Ok I'm havin a tough time. What else is new right. I have just had my second set of thiracic spine epidurals first didn't help at all possibly made it worse. But had to give it another try because the Dr won't do anything else until I do but I prob need more surgery. but im having a steriod flare from it. And I guess my orencia isn't working good it's all I can figure I know the books say RA doesn't effect the DIP joints but that is where I feel it setting up shop both pointer fingers along with the large joint. And both big toes. At the very top joint and the big joints too but that is called DIP JOINT right? Those first ones closest to the nails. I'm nervous cause I'm either ethic or I have already used many meds I don't know what's left. I'm also set up for my second knee reacement 2cnd week April. Scary stuff