Hi so I have some issues with my hands which flare up intermittently but are not visible, and I am sick of being hurt at business meetings or formal events when some people especially men give ridiculous crushing handshakes. Today in a formal meeting I actually grimaced and cried out as this guy literally crushed my little finger (which has dislocated in the past) and all my bones together in an iron vice grip, like he was trying to crush a brick or something. He must have heard me but did nothing and due to the setting I could not say anything. But as I sat in pain through the meeting I was really angry. Any suggestions on how to deal with ns requiring multiple hand shakes - how to avoid shaking? Or alternatives to hand shakes? The thing is if you have never met people and need to make a good impression, I don't want the first thing I say to be 'don't shake my hand because it hurts' - just awkward and immediately negative, especially in work situations. Help! Still in pain from idiot bone crusher this morning. Why do people do it?

Ideas welcome - thanks 