I have some degree of RSI -- around my median nerve , behind my wrist in the center of my forearm -- and I have have the opposite experience with this keyboard . the large , high wrist pad keep my arms\/wrists in a position that I very rarely feel any rsus pain , which be more than I hope for and I be very happy with . I have not find any other keyboard with a pad of the same size\/height , so I be stick with this one no matter what its other fault be because medically it be the best choice for I and that be my overwhelming priority . however , I do wish another company make a similar keyboard , one with a pad similar to this one , because the mnek4000 be cheaply make . -lrb- I look around for competitor , but have no luck find a similar wrist pad . Logitech come the closest , but not close enough . -rrb- I have have this thing for 3 month now , and : - on the bottom , the two rubber footpad in the back rub off rather quickly . if the front one go , there will not be anything stop this keyboard from slide all over my desk . I be not abuse the keyboard , either -- the rubber footpad be glue on so lightly that it be unrealistic to expect they to stay on . - out of the box , the right arrow key stick . it be permanently halfway-depressed . I can pry it back to normal with a butter knife , but as soon as I push the key it stick again . - the coating on the key I use most -lrb- a,e,l-shift -rrb- be start to wear off , ever so slightly . I wonder how it 'll look a year from now . the key do not seem too hard to push -lrb- I be typing on it now -rrb- . maybe they be tougher than you average keyboard , but I be only conscious of it now because of these review I be read -- the thought never occur to I on my own . maybe if someone have some _ hand\/finger _ pain -lrb- carpal tunnel , arthritis -rrb- , a keyboard with a light touch would be important , I do not know . but as someone with _ wrist\/forearm _ pain , the key have not be a problem for I at all . I like the way it look , and the programmable hotkey be nice too . it be strange typing on this oddly-shaped keyboard at first , but I adjust to it really quickly at my typing speed be back to normal . it be not like the key be in different place . if you be serious about this keyboard , check out the Newegg customer review of it too -- lot of good feedback there . some Neweggers complain that this keyboard be particularly sensitive to water damage -lrb- more so than other electronics -rrb- and that the cord tend to break right where it exit the keyboard . again , I will not even consider another keyboard that do not have a wrist pad as large or elevated as this one . some Newegg review say they have go through 4-5 of these keyboard despite they flaw because they like they comfort so much . I wish there be a competitor , but this one work well enough . -lrb- I get it for $ 40 , but I have see it on sale for $ 30 . -rrb-