Ladies, to each her own. My bindings look better when I hand-sew them, but that is me. I had capal tunnel syndrome many years ago, had surgery, then another to shorten one of the bones in my forearms, then another to remove the metal plate. That has been about 20 years ago and I don't have problems with that anymore. I am still (as long as my back permits) working full-time, I knit, I hand-quilt and a lot of other things. There are no "quilt police" as far as I know, so the quilt belongs to the maker and she makes her own decisions on binding!
Jeanette