Remapping your keyboard can also give you additional options, for example a 
quite popular one is to remap Caps Lock to Ctrl.

Additionally you can consider computer foot pedals 
<http://www.gamingmouse.com/ergonomics/usb-foot-pedals/omnipedal-quad/> which 
can activate modifier keys. There are a lot of different brands out there 
but this one seemed to be high quality.

I had grand plans to buy computer foot pedals but I began to utilize a 
complex keyboard remapping which has done most of what I've wanted.

There are lots of options!

On Tuesday, March 29, 2016 at 10:19:39 AM UTC-4, Edward K. Ream wrote:
>
> Recent pains in my left thumb have gotten me to re-evaluate how I type. My 
> practice is improving. Rest and icing are also helping. The following cause 
> me pain:
>
> 1. Holding down the alt or ctrl key with left thumb.  I have often done 
> this when my right hand is hitting arrow keys.
>
> 2. Hitting *both* ctrl *and *C/V/X (cut/copy/paste) keys with left hand. 
> This is an ancient habit, hard to break. The *thumb* hits ctrl key, bent 
> under. This is a recipe for disaster.
>
> Imo, one must *never* hit a modifier key and a plain key with the same 
> hand. Hitting the alt & control keys simultaneously is ok, as long as the 
> thumb hits neither key. In fact, I prefer never to use either thumb on a 
> modifier key.
>
> There is now enough discomfort that the old habits are becoming obvious. 
> Rather than trying to "break" the old habits, which is likely impossible, 
> the plan is to form *new* habits:
>
> 1. *Stop*. Become fully aware of the pain.
> 2. *Notice*. Evaluate what caused the pain.
> 3. *Retrain*. Do the action several times the correct way, perhaps 
> experimenting with new finger combinations.
>
> Another part of the strategy is to avoid substituting the mouse for 
> keystrokes.  If anything, over-using the mouse is even more dangerous than 
> bad keyboard practice.
>
> I tend to fall into bad keyboard and mouse habits when impatient.  The 
> recent pains are a gift, in some sense, urging me to relax, slow down, and 
> do the right things.
>
> Edward
>

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