I do have some stiffness in my hands and fingers but no real pain. I sometimes have a little trouble with the keyboard for my computer. I try and do hand/finger exercises several times during the day when I'm not doing anything else. I think this helps with the hand and finger mobility and strength. I'm not much for buttoning shirts anymore. I've become a member of the casual generation and no longer wear suits and ties. I love my pull overs or full zip lightweight tops.