Whatever works. It's still quilting. My hands bother me also if I use them a lot but I won't stop because of them. I just finished a Christmas stocking for our guild. We make Stockings for the Women and children's center in town. We make comfort quilts for them also and we make them for the Wounded Warriors and someone from the base picks them up every few months. I also just finished 20 blocks for the Snowman block swap here on BYC. They were fun to do. 10 were appliqued and 10 pieced.