well..... that does happen. The trick, if you can figure out how to do it is.... relax and try not to be so tense while quilting. yea right! I have tried so hard and do good for a bit and then next thing I realize is that my shoulders are tense, and it goes all the way down. for me... doing small areas at one time instead of trying to do a large area helps. take breaks and concentrate are stretching your fingers and hands. Just try sample pieces quilting while holding your hands and arms in difference positions. Try adjusting your chair. Good luck and don't give up. Hopefully someone will have better advice . I'll be watching