Also if you quilt is not moving easily for you, your wrestling with it too much, can cause pain.

Agree with all of the above but I need to add: remember to breathe. I hold my breath when stippling and have had to teach myself to let go and breathe normally. A blue face is so unattractive on a girl!

Oh my goodness! What a great video! Those tables are $35 at Walmart. They're over in the hardware department isle. I appreciate you sharing this, Prism99.

If your chair will not adjust up higher, use a cushion, a pillow, a piece of foam, whatever you can find............

I use Arnica homeopathic ointment. It is good for pain.

You've gotten a lot of good advice here!

A simple trick I learned years ago on "Simply Quilts" --- "Yes, No, Maybe So". Every 15-20 minutes, stop sewing for a minute--Nod your head about 6 times, as if you were saying "yes"; move your head from side to side about 6 times, as if you were saying "no"; shrug your shoulders about 6 times, as if you were saying "maybe so". It helps relieve neck and shoulder fatigue.

The thing that helped me was learning to sit in front of the needle, not centered in front of the machine. Also my ironing board is across the room so I have to get up and move around.