I use the Dvorak layout and I've a decent keyboard, but I feel the pains and whatnot creep through my hands at times and I believe it's only growing worse.
I'm hopefully soon to have free time to assemble my Ergodox and assign a more ergonomic layout for myself so that I can largely halt this.
I avoid using medication. I'll take breaks and experiment with voice-recognition and foot pedals, if I must, but I probably won't ever need to.
I disagree. It's fine here.