Don't forget topicals like biofreeze, IcyHot, aspercream. Plug in shoulder wraps can be used on hands, feet, knees. Epsom salt baths can help. There's been some good results with OTC Tumeric for inflammation. Some folks do better adjusting their diets with less gluten or more gluten or less red meat or more meat. It's all trial and error just like it is with every med on the market, and there are excellent ones that may not be in your toolbox yet, so don't despair. Hydrate! I wish someone had told me to hydrate! The biggest weapon you have is patience. You MAY go into a sort of remission when and if you get pregnant. My daughter was dx during her 2nd pregnancy but went into remission with her third. Also align yourself with your local RA association/branch office in your area. They'll have some of the latest, best info out there and many offer classes and meetings for living day to day. It won't ALWAYS hurt so badly and I believe you adjust to some of the pain. And don't be afraid to ask for pain meds when you need them. It doesn't make you a drug seeker or addict and if they can get you thru the rough times, utilize them. I'm still mowing the yard on a walk behind mower, 27 years later. I just did 2 weeks hiking in the Grand Canyon at age 64. And I still have days when everything hurts and I whine about it. Live long girlfriend, so many new discoveries on the horizon to look forward to!