Hi @phy, Welcome to Connect. Sorry to hear you have osteoarthritis in your hands along with PMR. The Arthritis Foundation has some information that might help some along with some treatments.

"There is no cure, but healthy lifestyle habits and treatments can help manage your symptoms and keep you active."
--- Osteoarthritis of the Hands: https://www.arthritis.org/diseases/more-about/osteoarthritis-of-the-hands.

Have you discussed your hand symptoms with your doctor for any recommendations?