1. take typing brakes (xwrits, workrave) 2. exercise -- specially try to make your shoulders, forearms, and fingers stronger (in that order) 3. stretch -- yoga can help, take a class 4. get in better shape (run, bike, elliptical, ...) 5. don't type more than 4 hours a day (workrave can help here) 6. DON'T GET SURGERY!!!!! quit first, and reassess things.