At 37 you would think a person is too young to have arthritis. If I didn’t have Lupus, RA, etc I would agree with you. In November I posted about being diagnosed with Carpel Tunnel Syndrome. I don’t think I mentioned this but the neurologist thought CTS was a ‘side effect’ of rheumatoid arthritis and/or plain old arthritis. I told him I had an appointment to get a sonogram of my hands to see whats going on with them. In December 2018 I got the sonogram done and got the results. It required a visit to see the rheumatologist. I knew they found something as he never sees me just to discuss results that produce nothing. He told me I had the beginning of rheumatoid arthritis and arthritis – just plain old arthritis you would expect to see in and senior person. This also brought news there was a medicine for me to try. I was no longer just on pain management. Orencia is the last medicine for me. If it doesn’t work with at least my hands then its back to the world of pain management. The only thing stopping me from getting Orencia is I can’t find any pharmacy willing to give a 37 year old woman the Shingles vaccine for the doctor to administer. The pharmacies all say I need to be 50 to receive the vaccine. I’m sure that is going to be a fin fight. Once I get the vaccine or he lets me go without it I will get to inject myself once a week with Orencia. Yay for shots.