Hello I have had rheumatoid for 25 yrs and developed ulna drift of 3 fingers basically it happened very suddenly I felt a pop then noticed it. I saw the surgeon and went to therapy for a short time and had some splints made which I can wear at night but I feel it makes my pain worse at times I have a lot of pain anywhere from then palm of my hand all the way down my fingers and now some in my wrist I have a hard time writing grabbing and holding on to things. This is very luge altering to me and very frustrated the doc is watching me and changes his mind in what he wants to do the last visit he said I would most likely need 2 knuckles replaced and a tendon rebalanced of 2 or 3 fingers . I am 50 yrs old have been on remicade for 13 yrs so they are actually shocked that I developed this . Any input on this would he helpful especially had anyone had surgery for this .