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Hi sqad. I have had these pains on and off for 30 +years. I am now 65 and just recently started with the aches in fingers and toes. I saw GP who looked at my knuckles and said rhuematoid arthritis, but did not suggest further action. Bumps come and go on my knuckles. The big toe joint is painful and I rub on ibuprofen gel as well as take tablets. However, the facial pain is long standing . I was told that sometimes nothing can be done for it. Its not pain from the trapped nerve - its all over my skull and comes and goes intermittantely. Tablets help.