Update, Injections are now off the table since they are no longer working. Two different hand doctors have told me I am not a candidate for joint replacement because it would not stand up to my lifestyle, mechanic. carpentry, weight lifting and other grip centric activities. The hinge part of the joint is made of silicone and does not hold up to heavy use, just light nose picking use.
One doctor offered to do a resection of the joint to increase the space between the bones, there is no space now.
I can only find information on this procedure being done on the thumb joint not the knuckle joint.
Between the pain and the swelling has become difficult to get a smooth and steady trigger squeeze, I shoot better using my middle finger than with the index finger with the 5# pull on my Glocks.
I can not take ibuprofen and other NSAIDs because of heart and kidney issues. I am taking 6 Tylenol arthritis a day and it just dulls the pain.
Something has to give.