I don't know if this is caused by FMS or the autoimmune disorder.I have heard that with FMS you may feel swollen but there is no visable swelling.I actually have visable swelling in my hands,fingers and feet,tops and bottoms.Also the tops of my hands look alot flatter than most peoples even when they are swollen. My fingers swell bad and some of them look like they are becoming deformed.I have been going to a orthopedic surgen because in May I had to have a cyst removed from the side of my wrist.Now I went back to him yesterday for a checkup and he beleives that I have carpal tunnal syndrome. He is sending me to a neauralogist to have some tests done on nerves on Monday.Could this be what is causing the swelling and if so how or what is the best treatment for this?It seems to be the worst in my left hand and on top of this I am left handed. I do have immflamatory arthritis because of the Reiter's Syndrome which was diagnosed in 2004.I have been taking methrotrexate and sulfasalazine for the arthritis which controls the imflamation throughout my body but it is not controling the swelling in my hands or feet. Please help,any advice on how FMS works because I know more about the Reiter's than I do about FMS. Thanks,Shylo.