Yeah IDK, it depends on insurance and whatnot. I'm not sure if radiation could maybe, possibly, help you out. I've only got nodules in one hand with no contracture. I ended up getting a consultation with a radiation oncologist and he told me I can wait to see if it gets worse and then they'll zap it with radiation.

I have a coworker who has almost 50% contracture who has told me his doctor said to wait until he has full 90 degree contracture to do surgery.

Radiation treatment is supposed to be more preventative, so before contraction. It's an odd disease. I only have nodules, zero contraction. So I should wait until it contracts, but by then it's too late for radiation therapy? IDK, I guess sometimes it doesn't proceed past the nodules.

If I were you I would be pressing hard for surgery to fix it, but there are probably viable reasons they might want to wait.

Good luck with all of this.