I actually believe that the Emacs Pinky is really a Shift Pinky: with CTRL remapped to Caps Lock, it's quite easy on my hand, because I can keep the pinky in more or less the same position (almost stretched out) most of the time. It's just when I hit the left Shift key that I have to bend the finger, and alternating between Shift and Control is what I find stressful on my Pinky.
Does anyone have similar experiences?