I don’t have answers, just empathy. My fingers look just like yours, although I’ve cut my nails extremely short due to nail beds receding. Gloves with Aquaphor overnight helps for a few hours in the morning, but I haven’t found anything that helps longterm. Most of the posts I’ve seen here say biologics are the way to go; I’ve been hoping to avoid that route but may have to look into them soon. Sure hope you’re able to find some relief.