Inclusion Criteria:  Symptomatic subjects having age between 18-60 years. Patients with diagnosed established Rheumatoid Arthritis of Hands (i.e greater than 6 months of onset of Rheumatoid Arthritis). Patients who are currently experiencing pain in their hands.  Exclusion Criteria:  Patients with any malignancy, infections, open wounds, skin allergy, cellulitis, DVT or any deformities of hands. Patients with co-morbidities including congestive heart failure, kidney disease, or any neurological deficits. Patients with other conditions affecting hands except Rheumatoid Arthritis. Patients with any history of hand surgery. Patients not presenting for follow up on designated date (every 6th day)