My good friend had carpal tunnels from playing his bard. Ending up quitting it for a rogue. When i was trying to convince him not to retire the bard, the advice I got from veteran bard guildie in TMO who had also felt the carpals coming on suggested a razor 8 button mouse. Really cut the strain from the class.
Good luck with your ergonomics. I was developing it from tradeskilling and it sucked.
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