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@acatholicheart Some of the modifications I use are listed below already; push up handle or using the weights as handles and the knuckle position. I love the knuckle position, but I need stable but padded surface or I get rub marks. My trainer also had me using the end of the weight, kind of...

@ilovejesuschristourlord Didn’t see this covered, but have you had a wrist sprain or shoulder injury? I sprained my wrist with a nasty bone bruise six months ago and still have a lot of trouble with pressure on my wrist. I modify my wrist position a lot when I do push ups and several other actions.