I am new to the forum. Can you advise if work is a factor in the on set of arthritis. I am a 53 year old who has done manual type jobs at the start of my working life, progressed to a period of office based work and I am now a jobbing gardener. I had pain in my hands about 17 years go which was identified as arthritis, this came and went for many years. Pain has now returned more consistently, is spreading and getting worse. I now have pain in my hands, wrists, elbows, shoulders, back and feet. Despite taking NSAIDS it is preventing me from working. If I knock my hand, even quite gently I experience pain. Is the spreading normal and why so rapidly this year? Is the pain when knocked normal? Vibration from power tools appears to affect me quite severely, is this normal? Sorry for so many questions!