Inclusion Criteria:  Being diagnosed with RA according to the 1987 ACR Criteria Visual Analogue Scale hand pain score ≥ 3  Exclusion Criteria:  Diabetes mellitus, renal insufficiency, hypothyroidism Carpal tunnel syndrome, postherpetic neuralgia, cervical spinal cord compression Cervical radiculopathy Fibromyalgia Malignancy Hand muscle weakness of even one grade on Medical Research Council Manual Muscle Testing scale Upper motor neuron sign on physical examination of hands Pregnancy In the last three months medical treatment leading to neuropathy (colchicine etc.) In the last three months drug use for the treatment of fibromyalgia, depression or anxiety