ruth i have the same problem ,when i try to hand quilt, i start with my index finger so i put thimble on that finger ,than when push needle down to make my frist stitch im using my middle finger, i have tried every thimble out there , and still have trouble my fingers are very small i need a good size 4 on index and 5 size on middle im also left handed, i even have thimbles that marcia showed on post can anybody help and give me lessons thank you nellie