Best Mouse for Carpal Tunnel 2021- Ergonomic Mouse review

Best Mouse for Carpal Tunnel 2021- Ergonomic Mouse review

I’ve recently taken an interest in what plagues Freelancers on a daily basis. Some of the most popular responses I have received have been back/neck pain, headaches and wrist/hand pain. I’ve already covered back/neck pain in my article What About a Stand-Up Desk Workstation and headaches in How to Prevent Stress Headaches. Now I’m onto wrist and hand pain. Last week I started off with an article about The Best Keyboard for Carpal Tunnel 2021 and so the last piece of this little ‘pain-free series’ is the best mouse for carpal tunnel. So without further ado, let’s jump in.

Amazon Affiliate Disclosure: Healthy freelancers is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to

The Best Ergonomic Mouse for Carpal Tunnel Syndrome 2021

What is Carpal Tunnel Syndrome?

You’ve probably heard the words ‘Carpal Tunnel’ from someone you know, or you might actually know someone with Carpal Tunnel Syndrome. But what exactly is it? I broke it down in my last article, The Best Keyboard for Carpal Tunnel, but I’ll give you an overview here as well.

the best mouse for carpal tunnel carpal tunnel wrist

Let’s break down it down:

Carpal: relating to the carpus (wrist bones)

Tunnel: well, tunnel. The thing you drive through with your car, but a lot smaller.

So, the carpal tunnel is just a round-tube in your wrist that things go through.

Why’s carpal tunnel syndrome important?

This ‘tunnel’ is important because it houses your median nerve (you know, those things that your brain sends electric currents through so your body can move). This particular nerve is the one that controls your thumb, index, middle and ring finger, so, ya, it’s pretty important.

The carpal tunnel is also home to the tendons that move these fingers as well, and they’re most likely the culprit of your pain as someone you used the computer a lot.

Why does carpal tunnel cause wrist and hand pain?

the best mouse for carpal tunnel wrist photo

This problem arises when one of those 3 things mentioned above (carpal tunnel, median nerve, tendons) changes in some way. Actual Carpal Tunnel Syndrome (CTS) is caused by a pinch or abnormality in the carpal tunnel. It then pinches the nerve and tendons and causes numbness, pain, or weakness in the fingers and hand.

Also, as the carpal tunnel is hard, it doesn’t have any give. If there is any inflammation of the median nerve or the tendons (from overuse like typing on a computer), then this pinches everything in that tunnel and causes pain and other unpleasant symptoms of thumb, finger and hand pain.

Do I have Carpal Tunnel Syndrome?

According to the studies, you most likely do not have carpal tunnel (unless your freelancing job involves power tools and an assembly line). That’s because carpal tunnel syndrome is based on the anatomy of the actual carpal tunnel. What’s most likely causing your finger and wrist pain are the tendons inside that carpal tunnel.

the best mouse for carpal tunnel wrist brace
Nobody likes these things

Instead of carpal tunnel syndrome, you most likely have tendonitis or repetitive strain injury. Both of these involve swelling of those tendons. This swelling presses on the median nerve, and you can suffer from carpal tunnel syndrome-like symptoms. If you’ve ever heard of tennis elbow, then this is basically that but in the wrist. Too much repetition of a single movement and your body does not have enough time to repair itself causing your hand and thumb pain.

How Can the Best Mouse for carpal tunnel syndrome 2021 help?

If you use a traditional mouse, you repeat the same motion over and over. You also have to move your whole arm and wrist to move the cursor on the screen. Lastly, your wrist is at a fairly unnatural angle for many hours of the day.

This probably won’t cause any problems for a week, a month or even a year, but over time these small inconveniences will produce damage that your body can’t repair and you’ll start to have thumb and hand pain.

The best ergonomic mouse for carpal tunnel vs traditional mouse

An ergonomic mouse for hand pain returns your wrist to a more natural position which in turn reduces the wear and tear on your tendons. There are other things that ergonomic mice can offer as well like, a thumb rest, different buttons placement, a tracking ball, size changers and vertical tilt personalization.

