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Perhaps you should be considering alternative ways to get the data organized, in terms of not using your hands.
I have very bad issues in my mousing-arm shoulder. I'm old-skool, so I mouse with my non-dominant hand, my left arm. I used to use a digitizing tablet and a digitizing puck (mouse), but while I've kept the tablet, I've switched over to a typical mouse. I've invested in a Matias Ergo pro keyboard--but I can't recommend that to other people, because I've had a lot of use issues with it. It has been very good for my hands/wrists.
However, the big change for me is that I spent the dough to buy Dragon Nat Speaking, with the latest version. While I've read lots of reviews of the older versions that didn't love it, this latest is really quite great. Yes, sure, there's some training involved, but given the limitations you're working with, you may want to consider it.
Then, you'd have more alternatives in terms of the software. Right now, we all still seem to be trying to address software, but you have other considerations that might rule out X or Y, in ways that we can't foresee.
I've been very happy with my investment into DNS. I find myself reaching for it sometimes when I don't even have a specific issue, just because it's faster to dictate emails than type them on occasion. {shrug}.
I think that something like that would give you a lot more options, as it speaks directly to your RSI, coordination issues, etc. which in turn would allow you to look at software with fewer limitations.
Hitch
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