I agree with Nellebelles, invest in all the gadgets you can afford that will make life easier. I use Fiskars clipping type scissors (both small and large) where I can. I also have a table for my machine to sit in, plus a wide shelf behind it, and another to my left to take as much weight as possible. Rest when you need to, and make use of 'up' time when you can. If you haven't been tested for Sleep Apnea, ask your doc, as I have both too, and so do several others. I am lucky, I seem to be able to control a fair amount of pain with meds, but I don't know how long I will be able to do that. I just take one day at a time. At least I have a great hobby that I can continue to do. Good job we can sit down and QUILT, Hurrah!