Hello all. I was diagnosed with RA about five years ago. I’ve been on various meds with the current being Xeljanz. My issue is that although the labs look ok, I can feel myself declining. Getting up from chairs is becoming very painful, walking extended lengths about kills my knees. If I work longer than 8 hours my hands are like marshmallows (I type all day). So, I’m not trying to sound negative but honestly I’m just worried for what my future holds. How do I know how much of this is RA and how much does this mean I need to be working out and strengthening my knees, etc? Is this just the normal pattern of events? Thanks for any advice. I’m middle aged so I really don’t want to lose all my mobility this soon.....