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Try to find a mouse that is a wide as you're hand. That way you can rest you're whole hand on the mouse while you're working. In Europa you see them regularly. If you can't find them, try a therapist that is specialized in ergonomics. They often sell ergonomic mice.
I once saw a keyboard where the mouse was right under the spacebar. It was a small round bar, like a pen. You could role it to go up and down and shove it to go left and right. to click you pressed it. Worked well. Don't know about the ergonomics but it looked really cool!
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