My criteria for the best mouse for carpal tunnel syndrome 2021

For me, the tracking ball and tilt, or vertical design, are the main components of what I was looking for with the best ergonomic mouse for carpal tunnel syndrome. With traditional mice, you have to physically move the whole mouse to move the cursor on the screen. With trackball ergonomic mice, you scroll the cursor by rolling the trackball under your thumb. You have 360-degree coverage, and it also means less wrist movement, less arm movement, and in the end, less pain.

Some people are nervous that they may not get used to a trackball but according to the video on the Kensington website 75% of users get used to their trackballs in less than a week and 69% say they’d never go back to a traditional mouse.

the best ergonomic mouse for carpal tunnel vertical mouse       the best ergonomic mouse for carpal tunnel logitech with trackball

The tilt is also hugely important because as I said, traditional mice put your wrist in a weak position. Arm extended and palm down is not the most ergonomically sound position you can be in. Having a mouse that tilts your palm more towards the center of your body is a much stronger and more natural position for your wrist and hand to be in. This should relieve the pressure from your wrist and reduce hand and thumb pain.

What’s the best ergonomic Mouse for Carpal Tunnel syndrome /Repetitive strain injury in 2021?

The best ergonomic mouse for carpal tunnel MX ergo
ergonomic Mouse for Carpal Tunnel

Based on what I’ve seen and used, the most widely regarded mouse as being the best ergonomic mouse for carpal tunnel syndrome is the Logitech MX Ergo. That’s mainly due to its ability to change its tilt to fit your body. As you can see in the photos below, it can go from a 0° to 20° angle and usually just by placing your hand on it and resting your weight naturally, it will find the right tilt by itself.

You can also see it comes with the trackball as well, so you don’t have to move it around relieving wrist pain. It’s wireless and comes with a rechargeable battery. You can check out the best ergonomic mouse for carpal tunnel syndrome 2021 on Amazon by clicking below.


OR buy at:


The best ergonomic mouse for carpal tunnel Mx Ergo     The best ergonomic mouse for carpal tunnel Logitech MX ergo

All of these features mean that it’s ideal for smaller spaces as well. On stand-up desk workstations, as I mentioned in my article, Sit-Stand Desktop Workstations many of them are difficult to use because of the small keyboard and mouse shelf. However, with this mouse, that isn’t a problem.

Andy Slye has done a great job of giving you an overview of MX ergo mouse on YouTube and I’ve included the video here below if you’d prefer that method.

Best mouse for hand pain: Cons

the best mouse for carpal tunnel trackball

Many people complain that the tracking ball is a bit ‘sticky’ and it doesn’t roll as freely as they think it should. If you find this as well you can easily buy a replacement trackball, Logitech Replacement Trackball on Amazon to fix the problem. People have mentioned that this solved their problem.

However, if this is your first trackball, then it might be good to have a bit more control over your movements.

Best mouse for carpal tunnel syndrome 2021 runner-ups:

#2: Logitech Wireless Trackball M570

The best ergonomic mouse for carpal tunnel Logitech M570

The Logitech Wireless Trackball M570 is incredibly similar to the Logitech MX ergo above however, there are 2 small differences as to why it didn’t take the #1 spot as the best mouse for carpal tunnel.

  1. No tilt – As you can see in the photos the base if flat and it’s a 1 size fits all sort of deal. As we know, that’s not always the case. It’s probably great for 80% of people and trying it out it worked for me. However, there will be those out there that the angle just isn’t right and without the tilt, there’s nothing you can do about it.
  2. The feel – The MX Ergo comes with a soft plastic that is really nice to the touch. I wouldn’t say that this ergonomic mouse is uncomfortable by any means, but it just doesn’t have the nice feel of the MX Ergo.

However, there is one huge upside to this ergonomic mouse over the MX Ergo, and that’s the price. You can get the M570 for less than half the price, at around $30.

