I took the Patch download instead of the Full this time; because the first post here points to that.
My Warthog HOTAS system has many 'shifted' keys using the Paddle Switch. With this 220.127.116.11 Patch the 'Paddle' Modifier Name was not recognized any longer. But once I Added the Modifier = 'Paddle' then all of the conflicts in Options Controls were cleared and my Warthog was restored to full functionality.
The Options Controls first shows up on Views, so be sure to switch it to A-10 Sim before digging into it (or you will wonder where the Axis assignments went!)