My fingers were twisting, especially the pointers. I had my knuckles toward the nail opened and cleaned off arthritis then screws were inserted from the fingertip through the knuckle to fuse it to stop the twisting. Before i finally got the EOA diagnosis, I went to five different Rheumatologists, one at Baylor Medical Center. The first three diagnosed osteoarthritis, one psoriatic without psoriasis and one rheumatoid with a negative factor. After Remicade infusions and Humira shots, I had an MRI which came back as EOA. I requested therapy looking for a way to stop or slow progression. One day a lady came up to me while I was waiting for therapy and told me about her hand surgery as hers had been like mine and I pursued surgery for myself. I still want an aggressive doctor looking for positive results before it gets worse. Photo included.