I can truly understand your pain. I have carpal tunnel syndrome. I've had it since I was 26 (now 39). I had the surgery at 26, which worked for 3 months. I've tried EVERYTHING since then. I have an ergonomic keyboard where I type on the vertical (Comfort Keyboard System). I find it helps greatly. I also use a track ball type mouse rather than a regular mouse. To keep my hands loose I see the chiropractor once a week and he adjusts my wrists, how much depends on how bad they are. I also tried the talk software for a while but found it couldn't handle the technical nature of my job. I offer this information with the hope that something that I've done/learned can be helpful to you. Please take care, rest your hands and know that you do not suffer alone.