Thanks for the reply! I'm guessing that I need to add another med, because I am already taking Plaquenil (Hydroxchloriquine), annd it helped for a while. My rheumy always looks at my hands when I see her, but I don't have a lot of swelling in my fingers. I have swelling mostly in my MCP joints (the joint where your finger attaches to your hand). My finger joints have also become bent over the past couple of years. My doc didn't seem to think it was that bad, so I don't know. I guess I need to go back to the doctor.