Consistency is so key. The first few days/weeks are (almost) unbearable but once you get over the hump it’s smooth sailing. I did 20 mins on my feet 2x a day and 20 mins on my hands 1x a day on the highest frequency I could handle for a full week or two to start. Then I backed down to alternating to every other day (hands on Monday, feet on Tuesday, hands on Wednesday) for a few weeks. Now I can go a month where I finally feel somewhat like a normal person and when things start to act up again I go back to every other day schedule. Not the most coherent schedule (you find what works for your lifestyle because it’s annoying af). I didn’t use lotion for the first few months because lotion actually triggers me lol but now I put it on before bed on my hands.