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LLMs have not changed how much I type and mouse, I think.

I second the "change input devices up once in a while" suggestion. And I would say that Apple Trackpads and Keyboards are the ones that work best for me most of the time. Especially the Trackpads work incredibly well because with the sensitivity turned way up, I have to barely move my hand and use almost no force when using a cursor and clicking. I can also vary how I hold/rotate my wrist and compensate by adjusting my input finger(s) and/or changing which finger I use. With the keyboard, it's mostly about having very short travel and actuation force as well as a little bit of dampening. I do have a collection of ergo and mechanical keyboards, mice and trackballs but especially when I feel pain, I always go back to the Magic Trackpad and Keyboard. Wrist rests are a no-no and trying to keep your wrists floating is good.

It's always tempting to fiddle and expand, but my "homelab" has been my "old" Macbook Air M1 16GB on a Dell Thunderbolt Dock for many years. That thing runs about 30 containers with stuff like Paperless, Navidrome, BirdNET, SearxNG, Home Assistant, Frigate, Open-Code, arr-Stack, Nginx, Jellyfin and the like, serves as my DNS server, has about 15TB of SSD storage attached and is completely silent while using ridiculously little energy. I don't have exact figures at hand, but my whole "tech corner" power bar including router, landline phone, a hand full of IoT gateways, server, storage and an audio amp is between 40 and 55W most of the time. I do have my desktop configured as an optional and not always-on server node for Ollama, audio analysis and other high-power tasks. Even if I wanted those as always-on services, I think I would rather go for a Mac Studio than a rack setup at home and simulate some blinkenlights for the emotional aspect in a nice 3d printed case for the Mac and the storage. :D