Thanks again for the feedback and good wishes. I've seen my massage therapist, and she did find some rather sore knots in my shoulder (upper scapula) on the side that I'm having trouble with. Still having some morning pain in the hand, thumb, wrist, along with mild numbness & tingling. Wearing hand brace at night, doing mild stretches, taking 12 days of prednisone, and upping my B6 a bit. We'll see how a week on Deso goes, but the hand is definitely feeling better. I'll get back to a regular schedule with my massage therapist. No worries, I won't have surgery unless it's the VERY Last resort.