Avoids forearm twisting for comfort and good healthThe patented shape supports your hand in an upright neutral posture that generally avoids forearm twisting. Many users, including medical doctors, ergonomists and physical therapists, said the Evoluent VerticalMouse provides superior comfort and even relieved their wrist pain. Comfortable and easy to useThe shape is thoughtfully sculpted for uncompromised comfort and easy-to-reach programmable buttons. No finger contortions are needed to operate the buttons.Improved thumb restThe thumb rest has been reshaped to provide even more comfort over earlier versions. Now two thumb buttons. A new bottom thumb button provides greatly extended functionality when used with the included driverExtended lip prevents rubbingAn extra wide lip along the bottom edge prevents the last finger from rubbing the deskAdjustable laser sensorPointer speed controls on the side allow convenient adjustment without even releasing your grip from the mousePointer speed indicatorsTop mounted LEDs show through the chrome thumb rest to indicate selected pointer speed including extra low (XL), low (LO), MD (medium), to high (HI). Lighted Evoluent logoThe logo is pure eye candy. The illumination turns off when the system is in sleep mode to conserve notebook battery power.Powerful and intuitive driverEvoluent Mouse Manager for Windows provides extensive but easy to use functionality for 6 buttons through a simple and intuitive interface.