I've found that most office desk & chair combinations I've had don't have enough flexibility for me to get in a completely ideal position for my wrists. In particular even with the chair maxed out, it's still an inch or two shorter of what I would need for my forearms and wrists to be parallel to the ground and at the keyboard height, so my wrists are always bent a little bit up. I've had occasional wrist and hand pain creep up, but luckily have always been able to manage it by typing a little slower and making an effort to sit up a little straighter and hit the keys a little softer, and it has always gone away in a week or two.
Desk and chair heights seem to be pretty standardized so even if there is a hodge-podge of chairs around they're all the same height. I'm definitely taller than average, but a quick search says only by about one standard deviation, so I can't be that unusual.
In general, it does seem like there's a stigma against office comfort, at least in small to medium startups that I've worked at. Usually everyone is using the same shitty, half-broken desks and chairs that came free with the office lease, and the already independently wealthy founders will brag about how scrappy the company is and how proud they are of not wasting any effort or money on something as banal as office comfort. In that environment if you ask for special equipment you're really made to feel like you're being difficult.