This sudden PN got my hands & feet terribly at first. Everything was awful…. trying to keep a fork & knife in my hands to those crying moments of realizing you weren’t holding the TP you thought you were. It wasn’t bad enough that they had to help place me on the toilet to begin with. Once again, extensive PT to the rescue, or perhaps it was the Occupational Therapy, as I sometimes still get confused at which skills fall under which therapist, so loved it when my rehab institution back then addressed it all. There were a lot of activities to strengthen fingers, like squeezing balls, and coordination like sticking pegs in holes. At home exercises could be fun, like emptying a bag of jelly beans or skittles in s bowl and sorting them by color on the table or other bowls. Not as expensive as practicing with pills and you can reward yourself whenever you please. Playing solitaire or cards with a patient person can help. Since I was “special”, my social committee at my HOA had me pick out winning raffle tickets from a hat at events sometimes, and you can image my disappointment in front of a crowd of my hand coming out grasping air vs the winning ticket. With the therapy, grasping pills and pinching things has improved a lot - not perfect, I can’t read these ultra thin cheap newspapers anymore, but book pages are easier. You may consider asking your PT’s for advice or think of some at home exercises.