Columnar stagger is exactly the same as ortho, and traditional stagger splits are nearly as bad as traditional stagger on a single board setup.
The be-all, end-all of this discussion is whether you keep your wrists straight, as referenced from your forearms.
How you choose to do that is up to you.
Imagine having a piece of diamond-coated piano wire running through a wooden hoop.
As long as you pull the wire straight, nothing happens to the wood.
If you pull one end, or the other, out of alignment, the wire starts sawing at the wood.
That is a very good simulacrum of your carpal tunnels.
As long as there is minimal contact between your tendons, and the surrounding bones, you are good.
The tendons contact the bone, get irritated, then inflamed, and begin pushing against the nerves, which is what causes the intense pain.
Your wrist angle, compared to the board itself, is not the important part of this issue.
It’s your wrist angle, compared to your forearm that causes issues.
Straighten that out in whatever manner works best for you.
You’ve told me you have to compress your arms against your chest to use an ortho, and that you have blatant ulnar deviation while doing so.
The only way those two add up, is if you are trying to keep your arms perpendicular to the keyboard rows.
Here’s picture of my right arm, in typing position, on my Preonic.
Notice that my wrist is straight, even though my arm is coming in at an angle.
You can’t really tell from the overhead picture, but it is also straight vertically because I float my hands over the keyboard, like a pianist.
https://preview.redd.it/8sz1ohe48j2c1.jpeg?width=1445&format=pjpg&auto=webp&s=1ea2b450428307f9234aec6a9b1cdcb95807e91f
As I told the other user above, the only thing that matters here is that you keep your wrists straight, with respect to your forearms.
Do that however you want, with whatever you want.