Originally Posted by ptquilts
You build up a callous eventually - the trick is, when your skin gets wet the calloused skin will want to flake off - do NOT flake it off.
Also it helps to alternate between index and middle finger under quilt.
I alternate between index and middle finger too. It also helps to take a little break when your fingers get too sore. Sometimes a little ice on the sore ones helps until they get used to being stuck.