I love to hand quilt, but the athritis is making it hard some times...I will try the homeopathic suggestions made here, but have also begun to stitch a little larger, which reduces stress on the joints..After years of working on tiny stitches, I am going in reverse!! But it keeps me stitching on!! At times my meds make me very shaky, and the stitches get uneven, but I am doing this for me, and my enjoyment, so I keep on going!