Similar story, albeit not so extreme. I have similar ergonomic issues that crop up from time to time. My programming is not so impacted (spend more time thinking than typing, etc), but things like email, documentation, etc can be brutal (a lot more computer usage vs programming).

My simple solution: I use Whisper to transcribe my text, and feed the output to an LLM for cleanup (custom prompt). It's fantastic. Way better than stuff like Dragon. Now I get frustrated with transcribing using Google's default mechanism on Android - so inaccurate!

But the ability to take notes, dictate emails, etc using Whisper + LLM is invaluable. I likely would refuse to work for a company that won't let me put IP into an LLM.

Similarly, I take a lot of notes on paper, and would have to type them up. Tedious and painful. I switched to reading my notes aloud and use the above system to transcribe. Still painful. I recently realized Gemini will do a great job just reading my notes. So now I simply convert my notes to a photo and send to Gemini.

I categorize all my expenses. I have receipts from grocery stores where I highlight items into categories. You can imagine it's painful to enter that into a financial SW. I'm going to play with getting Gemini to look at the photo of the receipt and categorize and add up the categories for me.

All of these are cool applications on their own, but when you realize they're also improving your health ... clear win.