I use a PVC frame in my lap to hold my work. I too found my stitches were so large, and then I switched to John James needles. since I have sme arthritis in my hands, I use the Golden Glide size 10 needles. I really think my stiches became much smaller using a good needle. I also think that consistent neat stitches are more important than size for a quilt to look nice...I too hand quilt everything, and as long as I enjoy it, I am happy. In time, you will find your stitches will become neater and smaller