megry,
My symptoms on Arimidex are exactly like yours, the swollen hands, stiffness, being able to function after being up for a while and I've been on Arimidex now for 31 months.
Since my earning a living depends on my hands and feet and there is nothing that can be done for my feet (chemo caused), my hands and wrists were the biggest problem.
My doctor also sent me to a rheumatologist who took a number of blood tests to rule out rheumatoid arthritis. He finally sent me to a physical therapist when a bump started to form on my left wrist. The therapist worked with me and my wrist started to improve quite well. The bump started to fade and is not noticable.
A year later the same thing started up with my right wrist. I went back to the therapist and went through the same thing again only this time the response wasn't as quick. We had hit an impass where I was not showing any more improvement and we agreed that I would stop treatment for a while and see what happened.
Oddly, my discomfort started to ease without any further treatment which leads me to believe that this side effect has it's own timeline and will cause me discomfort when it wants and I'll feel better when it decides it's done for a while.
My hands and wrists are just lightly painful now and only when I flex them or stress them in the wrong direction. They are still a bit stiff but I can live with that.
I talked to my doctor about switching to something else and he said he'd rather I stay on the Arimidex, if I can tolerate it, as it's the best thing going for my type of cancer. So I'm staying on it.