as wendy mentioned:
for me, its mostly my wrists, in 1998, it started as my dq tendons, something awful. typing was a problem, til i did away with the thumb click on my laptop and got a mouse, that helped. page turning, especially to grade was a problem, especially for my left dq tendon that was far worse than my right, til i had the students staple the right corner instead of the left so i could page turn with the right instead of the left, that helped. not that it made it all better, but it was like the difference between being 100% disfunctional and being able to get through it. got a cortisone shot in the left dq tendon when it got so bad that any little movement was tearing scar tissue and thus setting off new rounds of inflammation and then new scar tissue. that helped but really it was 3-4 years before just as mysteriously as it started, it started to calm down. oddly, it getting better coincided with my taking a muscle relaxant, zanaflex, mostly now just at bedtime. all i could rationalize was that somehow the inflamed tendons caused muscle tightness and the muscle tightness pulled on the tendons causing more inflammation and it had become a vicious cycle. maybe the zanaflex broke that cycle.
in the summer of 2006, it was my left ulnar wrist that must have been predisposed to being injured when i poured hot water from a pot into the sink, felt something "snap" and that was such a mess. again, cortisone and 5 months of PT and about 2 years of favoring the joint, its mostly good now. thought it was just a freak accident til my right ulnar wrist had the same kind of pain but a lot less severely when i was washing my hair, pulled my hand through my long hair, and felt the same kind of "twinge". cut my hair right after that and babied that wrist (lots of ice too) and it never got too bad. all along the hand surgeon is pretty certain i tore a ligament in my left ulnar wrist.
and at some point, tore a ligament in a finger when i went to lift a canvas bag and caught it with the one finger.
and sometimes the joint at the base of my thumb acts up.
now i get any of these flaring up now and then, but nothing as bad lately as in the past.
so for me, all my problems seem to be tendons and/or ligaments. when things are just a little bad, heat is really good. lots of dishes in hot water, and yes, i do love the paraffin wax bath. its not really any better than doing the dishes in hot water, or better yet, contrast baths between hot and cold when my hands are a lot worse. so the paraffin wax bath isn't a necessity but it is a nice little luxury. mine is from therabath therabath paraffin wax bath
and its nice and big, good for hands or feet (one at a time, LOL). but do love it. just don't spill the wax all over the carpet! though found out that a hot iron and paper towels will clean up the mess very nicely, LOL! love the wintergreen wax. just cleaned that one out. will be trying the vanilla orange next. it really is a nice treat. also softens the hands. nice if one has dry skin.
so, in summary, the paraffin wax bath is a nice little luxury but hot water works as well for me. still, i'm very glad i bought it, we put up with so much, whenever i can pamper myself with these little things, i do.
vits C, D. probiotics. fish oil. CoQ, Mg, Ca
pred taper for flares
occasional naproxen / Aleve
no dairy (casein sensitivity), limited eggs
future: humira, soon I hope