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comment by cgod

You might have found the best solution for your situation.

Before my wife moved to management out of production she had a click intensive job and her hands were killing her.

She's an advanced user for her field and she had mastered every shortcut and wrote a lot of macros but it wasn't enough, she still racked up tons of clicks a day.

She started using a foot pedal on her main work station and it helped a lot.

You might have tried it or it might not be a viable solution for your use case but it saved her a great deal of pain.