About a year ago I punched something and almost broke my hand ( stupid i know) It wasnt broken but it was pretty messed up. Well now, The meat inbetween the knuckles and that whole general area gets pretty swollen when I do things like writting for example and hurts really bad, It will also hurt it cold weather, Im assuming tendenitus and arthritus at this point, but I also have another problem that has nothing to do with that, my hand shakes and it shakes pretty bad sometimes... Im only 21 and its already this bad so I cant imagine whats gonna happen when Im older, If I go to the doctor will they want to do surgery? or what options do I have to help fix this before it gets worse?