Doctor,
For you and the others that have been diagnosed with RA, you have my sympathy and prayers. My wife is an RA patient and has been for 29 years. We didn't even get in 5 good years of marriage when she was struck down. As you might imagine, she has already had 9 replacement surgeries, including both knees, both hips, and both hands, due to the debilitating process of this horrendous disease. Unfortunately, she has never been able to share in my hobby of guns, and cannot even defend herself due to her destroyed hands. She's run the gamut of therapy including gold shots, chemotherapy, about all of the NSAIDS, cortisone, and even hormonal immune system boosters. Unfortunately, she has never seen remission, and remains in pain and in an extremely frail state. She makes do with Celebrex and nothing else at this point for inflammation, and of course painkillers.
For myself, I broke my wrist in six places when I was 14, and was told then I would suffer from arthritis in this area when I got older. Well, here it is and it is agonizing, though 1, it is my non-dominant hand, and 2, luckily it is the osteo garden variety type we ALL experience as we age. Actually, at 53, I consider myself lucky to just be affected by it now. But when I shoot a hard-kicker, especially, it lets me know it's there. I also suffer from scoliosis and work to strengthen my back at every workout. Both of my knees are shot, also, but need arthroscopy (torn Meniscus) rather than replacement. I don't need to tell you what the success rate of that is, so I wait. Most of my pain is resolved by generic Naproxen Sodium once a day. When it gets really bad, I'll take it twice, but I hate to take pills and loathe the day I'll need something stronger. I've already forsaken the Ibuprofen for this which seems to work better with far fewer pills. If you haven't tried it yet, give it a shot. (Though I'm sure with 10 years of RA under your belt, you have) The normal NSAIDS seem to work best if you change them up every once in a while.