@BerserkAsIfUWereMad you actually use a drawing tablet?!
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Ok, thank you very much for the suggestions, as I say my fingers are not that nimble but I will have a look at all your suggestions :)
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Trackballs still exist as well, but maybe the wrist problem would still be there. for speed, there are less arm muscles to be recruited for a given movement, so less delay there, and less whole arm inertia to come back from for rapid opposite motions.
That's my guess. I use it to prevent neck pains (from repetitive arm motion).