Hand sewing can be very painful and difficult...I try to use the machine for as much as possible. Pin baste is so much better than needle basting. I use a needle threader to thread my machine needle, just put it thru the back of the needle and draw the thread thru. Any "helps' are useful. I exercise my hand by gripping a soft ball several times a day for about 10 - 20 minutes. Arthritis is very uncomfortable, but it is not impossible. Stay active, keep on truckin'.