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I had carpal tunnel problems too from all that CAD clicking! It got so bad I thought I would have to stop working so I searched the web for alternatives to using a mouse.
I have been using Speak4CAD for about 4 years. I have used it with Solidworks 2008 for a few weeks without problems. The developers have linked hundreds of commands to keyboard shortcuts so if the shortcuts work the spoken commands work. You can also customize new commands/keyboard shortcuts or add new spoken commands for existing shortcuts. It is also great for entering numbers and mathematical formulas in your dimensions.
The program is $150 at www.speak4cad.com