IMO, that sounds like an issue with your hardware. I use a three-year-old desktop with a Nehalem i7 and 16GB of RAM (or my rMBP with Parallels, which may be faster) and VS/R# is pretty happen even with 50+ projects and about 1600 source files.
Older machine? Overactive anti-virus or something causing file I/O pain?
Older machine? Overactive anti-virus or something causing file I/O pain?