After much PT, my insurance company paid for me to have a home traction unit. It has helped a lot. I think if you raise your machine so that you are not looking down, this may help. It may be hard on your hands and arms. I am using the slant Singer vintage machines 301 and 401. They give you a better view of the sewing area. If you get a chance, you should try one to see if it will help you. Good luck and keep trying different things to see what works best for you!
quilter711
Nancy