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I also do a ton of dialogue editing, and also experienced wrist pain with the kensington after years of use. It is a great product, but it forces your hand to be in a very awkward position (ask any piano player).
I posted a similar question to this on the DUC a few months ago, and got a lot of responses recommending Wacom tablets. I picked one up, and I couldn't be happier. It took a few weeks to really get the hang of it, and for a while, I thought for sure it wasn't going to work out. But I hooked up my Kensington the other day just to see how it felt, and I can't imagine going back.
The one thing I miss is horizontal scrolling in PT, but I've become quite accustomed to living without it. I also have the buttons on the pen set to vertical zoom, which is great.
Good luck.
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