I have RA diagnosed 5 yrs ago, what my phsyical therapist taught me is ( if you have double kitchen sinks) to fill one sink with as hot a water as you can stand, and the other with cold cold water. Then start with putting your hands in the hot water for 30 sec while wiggling your fingers . Then tranfer to cold water doing the same for 30 sec, go back and forth for total of ten min. It tricks the nerves into thinking theres nothing wrong. I do this three times a day, really helps with the quilting. Good luck to anyone who has any type of arthritis, and don't let it get the best of you. :thumbup: