Hello, I have studied your case with diligence. These knots can be rheumatoid nodule or multiple lipoma lesion. Clinical examination is important to comment further. Rheumatoid arthritis is difficult to cure but you can get results with both ayurvedic and allopathic. Allopathic medication may have lot of side effects but you can get early results, Ayurvedic has lot of diet restriction and result may be delayed. There is good role of diet and achieve correction through it You need to avoid bakery items, high protein diet, and curd, milk and milk products. Avoid cold and fermented food, bitter and sour food. Eat fresh fruits, vegetables, salads. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care