HI. I'm new to this forum. Over the last 5 years, I've watched my joints get larger and over the last 6 months, the pain has become unbearable. I have used Voltaren and Pensaid gel, tylenol arthritis, ibuprofin 600 and nothing works. I have it in both hands and while I have Hashimoto Thyroid and have blood work for RA and Lupus every 6 months, my RA factors are elevated, but my inflamation markers aren't evident. I've heard a lot of people that have OA that they don't have a lot of pain. My pain can be described as having a hot poker dipped in acid pressed on the affected joints. Two DIP's are so bad and large that I am actually thinking of looking into joint replacement and a couple of PIP's where the spurs have broken off and push up against nerve endings fused. Has anyone else had either of these procedures and if so, what was your down time - how long did it take for you to heal before you could have full use of your hands? I'm 61 so still working and need use of my DIP's for sure.