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Having been using Dragon almost continuously for about five days, I suddenly hit a brick wall with regard to accuracy. Instead of my accuracy steadily improving, it seemed to get worse, until at one point I considered giving up in disgust. In an effort to try and improve what appeared to be poor audio settings, I tried running the Audio Settings Wizard a few times in the hopes that this would highlight what the problem was.
I forgot to mention…
I will be writing all of this using Dragon. So you’ll have to forgive the odd typing error. 
It all started about 11 days ago.
On Friday evening, having finished one of my usual 12-14 hour stints at the keyboard, I noticed a strange tingling in the my left hand. The effect alternated between pins and needles and a burning sensation and seemed to be centred on a 1 inch square area on my wrist, just below the outer edge of the palm. The slightest pressure on this area set off the equivalent of fireworks in my hand.