In VTOL VR you can reposition the stick and even swap it to center stick. I usually keep it sidestick and rest it on my leg. The throttle is still a problem but you don't usually have to hold onto it all the time. And the collective in the AH-94 is no worse than a real helicopter
I was hoping someone would bring up VTOL VR though because it has the best buttons I've used in any VR game so far. Just touching a button is too imprecise; laser pointers can be awkward. Holding your hand over the button, getting a slight vibration to let you know you're in the connect interaction zone, the clicking the trigger is the best option in most circumstances
Microsoft Flight Sim seems explicitly intended for you to sit in front of your normal computer screen with flight stick and keyboard and mouse and just plop the headset on. It requires you to press spacebar before you can do anything if you start the game in VR. It's so stupid.