Buy the Logitech M570 Now at Amazon or M570

#3: Kensington Orbit Trackball Mouse 

The best ergonomic mouse for carpal tunnel Kensington

Similar to the Logitech M570 above, this is an ergonomic trackball mouse with 2 buttons and great reviews. The only thing missing here is the tilt of the MX Ergo. The price, at $30, the feel and the trackball movement are all very solid for an ergonomic mouse like this. You wouldn’t be disappointed in this purchase if it works for you. Like I mentioned above it should work for about 80% of customers and I’ve heard very few negatives here. It’s just that the MX Ergo has upped their game.

Buy the Kensington Trackball Mouse

Best ergonomic computer mouse for carpal tunnel syndrome 2021 note:

I didn’t go with a vertical mouse (see photo right) for The Best Computer Mouse for Carpal Tunnel because they don’t come with many of the personalization features of other mice. Also, since this article is aimed at people who work on their computers for a living, vertical mice only give you the most basic features available. Lastly, they do not come with trackballs, so you still have to move your wrist and arm around a lot, which puts extra strain on those joints causing hand pain.

the best ergonomic mouse for carpal tunnel vertical mouse

However, if you’re suffering from a lot of thumb pain, trackball ergonomic mice may not be the best choice for you as you’ll move your cursor by using your thumb to scroll. If that is the case, then my choice for the best ergonomic mouse for hand pain without a scroll ball is the Anker Vertical Ergonomic Mouse. It retails for under $20 and will help alleviate your thumb pain. Check it the best mouse for thumb pain at Amazon: Anker Vertical Ergonomic Mouse

Update: Logitech has released a new ergonomic vertical mouse that is getting incredible reviews, but I haven’t tried it as of yet. The Logitech MX Vertical Advanced Ergonomic Mouse.

The best ergonomic mouse for carpal tunnel

Its claims include:

  • Reduces muscle strain by 10% (compared to traditional mouse based on a Logitech study)
  • 57-degree vertical angle
  • Requires 4x less hand movement (compared to a traditional mouse)
  • Quick charging (3 hours from 1 minute of charge)
  • Three ways to connect (Bluetooth, Unifying receiver, USB cable)
  • Multi-computer interface: connect to multiple devices at once

The best ergonomic mouse for carpal tunnel vertical mouse

*Even with all of these claims I would still use a trackball mouse. The reducing muscle strain by 10%, trackball mice don’t require muscle strain. The 4x less movement, trackball mice don’t require movement, and the MX Ergo comes with all of the other features as well. For now, this would be my option for the best vertical mouse for carpal tunnel syndrome. It would also be a solid option for the best mouse for hand pain.

Buy now at Amazon!

Spendy, but worth it to work without pain

I know the price tag of this carpal tunnel mouse might be a bit high for ‘just‘ a mouse, but let’s think about this. You use your mouse 8 hours a day. If it can help you be pain-free for 1/3 of your life, isn’t $90 worth it? I personally put chairs, desks, mice, and keyboards all into the same category.  Skimping on them might only cause minor hand and thumb that you can overlook today or tomorrow, but minor problems over 20 years can become catastrophic and lose you both business and money in the long run. That’s not even taking into account the time lost with loved ones because your wrists and hands hurt and you can’t play with your kids/grandkids.

The best ergonomic mouse for carpal tunnel


or at MX Ergo

This website, Healthy Freelancers, is dedicated to putting you in the driver seat of your health and giving you the best opportunity to lead a long, prosperous freelancing career. If you’re just getting started out in your Freelance Translation Career head over and read How to Become a Freelance Translator Without a Degree where I break down the process I went through to get to where I am today.

Lastly, if you’re interested in more ergonomic products for Healthy Freelancers and pain-free work, then check out my Free Ergonomic Home Office guide! It lists the top5 ergonomic office products on the market in 2021. They’re perfect for any freelance home office! You can also check out the Ultimate Buyers Guide for Stand-up Computer Desks! There’s no better time jump on board.

Ergonomic Home Office

What do you think about the best ergonomic mouse for carpal tunnel 2021? What’s your favorite ergonomic mouse?

