I've taken the keyboard and tilted it 45 deg downward when it got really bad. Helped quite a bit. Cumbersome at first, but somewhat useful after you get used to it. For me, at least, the worst seems to be having your wrists bent backwards, even slightly. Ed Hoeffner 1-271 BSBE 312 Church St. SE Mpls, MN 55455 hoeffner at dcmir.med.umn.edu 612-625-2115 612-625-2163 fax