If I had to, I could use a mouse with my foot on an onscreen keyboard. It would require a bit more patience and time, but it would in no way hinder my ability to create software.
A SmartNav head mouse can be had for less. I've bought two for my girlfriend who has RSI. Yes, they work quite well, but you'll need practice, and a way to hit a mouse button without using your feet. (Hard to move your feet without using your head.) There are programs that will emulate a mouse button for you.