something that I have found that helps with the pain is a little off the shelf, but before I knew even knew what I had my hands were hurting, and I went to my acupuncturist he was able to keep them from hurting so bad I still have the nodules I still have the disease, but I don’t have a lot of pain now he cautioned me to say that this might not work for everybody and I can’t even figure out how bad mine is or how far along it is all of you may have really much worse symptoms than I do, but if you believe in Acupunture, you might give it a try.