Thank you so much for the advice, Bruno. I have my first appointment at Rheumatology on Tuesday this week, and I'm hoping I get some direction. I've had physio, acupuncture, anti inflammatories (didn't work, neither do gels!) and am now managing to keep the inflammation and pain to a minimum with a combination of turmeric, ginger, sour cherry concentrate and Apple Cider Vinegar! I can usually get by with an occasional dose of Aspirin, which actually does work. Nothing I can do about the destruction of the joints, unfortunately! I've also tried a 630 mm scale instrument. I've got large hands though, so the narrow neck doesn't really suit me. Low tension strings, and lowering the action helps, though. My problem is, as you've guessed, knowing whether to keep playing or stop! If I get any helpful advice from the rheumatologist, I'll post it here for other people in a similar position.