I do suffer if I sit more than 30 minutes or so without getting up - so my ironing board is across the room. I exercise every morning with a group which relaxes my neck and shoulders and I wear a support on my left elbow which helps. My left arm seems to suffer the most abuse because I hold my ruler with it when I cut, I hold fabric with it when I hand sew, etc. Simple shoulder rolls and walking around for a minute or so will help.