As others have said, over the ear wear helps a lot. Using a shirt clip to attach them to your shirt also helps. My etymotic IEMs came with such a clip. Using b

As others have said, over the ear wear helps a lot. Using a shirt clip to attach them to your shirt also helps. My etymotic IEMs came with such a clip. Using both of those techniques makes the microphonics go from intolerable to barely noticable for me which is great because I wear them for 4-8 hours a day.