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How to Stretch (Hands, Back, Neck) - Secrets of Console Gaming
By Dr. Matthew Hwu, PT, DPT, OCS, CSCS·
Quick answer
Stretching helps console players undo the stress of long sitting and controller use, since good controller ergonomics are hard to set up. The post covers back, neck, shoulder and hand stretches, plus the cat-camel, prayer and piriformis stretches. Keep your head over your shoulders and notice when your shoulders creep up as you get tense.
Never force a stretch that makes your symptoms worse. Use heat for stiffness and ice when you are done playing, and roll out tight spots with a tennis ball. Sharp neck pain or numbness down the arms needs a doctor's check.
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How to Save Your Hands, Your Back, and Maybe Your Stocks with Stretches
When it comes to any video games, ergonomics play an enormous role in preventing injury. For your standard PC gamers, an ergonomic setup is a little bit more clear: armrests at the same height as the keyboard/mouse, top of the monitor even with the eye line, good back support on your chair, feet planted on the floor. For anyone using a controller, the proper ergonomics to avoid pain is not so clear. For the most part, it’s a lot harder to sit fully upright and still have your hands/arms supported in a comfortable position when you’re using a controller unless you have something like a lap desk tray to support the controller on (which may not be as stable or comfortable as players like). Back and neck stretches are key to avoiding back pain at long tournaments and preventing long-term stress on the back.Back Stretching

Neck Stretching
Neck and shoulder stretches are just as important; I’ve never met a player who didn’t have a tendency to let their shoulders creep up towards their ears as they get more tense during a tournament. Simply being aware of that tendency can help prevent it from happening, but postural habits can be hard to break. When possible, pay attention to your posture. Your head and neck shouldn’t be pushed forward, but aligned as directly over your shoulders as possible with your chin slightly inclined towards your neck/chest. When you find your muscles getting too tight to maintain good posture, take some time to stretch or relax against a chair with good back and neck support (not always easy to find at a hotel venue, I know).

Please note that if you have sharp neck pain, a feeling of “pinching” when you turn or tilt your head to the side, or symptoms of pain/numbness/tingling/weakness down your arms, this may indicate a serious nerve issue that you need to talk to your doctor about. Similarly, any persistent symptoms down your legs likely indicate nerve issues in your low back. This is not the kind of thing you want to mess around with; go see your doctor immediately if you develop these symptoms.
Repetitive Strain Pain Library
Free guides to thumb, wrist, elbow and nerve pain from repetitive strain: typing, mouse work, gaming, music and more. Find your pain pattern and how to recover.
Find your pain patternHand Stretching
Now for the stretches everyone REALLY wants to see-hand and wrist stretches! Keep in mind that if you already have hand or wrist symptoms, these will not be comfortable. You should NEVER force your body into a stretch that makes your symptoms worse. Move to whatever range of motion you can; it will improve with time. If any of these stretches exacerbate your symptoms, you should not do them (or at the very least, see a PT in real life first). However, if you are tight or have built up stress, these may be uncomfortable. That will get better!

The above stretches are ones you can do easily while playing. Other stretches that are worthwhile to consider are illustrated below.
Cat-Camel Stretch
Arch your lower back down and extend your head/neck, then slowly roll your head down as you roll your lower/mid back up. Hold each position for 5 seconds; spend at least 5 seconds moving between each position.
Prayer Stretch
Starting from the same position as cat-camel, slowly sink your bottom back towards your heels while extending your arms and shoulders. Your back should remain rounded throughout this stretch.

Piriformis Stretch
Cross one ankle over the opposite knee. Push the crossed leg away while pulling the supporting leg towards your chest. Hold the stretch for 30-60 seconds.

THE BOTTOM LINE - STRETCHING AND GAMING
Stretching can be important to undo the stress of prolonged sitting. The list of stretches and exercises above are meant, if performed every day and of course considering your posture and ergonomics, to prevent the development of common esports injuries.Try these out and let me know how you feel!

About the author
Dr. Matthew Hwu, PT, DPT, OCS, CSCS
Dr. Matthew Hwu earned his Doctorate in Physical Therapy from Western University of Health Sciences and completed an Orthopedic Physical Therapy residency through Kaiser Permanente in Southern California, where he developed a deep clinical foundation in musculoskeletal and overuse injuries.
More from Dr. Matthew HwuRepetitive Strain Pain Library
Free guides to thumb, wrist, elbow and nerve pain from repetitive strain: typing, mouse work, gaming, music and more. Find your pain pattern and how to recover.
Find your pain patternTalk it through with a Doctor of Physical Therapy who specializes in wrist, hand and forearm pain. Book a free consultation



