oI have rheumatoid arthritis and have to take Humira.....I do get severe pain in my hands if I overdo....I did buy an Accuquilt electric for that reason, but haven't started using it yet...It's still in the box and stares at me....I feel so guilty since I spend so much for it....It's learning something new that is my problem I guess.....There are many good creams for hands such as Voltaren but it's only by prescription...