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For those that have experienced repetitive strain injuries, does coffee and alcohol make it worse?

So for 5 years I’ve been drawing in the worst possible back and neck posture possible, and it’s finally caught up to me. Every time I drink caffeine and alcohol, it usually causes tingling and a burning sensation in my left arm, the arm that I use to hold a picture of my reference photo. (And yes, I’ve come to realize how dumb this is.)

Has this happened to anyone else? Is this normal?

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