What are your key bindings like?
I don't know what it is... but I've always found the standard moba keybindings to be a little awkward. Mostly because the keys are usually set up to be up high, and then some fast short cuts requires moving your pinky finger down a large ways while shifting your hand so you can cover your buttons.
On top of that, sometimes a few fingers might be pulled down with a few others if you don't raise them before the action.
So... I have mine set up in a typical FPS fashion.
WASD are my main ability buttons. A = Q W = W D = E S = R
R = D F = F q = Trinket Z X C V = items 1 2 3 and 5
Definitely a lot easier to press control and an ability button to level an ability up. Or to self cast an ability. Plus I can use Attack move without worrying about needing to move my entire hand back to use my spells.