My knuckles on my right hand are permanently raised - not swollen as such perhaps - just the hard bony joints feel as if they are much bigger (like larger mountains!) on my right hand than my left and both hands are always tight - especially in the morning when I have to run them under hot water for a minute or two to get them bending and can never fully clench.
When I've looked online to see what people's swollen knuckles look like some aren't that different to mine but the swelling seems to make them disappear more whereas mine seem much more prominent than they used to be. If I measure mine with my forefinger and thumb on either side of my palm and knuckle then I find the knuckles on forefinger and middle finger are much thicker than those on the left hand. Is this just wear and tear because I'm right handed or might it be because some damage has already occurred? Neither hands hurt anymore but both hands have flashes of deep throb like toothache sometimes and both ache in the night. I had x-rays taken of my hands 18 months ago and they were fine but wonder if these changes are just ageing or whether it's RA that's making them feel as if they have been miss-aligned or bolted together badly - as if the various components just don't fit properly any more somehow?
Also wanted to add as a follow on to the folic question re my prescription review - I moved back down to one a week last week to see if the higher dose was making any difference now I'm on injectable MTX. 2 days after injecting I found I had two funny pimple-blisters on my face - one like a spot on my nostril and one on my cheek. Neither turned into proper spots and both were exactly the same as I used to get a few days after taking MTX orally, when on the lower dose of folic. I will keep the experiment going for a few weeks until I see my GP for bloods on 7th Jan and see if this is just a coincidence. Do others get these hard raised pimple-like blemishes on their face after taking MTX I wonder?