When I first got my machine I was using the foot pedal. Now I am using the automatic switch and just press a button to start and stop. I find this a lot more convenient and less stressful on my foot. I can't sew for any long period of time or sit for that matter. I sew for a little while then get up and walk around. I even do some arm and shoulder rolls to avoid the burn, but it happens anyway. Gotta get a new heating pad. When it's really bad, it's a trip to the chiropractor for some electrode therapy and adjustments.