@ropnrose Also, please consider seeing a knee specialist. I have bilateral knee pain and was Dx with osteoarthritis. My knee ortho treats me with semi-annual hyaluronic acid. That is the gel you hear advertised on TV, it works great. I also have bilateral osteoarthritis in y shoulders per the x-rays and my shoulder ortho. They treat that with steroid injections and about once a year I private pay to get hyaluronic acid injections. The US is the only country in the world that has not approved hyaluronic acid for shoulders. That works for me also. You might consider a hand specialist to check out your wrists to see what is really going on. Rheumy do not investigate pains individually, you can.