Disclaimer: This information is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or another qualified health provider with any questions about your medical condition.

37 Replies to “Best Mouse for Carpal Tunnel 2021- Ergonomic Mouse review”

  1. Hi Andrew,
    I found this post very relevant and helpful. As a blogger, I spend large portions of my day in front of a computer and have recently developed symptoms of repetitive strain injury. I’ve been researching various ways to improve the ergonomics of my work environment. I will definitely look into this ergonomic mouse recommendation. If a $90 mouse improves my condition, it’s a cheap fix and very worth pursuing. Thanks for the info!

    1. Hey Linda,

      I appreciate you taking the time to leave a comment. There are a lot of ways to help reduce the strain that we put on our wrists typing all day. You might actually be interested in an article I wrote: The Best Keyboard for Carpal Tunnel – Pain-free typing. It would go perfectly with the mouse that you’re looking at. If you ever have any questions please don’t hesitate to ask. 

      Happy Freelancing!


  2. Hi there. I just finished reading your article about the ergonomic mouse and found it very interesting. I just wanted to drop you a quick comment to say thanks.

    I work a full time job, using computers all day and then run a business from home using a computer too. I have to do quite a lot of clicking in the job that I’m in as I monitor CCTV cameras. I often get pain in my wrist and hand. I guess this could be the reason!

    I will certainly take a closer look at your recommendations here.


    1. Hey Andrew!

      I appreciate you stopping by and leaving a reply. That repition, 100’s of times per day can really be nasty on the smaller joints in your body. I don’t think you’re alone with wrist pain and that’s why I felt I should write about it. Also, typing doesn’t help that repition either so you might want to look at my article: The Best Keyboard for Carpal Tunnel – Pain-free typing. It touches on many of the same topics but for a little different reason.

      If you have any questions please, let me know. Happy Freelancing!


  3. Hi Andrew!

    As a developer and a blogger, I spend many times in front of a PC/Laptop, moving a mouse around… I would like to try this mouse because my primary objective is to avoid CTS completely.
    It’s good that it is wireless and it can be used on both desktops and laptops equally. One mouse to conquer them all!
    Thanks for a very detailed suggestion!


    1. Hey Marios,

      This mouse would be perfect for you! If you’re really worried about CTS or RSI than you could also take a look at an articles I wrote about a great ergonomic keyboard The Best Keyboard for Carpal Tunnel – Pain-free typing. It helps to relieve strain and pressure on your wrist as well.

      If you ever have any questions please don’t hesitate to ask. Thank you for leaving a comment! Happy Freelancing!


  4. Thanks so much. I really got a good idea of the best mouse for me. I know that after a few hours on the computer my hand gets a little numb. I didn’t know that buying a better mouse could help me. Now you’ve done all the work for me and I will get a track ball mouse.
    You did give a lot of choices. I’ll have to save this article so I can review my options.

    1. Hey Deborah,

      I’m glad you got some use out of the article. If I were to choose only one, I would definitely go with  Logitech MX Ergo as it’s the best all around mouse that should hopefully help with the numbness in your hand. If you have any questions, please, let me know and thank you for stopping by!

  5. This is a very useful information. My 9-to-5 job require me to sit in front of my laptop almost full time every day, and I also have many freelancing side job to do at night and weekend. I’m starting to feel some pain in my thumbs with my current mouse.

    I will definitely look into your recommendation. However, I have a question in my mind. Does people who use laptop track pad instead of mouse can be exposed to carpal tunnel syndrome (or any hand related long-term pain)? Switching to use laptop track pad is also my current option, though I need to use it regularly for a long time until I really used with the track pad 🙁

    1. Hey!

      I’m in the same boat as you as I work on my laptop and computer most hours of the day. Switching to a track pad might help in the short term but it’s also not ergonomically very sound is you’re still moving your wrist and arm around. Also, as you said, using a trackpad for a long time is quite uncomfortable. I’d definitely recommend getting an ergonomic mouse when you can.

      Thank you for your question!

