ouch sorry you are dealing with that hand pain. My hands and elbows have always been affected by lupus and RA so it could be a combination of both your lupus and fibro. I have learned to do certain things to help it. One that is the best for me is washing dishes. I always leave dishes so in the morning when I’m having issues I can submerge my hand in the warm water to get some relief. It’s a simple act that has really helped with the lingering pain and getting a chore done. The other thing I do is small hand exercises like opening and closing, flexing my hands back and forth, spreading them wide and then closing them tight to create tension and relief. These tend to help to relief that joint pain at the knuckles. I am holding space for you to get some relief. I know it’s no fun with the pain and weakness in the hands . ~Racquel~ lupus.net team member