Hi Marian, I think there must be systemic arthritis, and some folks with autoimmune conditions have a systemic kind I've been told. I had carpal tunnel a number of years ago and do have some hand arthritis, too, and am interested to hear those salon-as things work for some. I love the idea of a heated wrap, though! That would make icing after work do-able! Your work sounds really tough for someone with new parts, too. But, I can relate as I'm on my feet a lot too. Interestingly, my granddaughter has a just 5vyear old friend who moved here from the Poconos this summer, and her mom is a PA that worked for a large medical company back there before the move. T'is a small world! Take care and will check in to see how you're doing from time to time...