@Craycray1 is correct.
I'm not sure that there is a way to, as you suggest, "to make it easier".
Since you have Regeneration, you're acutely familiar with how the gimmick works and how to make new ones as Craycray suggests.
Making the actual gimmicks are much more challenging vs. the practice gimmick.
Card splitting is involved, and your arthritic hands would certainly make it more difficult.
Card splitting can be a challenge even without arthritis.
Again, the refills are available thru Theory 11. You get 15 refills for $29.95...effectively $2.00 ea.
Simply, with all the time and effort required to make each gimmick, the refills are still a good value.