I've found that I need a kitchen timer, because otherwise I just sit and sew and might occasionally get up to do something. I set the timer for 30 minutes and do something standing up, when it goes off, I'll do sewing or something sitting down, then I continue on that way, since I'm in my sewing room most the day if I don't work that day. I've also read/heard that if you put a couple of those rubber "door stops" that are wedge shaped, under the back side of the machine, it will help on relieving neck pain.