Mine started in fingers and feet. I find good shoes with orthotic wear very helpful, actually all I will wear now is sneakers with an orthotic inlay and vionic shoes.

That was my initial symptom to. I have prescribed foot orthotics and wear brooks (before them I never paid too much for any sneaker... they are expensive) I did not get treatment as quickly as I should have but once I was prescribed meds it works great for me.

Did it get better