My hands are medium in glove size. I have a touch of arthritis in the knuckles on the strong hand. During target shooting a break is necessary because of cramping in my trigger finger. I've ordered the pads and sleeve to add to the gun. Hoping that's going to improve the situation. Holding the gun and shooting, I have a very deep palm area, so the gun is really settling quite far back in my hand while shooting. But after several mags, there's a 5 minute or so break to get circulation back in my finger. I'm not sure arthritis has anything to do with this, this isn't happening with my other pistols which include a Phoenix HP .22. Accuracy is good, better than expected actually. (I'm a paper plate shooter) and there are zero gun problems. If the pads and grip overlay aren't enough, what can I do to make the back of the handgrip wider by say a 1/4 inch? Think that would allow a reasonable grip that would not get the gun so deep in my hand.