Try using different controller.
For example vertical mouse, there is a slightly different grip, it may be easier.
Perhaps you can fasten the gamepad, something like Dragon Quest Slime Controller (via 3rd party key mapping software). Yes, it looks like a very strange grip, but it may turn out to be convenient in the end (I've read positive reviews about this gamepad).
Of course, gamepad will not help to navigate through the menu items, but it is quite possible to navigate the world, I've already tried that (long time ago).
For example vertical mouse, there is a slightly different grip, it may be easier.
Perhaps you can fasten the gamepad, something like Dragon Quest Slime Controller (via 3rd party key mapping software). Yes, it looks like a very strange grip, but it may turn out to be convenient in the end (I've read positive reviews about this gamepad).
Of course, gamepad will not help to navigate through the menu items, but it is quite possible to navigate the world, I've already tried that (long time ago).