I have been piecing quilts for over 30 yrs.many yrs of tying and hand quilting.that resulted in 2 carpal tunnel surgeries.my boyfriend and I bought an old farmhouse with 5 bedrooms about 4 yrs ago.my daughter and I split a long arm then-no regrets.we both love quilting-this was the 1st house big enough to have a long arm.I have fibro,ruptured discs in my neck so a longarm is great.when I hurt I don't quilt.when I feel better I can quilt easily.I do not miss sitting on the floor and pinning binding,etc that was too hard on my neck and I have a hard time getting up from the floor.