Hand surgery or therapy?

I am 54 and have had RA for 25 years. I am very active and feel like I’ve managed with the RA pretty well.

The worst damage seems to be in my hands. I’m an accountant and after 10 years at home with my kids, I am back working part-time. About a year ago, I lost the ability to type with all of my fingers. Typing with my two index fingers is very slow and frustrating. I’ve been to my Rheumatologist and to 2 hand surgeons. They all seem to think that surgery is the only solution at this point. But when I go to the hand therapist she says exercise and night braces will help. I’d love any first hand advise from others who have been dealing with hand deformations.

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