Not sure anyone knows the answer to this one. I'm inclined to leave things alone until they become a problem, such as pain, or nodules/fibromas interfering with function. Easier said than done of course. I advise people to start a log or record, with photos, to record symptoms. That way you get an objective view of change and rate of change, or cycles, or other related aspects. Since you are quite young maybe you should not act yet until you have some more evidence from your record and a face to face discussion with Dr Schaffer. I had my LH done after I started feeling it playing piano. There was some minor interference and my logbook showed increasingly active symptoms. I did not have my RH done at the time even though I had finger nodules that I could feel when playing tennis, I just taped them over and they went away and I feel sure the tennis helped that! It wasn't until I had nodules rubbing in the RH palm and sore that I had RT. Maybe I could have waited, but then I'm in my 60's and possibly live more for the moment than you, and like to be in control. Hope this ramble helps a bit.