I can't seem to do a nice job of machine stitching to the front with a straight stitch. For kids or charity quilts I use my 3 point zigzag to sew the binding down. I really like the look of HS to the back. I too have arthritis in my hands. I've quit HQ and have a dickens of a time crocheting, but sewing the bindings down with a blind stitch no problem. Whew, cuz it's the most relaxing part of quilting and I can then say my quilt is finished.