I had hand surgery 10 years ago, and haven't been able to do hand bindings on large quilts...just too hard on my hand to do for long periods of time. So now I only do hand bindings on smaller projects and do machine binding on my larger quilts. I often use the blanket stitch, or feather stitch. I sew the binding to the front of quilt, turn rest to back, and then stitch along the ditch. It looks great on the front of quilt, maybe not so great on the back, but is very sturdy...and done. If I had to do them by hand, they would sit unfinished.