Hi. I get swollen hands and feet all the time. In fact I get it so often (every morning when I wake up and when I exercise or am exposed to heat). I have seen my hands get red and somewhat smooth or glossy-looking when they are really swollen and stetched to the max. The burning feeling rarely happens to me- but I do have difficulty moving them when they're really swollen and they do hurt a little at the joints. I assumed that this swelling was due to the pooling of excess blood to the extremities due to POTS.....but when I visited my dr. yesterday she sent me for some blood work to rule out some other things (ex: rheumatoid arthritis). I hope that the swelling has gone down for you. Take care. Age: 27 Dx: POTS (2006), allergies since I was a small child, chronic sinusitis Meds: Nasonex