I,too, have chronic pain issues. One of the things I did,I bought bed risers for my dining room table. I use the table for cutting and lifting the table 5 inches has helped. Another thing, don't sit for longer than 20 minutes at a time. My chiropractor suggests sitting a short time then get up and move around. I have my sewing setup like this, I have my cutting table in one room, then walk to the sewing machine which is in another room. I have my ironing board next to the wall, so that I have to get up and walk a few steps to do the tasks needed to make a quilt. Quilting is very painful for me to do, but, I don't want to give quilting up. So, I have to make adjustments. I also have a timer, I set it and work on my quilt for 15-20 minutes, then go and walk for a few minutes. It takes time away from sewing, but, you can get quite a lot done. Good Luck!