I think there may just be some genetic component. some people are way more susceptible to it than others.
My surgeon told me that some segment of the population has the same issue and that they are simply born with it, but he is not sure what percentage it is, and some may go a lifetime without ever knowing.
I have maybe been a little more mindful of my posture and ergonomics, but never to the point of using anything but a normal laptop or basic apple keyboard and trackpad.