Usually they are screwed in tight so I can understand that it can be difficult.
Let me tell you what I do in these situations. I take a towel and grip the watch in my hand with it. I hold it between the lugs and keep the crown towards my other hand so as to minimize potential damage. I also try not to press my palm on the crystal so as not to damage it.
Then I position the tool's teeth on the case back and try to position and retract them in such a way that the whole thing won't fly away and scratch the case back.
Then I just slowly try to apply force and eventually it starts to nudge.
The reason I use a towel is because it's quite thick, it's soft and it creates a larger grip for my hand since the watch itself is small (usually). Hope it helps!