This treatment is being suggested on bases of the information provided. However I would like to examine & investigate your in detail. -Control  Hypertension, Diabetes or  metabolic disorder, if there is any. --. Sleep on a hard bed with soft bedding. --. Keep no pillow under the head. --. Avoid painful acts & activities. --. Fomentation with warm water. Let the part not be exposed to cold. -- .Do mild exercises for the affected part.- neck and shoulders and hands --.(Take help of physiotherapist or you can visit my YouTube channel Dr. N. C. Gupta and watch 'Me & My Yoga' and 'Yoga Simplified'. https://youtube.com/channel/UCPEQc6B1ywzwin048JSu6rw --Do not ignore, let it not become beginning of a major problem. -Any way it may be tried, --. Ugesic (Piroxicam) 20mg 1 tab od x 5days --. Caldikind plus  (Mankind) 1 tab OD x 10 days. -(You may need help of your local doctor to get these medicines.) --Do ask for a detailed treatment plan. Kindly make sure, there is no allergy to any of these medicines. --For emergency treatment visit nearest hospital. --Wish you a quick recovery & good health.  Dr N C Gupta MS (ortho)

Diagnosis of rheumatoid arthritis is done based on symptoms, examination findings and lab reports evaluated together. Lab reports alone have no meaning.

Rheumatoid factor first of all is increased in not only in rheumatoid arthritis but also in more diseases. Rheumatoid factor positive means seropositive arthritis. Anti ccp is very specific for rheumatoid arthritis. Those with seropositive RA have similar symptoms to seronegative RA, but they are generally more severe and cause greater deformities.