Imagine a 30-year-old office worker who types on a computer all day. She develops severe pain and swelling in her wrist. Even slight movement like holding a cup or typing increases the pain. If someone touches the wrist, it hurts badly. The problem is mainly in small joints like the wrist and fingers, not large joints like knees. In such cases, a homeopath may think of ACTEA SPICATA because it is a homoeopathic remedy for very painful rheumatism of small joints (especially wrists) where even slight movement or touch makes the pain worse.