fine finger motions and heavy gripping and grasping. the work schedule, adding rest periods in between periods of repeti tive handwork. Encourage the patient to remain active, balancing periods of rest with activity Recommend gentle, passive stretching exercises(p. 263) Avoid exposure to vibration(vacuum cleaners, lawn mowers, and tools that vibrate) Offer salicylates extra-strength Tylenol, or an NSAID for moderate disease. Recommend heat to reduce stiffness(warm water, shower, paraffin treatments, and so forth). Minimize the use of narcotics