After yet another visit to my Rheumy, he says the pain and disfigurement in my thumbs and feet are because of Osteoarthritis.The pain is severe at times. He says to see a foot Dr. about surgery.I don't understand why he seems to dismiss the pain and snarling joints like it is not RA so it is not associated with him. He doesn't ignore me, but he says "that is the OA not RA" This time I said "and what do I do about it?" He said to see a foot Dr. about feet (and I would imagine an Orthopedic about my hands). Could someone please explain this to me? I always thought the "snarling and disfigurement" would be associated with RA. Has anyone had similar problems. Thanks.