:
Take Breaks to Reset Your Body
Every 30–60 minutes, take a short break. Even just 2–5 minutes to stretch, stand up, or walk around helps your circulation and gives overworked muscles a rest.
Try:
- Neck and shoulder rolls
- Wrist and finger stretches
- Standing back bends or spinal twists
Other pro tips:
Drink water and get up to use the rest room. Standing from your gaming position and walking is a natural reset.
Gentle eye movement away from the screen (20-20-20 rule: every 20 minutes, look 20 feet away for 20 seconds)
Train for the Demands of the Game
Gamers benefit from the same three pillars of fitness as athletes in any sport: strength, flexibility, and aerobic endurance.
Strength: Focus on core, upper back, and shoulder strength to support good posture and reduce neck and wrist strain.
Flexibility: Gentle stretching of the forearms, hands, neck, and hips can counteract the effects of prolonged sitting.
Cardio: Aerobic activity boosts circulation, improves endurance, and supports cognitive performance which is key for focus and reaction time.
Think of these exercises as cross-training for your gaming goals.
Mind Your Setup
Your gaming station matters. Small changes can make a big difference:
- Keep wrists in a neutral (not bent) position
- Use a chair that supports your back and lets your feet rest flat
- Position screens at eye level to reduce neck strain
- Consider wrist supports, ergonomic keyboards/mice, or controller grips if needed
Your Body Is Part of Your Strategy
Gaming is a hobby but it’s also a physical investment. Whether you game recreationally or competitively, your body plays a critical role in your performance. Just like you practice strategies, reflexes, and teamwork, make sure you’re training your physical foundation too.
If you’re starting to notice pain, numbness, or fatigue during or after gameplay, don’t wait until it sidelines you. Early intervention makes a big difference.
At Katherine Jackson Occupational Therapy, PLLC, we support people in living life fully and that includes enjoying your time gaming. If you’re looking for help with posture, ergonomics, pain management, or performance optimization, we’re here for you.
Train smart. Play long. Stay strong.
If you live near Evanston, IL, reach out today if you need personalized strategies for injury prevention, recovery, or building a body-smart routine to support your passion.

