I've never been a fan of elastic shirt or bellyband type holsters. They all seem to sag, stretch, ride down, ride up, or find some other way of being uncomfortable. I tried a few variations on this theme with my old Makarov 9x18mm pistol, and didn't like it at all.
Have you considered a Blackhawk SERPA holster? Here's why I'm recommending it for your particular scenario:
- Push button "index finger" retention system is superior to velcro straps of the holsters you're looking at. Also, considering the arthritis in your thumb, this would be superior to a conventional thumb break as well.
- Kydex holster means easy one-handed re-holstering. Holster "clicks" nicely when the retention latch engages.
- They are modular, and come with paddle and belt loops, but ALSO you can get a shoulder harness for them.
Hope this helps.




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