Hi - I've been going to the physio since just before my formal diagnosis of RA. My GP referred me a while back when I told him that I found I was unable to do lots of normal things with my hands anymore. As well as giving me exercises she's been working on my inflamed knuckles with a small ultrasound gadget and gel - she says it helps relax the tendons deep inside. I don't notice much difference but have been going along with this twice a week hoping that it will pay off if I also do my exercises everyday. Today she told me that she wanted me to have more intensive stuff done with my wrists also and for that I will have to go into town 30 mins drive away twice a week for some kind of treatment that needs a technician to do it. I did ask her what it was but she just said much the same thing but it's done electronically instead of with ultrasound and covers more joints and is theraputic. Does anyone else have anything like this and if so does it work?