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The last recording (by Derek Bailey) released during his lifetime documented his personal struggles against the development of carpal tunnel syndrome in his right hand, which made it impossible for him to hold a pick (and actually marked the onset of his Amyotrophic Lateral Sclerosis). cit wikipedia
It was extremely typical of his character to refuse surgical intervention to treat his illness, being more interested in learning a way to circumvent and overcome his motor limitation.
He thus decided to relearn guitar techniques using his thumb and index finger to pluck the strings.