I have osteoarthritis in both hands. I attribute it to years of working with my hands (especially sanding), and assume it is basically an accumulation of over-use injuries. I traded a guitar repair for and x-ray (from a chiropractor) of my left hand once when it was giving me more trouble than usual. He looked at the x-ray, said the wrist joints looked pretty good, but everything from there to the last joints of my fingers looked pretty bad. He recommended some exercises, and he recommended glucosamine chondroitin. I started to balk at the price of the stuff, but he said if I wanted to continue to work as a luthier to consider it a business expense.
I've been taking it ever since, drinking plenty of water, resting when possible, varying my routine in the shop so that I don't do the same repetitive things each day, and things are still OK. I can still do most things, but some are not as easy as they were, dexterity isn't what it used to be, but I always keep in mind part of an interview that I heard on the radio once:
Les Paul, as most people know, suffered from arthritis in his hands as he got older yet he continued to play well into old age. Also, as most people know, he played lots and lots of notes when he was younger. As he aged he said he couldn't play all of those notes so he said to himself, OK, which notes are the important notes(?) and started to play only those. As things got worse he said OK, which note is the important note(?) and he played that one.
(The point he was making was not really about playing through arthritis, but about his discovery that some musicians learn that early, in particular Charlie Christian. When he learned to narrowed it down to the important note, he said he realized Charlie Christian had that all along. I don't play music much anymore so I'm usually pretty rusty anyway, and generally I sound much better the less I play. I'm searching for that one important note!)
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