I shared your frustration when I first had my frame. I set it up, put a quilt in it, did my first row of quilting and said, "now what? I can't turn the frame!" In the end, the only way I could use the frame was by teaching myself to quilt away from myself. I saw an episode of "Hawaiian Quilting" where the hostess used a tailors thimble on her thumb, and that was the perfect solution.
Tailor thimbles can be hard to find. I bought mine at the Vermont Quilt Festival, and I've seen them online at Pacific Rim Quilting. It takes a bit of practice, but once you get the knack it becomes second nature.
"That Perfect Stitch" by Roxanne McElroy shows how to quilt with your thumb. I'm sure you can find numerous hand quilting videos about it now. There is also a blog "Celebrate Hand Quilting" and a Facebook page where lots of hand quilters discuss the ins and outs
of hand quilting. There are a bunch of frame quilters, along with hoopers and non-hoopers.
Janet