Hi Brandi65! While everyone's experience is different, I often have pain or stiffness unaccompanied by inflammation. For me personally, I rarely experience inflammation, so when I do I take it very seriously, but it's not uncommon for me to experience random pains in various joints. If you frequently partake in fine motor activities such as drawing or typing, that may exacerbate your pain. I enjoy drawing, but it can be painful, so in the past I've found it helpful to manage the pain with OTC painkillers (approved by my doctor in conjunction with whatever treatment plan I'm on), taking frequent breaks, and keeping an ice pack handy to use during my breaks. I definitely recommend communicating with your healthcare team regarding the best approach to dealing with your hand pain. I hope you find a treatment plan that works for you! - Cindy (RheumatoidArthritis.net Team Member)