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Someone who points out excel has clearly never played Starcraft in any capacity. There is a caster, who has a shirt with an x-ray of a hand that's bolted to some sort of frame, with "APM" written on top of it (actions per minute, a measure of how fast a player plays the game).
Mobas, RTS are hell on wrists. FPS too, with all the flicking. You can do excel in a shitty position for years and you'll not end up with screws in your hand or nerve pinching.
Yeah I played RTS games, including both starcrafts, through my mid twenties (really hung on to the damn things) and was pretty good (got to diamond and stuck there in sc2, which is another animal entirely from pro tier. High school pitchers rarely need special shoulder surgery), and I never needed hand surgery or even serious carpal tunnel help.
Until I was in a position where I had to use office shit for ten hours a day. Then I needed physical therapy for about a year. I think with the games, theres time during matchmaking and loading where you just have to move, even in your seat. Its a whole thing.
Most people don't need physical therapy after working in an office for a few years.
Wasnt exactly an office, and I was going at the excel about as hard as I did the StarCraft.
Carpal tunnel is still a thing, my old manager had to get surgery on both wrists.