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I have mod to sever Ra in a matter of years I have had two knee replacements and surgery on my left had that had to due with ra nodules pressing on my nerves, the pain was so bad that it sent shocking pain from my finger tips to my back it took about a year for the damage to heal but I no longer have pain in my left hand I will soon have to have surgery on my right hand with removal of larger nodules and repair of my carpal tunnel, due your research on surgeons and ask for referrals from doctors and other patients have second or third opinions if it will help you to feel at ease I know how much this disease sucks I am not yet 50 and there are days when I feel like I am 90, baby yourself when you hurt and don't hide from life it won't wait for you.