Hi I dnt think u could've put it any clearer. Your right sjogrens is smethg that is not spoken of. I wish the Drs. Wld b educated more on this. I'm going to b 37 n there is not a day that goes by that my hands are not swollen. I hv pain all the time. I've tried to explain about how much pain I'm in but they just think I'm a junky. I'm to see a RA soon n I pray he can help me cuz all the other medications I'm on dnt matter if I'm constantly in pain. I also get sick n my face swells up like a chipmunk lol. Thank u for the advice I wl try it.