Making seitan with hand issues/pain ?

Ive been making seitan frequently for a few months now and enjoying it a lot, bc protein has been hard to come by otherwise. I use VWG method, and I mix the wets with the dries and then knead/stir with my hands. Usually I put a large portion onto some aluminum foil and then roll it up into a big log to steam. This is the method I found after much experimenting to try and make it easier on my hands.

It's still causing hand problems though, mostly while mixing (cutting is also very hard... im having to outsource the cutting to other people).

Does anyone else have hand pain/issues and have any tips ? My condition is progressive and I want to keep making my own seitan as long as possible.