[davidfactorial]

The best thing I ever did for my hands was putting ctrl to the left of the spacebar where alt usually is. I hit it with my left thumb. I never have to contort my wrists. And it works across all programs, not just vim/emacs. Capslock is still using the pinky.

I also switched to Dvorak and put backspace on Capslock, which I think also helped but might be diminishing returns. But I still really like ctrl on alt for my single best ergonomics tweak.