In early September, 2010, I was accompanying a church choir on the piano. I remember being asked to play louder and I responded that I was already playing so loud that my fingers hurt. That should have tipped me off right away. My fingers shouldn’t hurt while playing. I think they had started hurting weeks before but it was so gradual I didn’t even notice until late September. I started having shooting pains coming from my right pinky knuckle when I played the piano, mainly when my hand was stretching to reach large intervals. That’s when I got concerned. I am a pianist and a piano teacher and it hurts to do my job. Now both pinkies are in pain when I play. I thought my pinky knuckles appeared larger but maybe that's my imagination. My toes started hurting the other day when I wiggled them. All my fingers hurt too.