I have the same problem on both hands. First, there is Arthur and then I have a pinched ulnar nerve which needs surgery. Then the median nerve may get pinched and two fingers will contract. According to my hand Ortho Dr., I have to watch not to lean on my elbows or keep my arm at a right angle for long periods. I try sleeping with my arms straight at my sides or on a pillow. Sometimes this is hard. On another note, all my labs are normal. So no help there. As you said try and make the best of the situation. KLH