I've been struggling with hand pains for like 9 months now, and I feel like I'm finally finding a balance. The balance involves doing very little work and being very careful about typing. Judging by productivity and how often I say "no, I can't do that, sorry", it feels like I've regressed, but physically I'm feeling better than I have in a long time, and I'm hopeful that I can regain my productivity without hurting myself if I can just be patient.