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I know what it's like to have problems with a shoulder, arm, wrist, hand, etc... even to the point where I began to think I was eventually going to have to lose my left arm (and wow, that would really complicate things). I've posted in this forum a few times, re such, though it was quite a while ago. Doing considerably better, lately. For the record, I've discovered that I'm greatly helped by wearing a compression sleeve and also a compression gauntlet, at least a few times a week. (Not every glove/gauntlet I wear is compression, at all times.) I had lymphangitis in my left arm and lots of hand trouble -- swelling, etc.. So, a big thanks to the arm sleeves made by LympheDIVAs (notably better than some brands). But, what I wanted to mention this time is my new manual coffee grinder. If you are a concertina player and also a coffee drinker, I recommend giving one a whirl! I got a Hario -- Hario Coffee Hand Grinder Skerton Grinding up my morning's coffee beans, I notice a good little workout for my shoulder, upper and lower arms, wrists, fingers -- I switch hands while grinding. I noticed that if you buy beans that are too tough and woody, it's no fun... but that was only one bad brand. Then I got better beans, and it's much easier. For the record, if you break the glass jar of the Hario grinder, you can substitute a canning jar, it'll fit. Anyway, that's the one I bought -- of course there are many other hand mills that are probably great.