You know you can bind heat blast to a more comfortable button right ? preferably by using a gaming mouse with side buttons. Stop making barriers for yourself.
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No offense but if you are playing to the degree you are getting CT symptoms get out of the chair more than once per day. As a Musician, I am doing probably a thousand times or more wrist movement than your average gamer and with prior prep, I avoid issues. I am of the same mind as Adventica, find solutions and adjust the play position. MMO's in the past used to be FAR more demanding on CPM and for the better part none of us have any issues. FF comparatively is a rotation snooze fest, less keyboard Mozart (lol the golden old days!) and more Naga and Netflix. Certainly no reason for more complaints and dumbing down. I half expect people to want botting legalized eventually, so that they don't have to play at all. Ugh.