Tooke writes "I've developed focal hand dystonia from playing clarinet. It affects my right pinky (and my ring finger, but to a lesser extent). My pinky isn't totally unusable when typing; however, it isn't nearly as agile as it used to be. When I must press a key with it, I tend to keep the whole finger rigid and move my entire hand instead. I also use my ring finger to press the P and semicolon keys (on QWERTY) which is a bit awkward but better than using the pinky. Thus my question: are there any keyboard layouts that are optimized to reduce right pinky/ring finger usage? I switched to Programmer Dvorak a few years ago, but Dvorak seems to make me use my right hand significantly more than my left. I'm considering mirroring the letter keys so my left hand would be used more. I also came across the Workman layout which looks interesting. I might try using that after switching the numbers and symbols around to be more like Programmer Dvorak. Has anyone been in a similar situation? What else could I do to make typing more comfortable? I've got a long career ahead of me as a programmer (I'm currently a high school senior) and I'd like to take care of my hands as much as possible."