So I made a tiny CLI app that scans the source for TODO and FIXME lines and presents a menu of files, containing the number of items to work on in each. Then I type in which file I want to work on and it instantly reports all relevant lines, plus successive comment lines. All I have to do is punch in the line number and start working.
I felt a kind of stress relief almost instantly after doing this. It's better than Trello for me.
If I need to add additional kinds of data sources, many syntaxes, etc. it might become a bit more complex, but still managable as long as there's an API to get some plaintext lines out. It's basically following up on the hypothesis of a lot of information tools today: it isn't the data generation that's the issue, but the filtering.