I have arthritis in my hands and just keep doing things as I've always done them. I had made and quilted 2 quilts in amonth and had to buy a new wedding band as the back of my 2nd knuckle had swollen so bad I couldn't get old ring off. New ring was 2 sizes bigger. Not swollen as it never went to original size.
I guess mine aren't to bad yet or I wouldn't be able to still use my hands. Summer is worse for me.