  6. Hey there,

    Working online can cause some health problems, thanks for letting us all know about Carpal Tunnel Syndrome.  I heard about the hand and wrist problems caused by continually working on computer.

    Great suggestion of using special mouse, this can really help in  a great way.  At the same time I would like to suggest to do some wrist movements within the interval of 15-20 minutes.


    1. Hey!

      Thank you for stopping by and your suggestion of wrist movements and exercises is great! I’ll definitely look into it and see what I can find. Thank you again!

  7. Hi Andrew;

    I do a lot of work on my computer and I also use a portable laptop desk. And, I have had issues with carpel tunnel syndrome. As you said, the mouse shelf is not very big, so having a mouse with a track ball is important for me. I like what you have to say about the Logitech MX Ergo, but I do have a question. If it tilts from 0 to 20 degrees to adjust to your hand position, how does it stay in place? Or does it keep shifting the degree of tilt depending on your position and movements?

    Thanks for the great review and info. A good mouse is definitely a worthwhile investment in this profession. And I’m one of those people who cannot adjust to working without a mouse. 🙂

    1. Hey,

      The mouse tilt stays in place do to the weight of your hand. Usually just placing your hand on the mouse it will find the right tilt and if it moves a little that’s probably for the best as that’s where you’re most comfortable. If we sit a little differently or are at a different angle, ergonomically, we’d want our mouse to be at a different angle.

      Thank you for the question and stopping by!

  8. I must say that I have never heard about this mouse. They are look pretty interesting and they have powerful design. My aunt have this syndrome and I think that this would greatly help her. Do you think that small kids can get this syndrome, I mean is it possible to affect teens? Thanks in advance

  9. I haven’t used a trackball mouse in a few years since I am mostly on a laptop I know you still use a wireless mouse on a laptop. I just prefer the trackpad sometime you know? 

    I can say I do like trackballs better than regular mice though mostly because a regular mosuuae has a small range of motions and constantly picking the mouse up readjust the mouse. To be honest that gets kind of annoying to keep readilsting the mouse all the time.

    I actually think soon I will have to invest in one of these models. I actually do agree with you on the fact that $90 may be steep for some but like you said it is better to invest the $90 so the wear tear don’t get you down the road.

    I can say that when it comes to minor tears over time they become more serious if you don’t take the precautions to actually fix the problem. It is just like a chair or a bed if you aren’t comfortable in it and you hurt from being in it get something better I’d rather be safe than sorry.

    Pretty good review on these mouses and thanks for this 


    1. Hey Matt,

      I appreciate your well-thought out comment. I can’t stand having to pick up the mouse either whenever I run out of room on the mouse pad. It’s a small thing but a dozen times a day, and it gets to be quite annoying. You’re absolutely spot on about the chair and bed. It’s definitely worth spending a little more now, so you’re not in pain later and having to pay for massages and extra visits to the doctor.

      Let me know if there’s anything I can do for you. Take care and thank you for stopping by.

    1. James there is a Vertical Mousepad called the Maus Deck, which can be used for either left or right hands, but there are a few models of vertical mice as well.

      1. You’re absolutely right there are some vertical mice like that but for this best mouse for carpal tunnel article, I felt a vertical mouse didn’t address the problem and physically having to move the mouse around. That’s why I didn’t choose it as the top one. I’ll definitely check those vertical mice out though. Thanks!

  10. Hi Andrew,

    I had carpal tunnel operation more than 6 years ago and suffer from very sore right hand and wrist. I recently bought the ergonomic vertical mouse but is a little uncomfortable. Not sure what ergonomic mouse and keyboard to use while working to avoid so much pain.
    Can you recommend me which one would be better?
    Thank you!

    1. Hey Cynthia,
      Have you tried a mouse with a scroll ball yet? I’ve found that a lot of carpal tunnel pain comes from moving your entire arm and having a stiff wrist. However, with a scroll ball much, if not all, of that movement is eliminated. It takes a bit to get used to (about a week) but after that, you probably won’t even notice. At least that was my experience. I hope you find what you’re looking for. Thank you for stopping by!

