You don't need hands

For half a century, the Association of Mouth and Foot Painting Artists of the World has extremely successfully supported artists who, due to a disability or illness, create their works using not their hands, but their mouths or feet. Over the years, a small fraternity of 18 mouth and foot painters has developed into an Association that is active worldwide and is currently represented in 74 countries of the world with 726 artists.

AMFPA - Association of Mouth and Foot Painting Artists of the World