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There are some games (I'm talking about you "Remember Me") that lock you into a room and make you fight to the death...that is really painful.
Also, it may have something to do with your mouse and/or keyboard. A small or claw-grip mouse forces you to hold it with your fingertips, whereas a palm-grip lets you rest your palm on it. Deep keys on a keyboard may also force you to bend your fingers more as you reach down to depress the keys.
And what is this about scheduled breaks, I am from the era of 48hr long network DOOM sessions. I am sure you remember the physical pain you would leave your body in after those.
New to the game, so not 100% sure.
For keyboard controls, I'd suggest rebinding them to something that's more comfortable. I also have a habit of constantly holding Shift to sneak even when there aren't any foes around.
Secondly, do you think those 48-hour sessions might be the cause of your arthritis? In which case, why not learn from your past mistakes? After all, the breaks I'm talking about don't have to be long, just 20-30 seconds at a time. The rule for preventing eye strain is called the 20/20/20 rule: Every 20 minutes, look at something 20 feet away for 20 seconds at a time.
Well you hit the nail on the head with one point, once I stopped holding down the shift key to sneak run everywhere my hands hurt much less.
Though I don't think those 48 hr sessions caused my arthritis, it is just as bad if not worse in my knees, and I don't remember ever playing computer games with my feet so it is most likely not the cause.
Also, some games I can't play at all like really bad button mashers like fighting games, God of War, Darksiders, and pretty much any Batman Arkham boss battle, so I just avoid those games from now on. Pretty much any game that make you press a certain button as fast as you can over and over for an extended length of time.
Playing this game with gamepad has never caused me any pain. If it did my time in it would be only 10 hours instead of over 150.
I really think it is so cool that you play this game at your age. Buy a good gaming mouse that your hand is comfortable holding, make sure it has plenty of thumb buttins. You could also learn to make macro commands so you do not have to press the dagger buttin so much. Hope this helps. I am 48 years old myself.