I v had a hip and knee replacement 6mo. apart, I m 60 yrs old in really good shape and am extremely active, my right hand is getting quite disfigured, last night extreme pain, slept woke up with it still pretty bad, I m not into pain meds, I happened to have an appt. with my primary for meds renewals, said arthritis gave me aleeve, it is now puffy, you can tell water is in it above the knuckles and the pain is pretty bad, you can tell there is water in it, I suffer with anxiety so............................... carolyn