Mapping caps lock->ctrl destroyed my pinkies on Emacs, just saying... thumb modifier keys is the way to go IMO
You definitely have to be careful with your left pinky. I've started "palming" the corner control, when possible -- even for things like C-v and C-b where you can catch the other key with your thumb.
I've also tried key-chord-mode, with strong but uncommon pairs ("fj" "fk" "dk" "dj") set as a prefix for a custom map. The jury is still out on this, mostly because it's hard to change my habits.