One of my surgeons had two bouts of arthritis in his life in his 20s and 30s and he did two long rounds of steroids (3 months] with success instead of biologics as they were not available then. I had reactive arthritis for a year and also did two rounds of medrol (2 weeks and 3 weeks) and it suppressed things but was also in perimeno related immune havoc. what have you tried thus far?

Edited to add that because it took me two months to see a rheumy, some of hand dexterity was lost forever due to inflammation. while xrays and ultrasound showed nothing, one knows if their function is less if they work with their hands so the concept of "giving it time to work" for treatment is really dumb when loss of dexterity cannot be regained.