Burning pain, tingling, occassional numbness in finger joints or side of fingers? nothing seems to help. hand and wrist xray'd, no issues there.

See below: I suggest to have yourself be evaluated ny your doctor to check for nerve involvement, the test is usually done is called a nerbe conduction test, this can verify what if there is nerve involvement that comes from wrist called carpal tunnel, or from the neck area, called cervical radiculitis or neuropathy (very common in diabetics).

Peripheralneuropathy: Sounds like nerves are involved in some way it is possibly a peripheral neuropathy or a compression neuropathy. You need to see a neurologist for correct diagnosis and treatment.

Carpal Tunnel Syn: Nocturnal numbness ; paresthesia associated with burning pain is fairly typical of nerve compressions like carpal tunnel with or without associated nerve compression in the neck.Your pcp will refer you to a neurologist for emg/nct to confirm/exclude the dignoses ; you will then likely be referred to a hand surgeon.In interim, start using hand brace and nsaids.Md may inject steroid or operate.