Answer:
(B) The little, old man could hardly stand up due to his painful arthritis.
Step-by-step explanation:
I read the sentence out loud and it made no sense to put the comma behind "The little".
What the sentence should probably be is "The little old man could hardly stand up due to his painful arthritis".
When to use commas :
Use a comma to separate independent clauses.
Use a comma after an introductory clause or phrase.
(ex. During the winter storm, blank blank blank.)
Use a comma between all items in a series.
(ex. I ate chips, fries, and apples.)
Use commas to set off nonrestrictive clauses.
Use a comma to set off appositives.
Use a comma to indicate the direct address.
Use commas to set off direct quotations.
Hope this helped! :)