Hello and welcome to HCM, Pain and stiffness in joints of hands, wrist, elbow and shoulder especially in the morning is suggestive of rheumatoid arthritis. You need to consult your physician for clinical assessment and relevant investigations. Rheumatoid arthritis (RA) factor is the first line investigation done for rheumatoid arthritis. In case this test comes out to be positive, management of the condition needs to be done. Medical management is the treatment of choice for the condition. In the meanwhile, you can dip hands in warm water in the morning for symptomatic relief. This will relieve the pain in hands and wrists. The sensitivity, redness and heat felt on the hands can be due to primary skin disorder or some vascular disorder. You need to consult your physician for this problem also. Since, you have symptoms of rheumatoid arthritis, the skin problem can be due to vascular disorder. Thus, consult your doctor for clinical assessment, relevant investigations and thus management. Thanks and take care Dr Shailja Puri