Yes, I seem to be reading the same information. So far my nodes are not causing any pain but one of them is getting so large that it stands out and draws attention. I have an appointment with a hand specialist so we'll see what he says. Fusion and reconstruction does not sound like a procedure I'd like to go through, especially since I am not in pain and my fingers function normally up to now. But I'm concerned because the large node only appeared 6 months ago and is growing rapidly.