hello sir, welcome to HCM, i have read your history and i am suggesting u some treatments for pain relief. dietary supplementation - fish oils have been shown to have some anti-inflammation properties. Moreover, increasing the dietary fish intake and/or fish oil capsules (omega-3 capsules) can sometimes reduce the inflammation of arthritis. topical pain creams can be helpful. try the food supplements glucosamine and chondroitin. Each of these supplements has been independently shown to relieve the pain and stiffness of some (but not all) patients with osteoarthritis relief of pain symptoms by dipping their hands in hot wax dips in the morning. The wax can often be obtained at local pharmacies or medical supplies stores. It can be prepared (melted) and kept in a crock pot (electric cooker). The hot wax hardens on the hands and thereby provides a warm covering over the hands. The hardened wax then can be reused by peeling it off the hands and placing it back into the melted wax. Warm water soaks and nighttime cotton gloves (to keep the hands warm during sleep) can also help ease hand symptoms. Gentle range of motion exercising regularly can help to preserve function of the joints. Splinting your wrist, thumb, or fingers gives your arthritic joints added support and may help you avoid flare-ups thanks i think this may help u