Stiffened and swollen joints in hands and toes. The more swollen they becomes the more painful it is. At its worse it throbs. Big toes no longer move and the other toes are stiff with very little movement. Even though walking can increase the pain level by getting off my feet and sitting down relives the pain. Next to no relive for not using my hands. Soaking in hot water does help a little. There is also swelling above and below the knuckles. I do stretching type exercises with my toes but it is too painful to do any hand exercises but I keep on trying to see whether I can, so far I am unable to exercise my hands. I can't avoid using my hands and fortunately my right hand is not as bad as the left. However the limitations of not being able to use my left hand is impacting on my life. The list of what I can't do is so long so I will only mention a few things. Just lifting a small plate is almost impossible. Holding on to a bottle with one hand and undoing a cap is difficult and I need to put the bottle under my arm to hold it. that is if it is big enough to do so. Using cutlery to cut up food is very awkward and the list goes on and on. There is also the usual joint pain in other joints and lower back that move from one place to the next. Any suggestion that my be helpful would be greatly appreciated.