Hello RA Warriors! I've had RA for 12 years and have hand deformities with pretty sever ulnar drift on both hands, but not a lot of constant pain, it comes and goes. I've seen a hand surgeon and he advised doing Silicone MCP joint Arthroplasty on all 4 big knuckles where your fingers connect to your hand to straighten out the fingers and make the hand a bit more usable. He would do one hand and a year later the other. The problems are that the Silicone can break and you have to have it replaced. Also it's not an easy surgery recovery wise, very painful and some people have continuing pain after. Has anyone here had it done and di you feel it was worth it? Did the silicone break and how long after? I'm scheduled for surgery on the 16th, but uneasy if I may be hurting myself more by doing it, although the hands keep getting slowly worse.