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I asked Reddit which champs cause them pain and got over 334 responses. I took all of that information and put together this video to help you understand what champs might be destroying your hands. The more mechanically demanding or high APM the character is, the more you will be using your hands repeatedly during a long game. It is important to keep your wrist and hands strong to prevent injuries from developing.
0:00 Torturing your hands with league champs
0:15 Hecarim rampaging your fingers
0:57 Cassiopeia twin fang your wrists
1:40 Kalista passively damages your tendons?
2:07 Zeri burst fire at the wrist
2:44 Evelynn hate spikes your wrist pain
3:16 Honorable mentions - Garen, Sion etc.
5:06 Why muscle endurance is important to stay healthy
5:34 Cheat Sheets for wrist pain!
5:48 Reminders for healthy gaming