Paraffin bath therapy is usually applied by an immersion or dipping method, with the latter being easier and more common.14 In our study, we used dipping: both hands were slowly dipped 10 times into a 50°C wax bath, and were later wrapped in a plastic bag and then a towel, in which they were kept for 15 minutes. There are no existing data about the optimal number of treatment sessions or the application frequency of paraffin bath therapy. Paraffin applications may be applied 3 or 5 times a week.8, 15, 16 In our daily practice, we applied this treatment 5 times a week; meanwhile, our patients attended outpatient physical therapy sessions and did their exercises diligently after applying superficial heat modalities, according to the recommendations of EULAR.4