Hi Romomof2, I was diagnosed with RA in 2012. My problems started with my feet, no help from Orthopedist & Physical therapist, so Ortho referred me to an Rheumatologist. My Rheum. is fairly aggressive in treatment. The blood work at first had me as RA negative, but all signs were there, so he started me (after much blood work and immunizations) on Methotrexate. Within 6 months, I was RA positive. The Methotrexate was zero help, so he added Humira, then Enbrel, then Cimzia, Orencia, Actemra. There was some improvement, but not much with any of those, so now I am on Rituxan infusions. This, plus methotrexate, work really well for me. I was 'fortunate' the I did not develop RA until I was 60.
Blood work is done often because of the Rituxin, minimally 7 times a year. I see an oncologist/hemotologist once a year, because my platelet count is always high. He ran a ton of blood work, determined to find why, including a bone marrow test. He finally decided that it was inflammation, RA.
The one problem I am having now is my teeth/gums. The inflammation is now affecting that. I now have to see a periodontist. Hot, cold, sweet - it all hurts my teeth.
When I was diagnosed, my feet felt like I was walking on glass/hot coals for several hours first thing in the morning, and if I sat for very long, my feet would hurt until I had moved around. Now, with the right medication/treatment, my feet hurt for maybe 5 minutes in the morning. My hands do not grip things like I would like, dropping things in fairly common. But, the pain level for my hands is very low.
My Rheumatologist has offered prednisone, but I have osteopenia, and sometimes prednisone can cause bones to thin, so for me, this would be a bad choice. I do take Celebrex, an anti-inflammatory.
I do have mild Rosacea. On the plus side, it puts color on my extremely pale face. On the down side, sometimes it does not put color remotely equally - so I look like I don't know how to put makeup on.
Hopefully, you can find a drug that works for you.