My brother has rheumatoid arthritis and has developed nodules on his fingers, knuckles and even on his elbows.
This has become very frustrating for him because he loves to spend a lot of time outdoors. He has horses that he works with almost every day, and can spend all day inside and outside the barn grooming, training and riding his horses.
The nodules on his hands makes working with the brushes, reigns, and saddle straps much harder. He can still get done what he needs to, but it takes him longer and he is often in pain while he is doing it.
Even with these nodules on his fingers, I can't see him giving up what he loves to do. It is what motivates him to get up and get going in the morning. It would be easy to let the symptoms of his arthritis keep him inside, but he refuses to let it get the best of him.