Hello @zkeith, My PMR is currently in remission but I still have some morning hand symptoms like you describe. I'm 82 and have other conditions that may be the cause of the hand symptoms - carpal tunnel, degenerative arthritis and a few others. When I wake up in the morning my hands are usually a little stiff and tingly which I think may be from hand positions when I sleep but I'm not sure. I use over the counter pain lotions that help some and I bought some hand/wrist/finger exercise gadgets to help build up my hand strength.

Quite a few members have mentioned hand pain with PMR. You might find it helpful to scan through the related discussions and comments from members while you wait for others to respond - https://connect.mayoclinic.org/search/?search=pmr+hand+pain.