It started in my hands, mainly my middle finger on both hands. They don’t hurt all the time but when they do I have extreme pain in my wrists as well! I have to drive some days with wrists supports on. When I wake up in the morning and get out of bed I hobble like I’m 100 years old. It takes a few minutes before I can walk upright and normal without pain. My hands some mornings as well as my wrists hurt so badly I sit in the shower for 30 minutes running very hot water on them so I can function. I experience weakness on the days I have the pain which effects my forearm and upper arm strength and my shoulders ache during these times as well.