I'm not sure there is a lot to be done, we had a an old girl with tiny teats and she'd been milked for six or seven years and they were still just a 'finger and thumb' job. Might have been why she was so cantankerous when being milked?
She's certainly cantankerous. It takes my OH and a friend to get her up on the milking bench and then to hold her still while I try to get some milk out of her. I'm usually leaning against her as well and trying to avoid hooves that are trying to dislodge my finger and thumb. As you say, Sokel, not easy with arthritic hands.
Wombat, can you explain what you mean by draw the milk down. I can't quite picture it.
I'm wondering if a milking machine would help or if her teats are too small. There are some on ebay for under £50 although the postage is high as they are from America.