I have found what works for me as a small hoop..14 inch round made out of light weight wood and I put the quilt and hoop on a card table. I use my adjustable office type chair that I can adjust just right. The weight is taken off my arms and shoulders. I have tried so many combinations to find what works for me. Also I do not quilt for very long at a time. I take a few stitches and check the QB then do a few stitches. It is not fast but I'm not hurting:)