I've been thru a lot of PT for other joints and I'm years older. But I keep thinking the younger generations will be ending up with a lot of hand and arm issues due to the repetitive motions of the video games, ipads etc. I can see this for my grandkids as they've been working with these gadgets for years already. Work to stay off some of the electronics. Wearing supports could help your hands/arms. I can't offer anything else.