The absolute best thing I ever did was to "re-learn" how to sew without a foot pedal. I have machines with the start/stop button..they are available on some very reasonably priced machines now. It enables you to sit in a position that is comfortable and doesn't make your shoulders and neck strain. I have a foot stool under my table and sew with my feet up when I want to. It is much easier to learn than I would have thought...go to a store and demo one..it'll surprise you!