I've had 2 hand surgeries, 2008 last one and this has been a major problem. I cannot get a diagnosis, a Neurologist was last try and she is a loser, but I'm forcing her to follow through with a cervical mri she was supposed to do in October, now will cost me 2500. deductible. 2008 Mri had issues, but could this be cause of ice coldness with purpleish color across knuckes. I' m having a hard time at work, and need to stop typing now. Please anyone ??? I'm in despair and cannot quit crying, I'm hurting so bad, how can i keep working.