I've been under tremendous stress over the past year because of my business. I don't know the exact cause, but I'm tired even if I sleep a lot, and even if I move a little, I get tired quickly. And regardless of stress, my fingers are stiff, hot, and my ankles are swollen. Importance of Recognizing Early Stages of Hand Rheumatoid Arthritis Hello. This is AsanBone Rheumatology Internal Medicine ...