  11. I’ve heard about the ergonomic Mouse and have seen few people complain of CTS but your post has provided the best description and analysis on the causes and you’ve critically handled the topic will great and wonderful information. Thanks, I believe I should get one of those mouse for myself, health is wealth indeed!

    Nice job, have a nice day

  12. Thanks for this educative piece. I am Forex trader and also a blogger which requires me to sit down with computer and engage my audience 24/7. Hence the wrist pain and stress is already setting in. Having read about this unique mouse I believe its a nice buy and not too expensive. Comfortable living is Paramount to happy living 

  13. Interesting post I never heard about this mouse I stay in front of the computer almost all day I started feeling pain on my fingers so I searched for ways to be more comfortable working on my pc I’m glad I landed on this informative post 

    Thanks for sharing this and I’m absolutely going to buy one of these, the Logitech MX Ergo Wireless Trackball Mouse really caught my eye 😀

  14. Thanks for the article. The irony is that I bought myself a vertical mouse just like the Anker one and yesterday I got this pain in the base of my little finger and I am using the mouse for two months.

    1. Hey! Unfortunately, that can happen. As I mentioned in the post, vertical mice are great, but they don’t actually relieve the strain you’re putting on your hand since you have to move your whole arm. I hope you find something that works out for you! Good luck

  15. Very interesting read.  I don’t have any wrist or hand issues and I probably use my mouse at work quite a bit throughout the day.  When I am at home I have a touch screen which I am in love with.  However, for my work mouse,  If I do not feel any pain am I okay to keep using this kind of mouse or should I switch to a better ergonmic mouse?

    1. Hey! Touchscreens are great and if you’re not feeling any pain right now there probably isn’t too much to worry about. That said, having a more ergonomic work position with my choice for the best mouse for carpal tunnel probably wouldn’t hurt either! Take care

  16. In my internet cafe, what I usually buy for my client computers are just low-quality mice that are coming from China. But for my server computer, since I am the one using it, I look for the best which usually shifts between Logi Tech and Kensington brands. Ironically, it is only now that I encountered these designs that are specially manufactured with freelancers in mind. Since I am also a freelancer building websites for clients while managing my internet cafe, I think I need these. I may try them as well.

    1. Hey! This really is the best mouse for carpal tunnel in 2019! I’ve been using it for a few years now and wouldn’t go back. If you ever have any questions let me know! Take care and good luck with everything!

  17. I like the feel of the logitech mx ercho. We have something very similar to this at work,though I think it is an off brand. Anyways since I started using it I have noticed that my wrist especially does not get as sore. The one at home is the stancard mouse from microsoft. I will go back through your list and pick the one that can handle the job for me. The mx ercho unfortionatly is a bit pricey what would be your next choice?

    1. The Mx ergo is a bit pricey but I do feel it’s worth it. If you’re looking for a cheaper alternative computer mouse for carpal tunnel you could try the Logitech M570. It has a trackball like the MX ergo but comes at a bit of a lower cost. Let me know how it goes!

  18. Hello, I must say that this article is very helpful and informative. Unfortunately, I got this syndrome last year and till now I could use a traditional mouse but it is getting harder and harder. A close friend recommended me Logitech Wireless Trackball M570 and now I can see that it is worth it, it is not expensive compared to its benefits. I appreciate that you shared your knowledge about this mouse.

    1. Hey! I’m glad you enjoyed the computer mouse for carpal tunnel article. Compared to the benefits none of the mice on this list are expensive, especially if you use it every day for work like I do. If you have any questions, please let me know what I can do. Take care!

  19. Hello!
    I find your article the best computer mouse for carpal tunnel 2019 very interesting.

    I am currently using an older logitech model. 

    From what I see the brand is developing more advanced models thinking about the prevention of the aforementioned disease. 

    I will take your model into account when deciding to make the purchase. 

    Thank you very much!

    1. Hey! you’re definitely right. Logitech is working hard as well as other companies to build computer mouse for carpal tunnel. Let me know if you ever have any questions!

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.