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Yes, when I had all the trouble way back when, I ended up seeing the hospital OT. They had several set-ups for me to try, and gave me a 'prescription' for a better chair - the contract chairs they had at the time were too narrow and weren't adjustable enough. This is when I tried the vertical mice - which I still have but don't use (need) anymore - and the forearm cradles (the clamp types).
Mind you, this was at Addenbrookes Hospital - I don't know if a smaller hospital would have that kind of set-up.
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