@chpfireball Splints would have been an excellent idea. I didn't have access an occupational therapist - I went shopping and found a thumb brace designed for sports activities from a pharmacy which helped at first but later caused irritation and swelling near my wrist and it wasn't clear if it was designed for a left or right hand. After a while the opposite thumb started to become affected due I think to being used more often. I tried an elbow compression sleeve which was good. Later, I found a pair of light weight thumb supports from an on-line company which supports the thumbs and cushioning under the lower part of the thumbs. Good when gardening and typing using both hands. It relieved the stress and pain in these areas. I can't wear them permanently because they tend to cut off the circulation around the thumbs. I find wearing gloves more comfortable for driving and this helped support my arms as well when turning the steering wheel. I think any support is a good idea when lifting. Medication I feel has helped as well but I think it's still important to continue avoiding spraining of hands, arms and shoulders. Also gentle exercises with instructors and especially physiotherapy has helped me a lot with my neck, back, hips and knees. Recently I joined a Tai Chi group and the moral support has been very good.