I started writing software in 1984. Over the years I worked with many languages, technologies, and tools. I have been in leadership positions since the early 2000s, and in executive roles since 2014.
Probably all the things you did (vertical mice, comfortable keyboards, and pads with padding) saved you. Also, I am pretty sure it has something to do with genetics. If your carpal tunnel channel is wide enough, you'll probably be fine forever.
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I'm using computers heavily for 20 years now and never got this problem.
I don't know if I simply got superior wrists or some of the things I did while working with computers helped.
I used vertical mouses, avoided mechanical keyboards and had mouse pads with padding for the wrist all my adult life.
Probably all the things you did (vertical mice, comfortable keyboards, and pads with padding) saved you. Also, I am pretty sure it has something to do with genetics. If your carpal tunnel channel is wide enough, you'll probably be fine forever.