Hello baytan2: I have RA & have had it for 19 yrs this year. I didn't need treatment until after the birth of our last child (2001) & it was AWFUL! I started with Remicade & methotrexate (no response), then the methotrexate sent my liver enzymes up to 300. I started Enbrel after that & for 6 yrs, I forgot I even had RA! It was great! But one thing about RA & auto-immune diseases, is that they don't just affect your joints. I started having problems with the opening to my common bile duct. It was stented twice, then surgery. A year later it was worse, so for the next 18 mos, every 3 mos I had to have the old stents taken out & new ones put in. Finally, it was getting harder to stent, so they sent me to Cedars-Sinai in LA & they removed the entire duct & created a new one out of a piece of my small intestine, hooking it up to the hepatic ducts of my liver & using the Roux-en-Y procedure, the whole thing is connected. My surgeon said to me, before surgery, "I can fix this, but you still jhave RA". After the transplant, the Enbrel stopped working, but I didn't want to get rid of it, so I kept going for another year. When I had 33 swollen joints, my rheumatologist put me on Orencia. Not only did it make me sick, but it made my RA worse. But in response to your concerns, I've had more visible damage in the past year, than I've had in the entire 19 yrs (Baker's cysts behind both knees, nodules on my toes, every toe on my left foot are crooked so bad they look "curled under" & EVERYTHING hurts 24/7). That's the thing about RA. You never know what it's going to do. Each day can be different from the last. I've had every joint injected except fingers & toes. Every 3 mos, I have both hip joints injected. When I first started treatment, I was on prednisone, my feet started fracturing (14 fractures in all), not to mention the weight you gain from that medicine! So, I went from forgetting I had RA with Enbrel, to today. Every day I have severe pain & swelling. I drop, trip &/or run into everything (we're down to 4 bowls). It gets really frustrating not being able to do the things I used to do, but I remember that, with Enbrel, my husband & I were able to take care of his Mother until she passed & then my Mom right after that, until she passed. So at the right time, I had the right treatment. I admit, it's hard to live with this disease knowing that at one time, I didn't feel like this. Make sure you tell your doctor everything that's going on & all physical changes. He/she can change or modify your medicine, set you up with physical therapy or even add a different medicine. There are a lot more options now than there ever was, but the main thing is to make sure you take care of whatever you're experiencing right away, so your doctor can make any necessary changes ass soon as possible to prevent any damage or at least, mitigate any damage that may be happening. Timing is important. Without your input, your doctor won't know what's changing, & he/she can't "fix" what he/she doesn't know about. Also, if you have family/friends you are close to, let them know what's going on as well, so they can help you if you need it. I wish you the best & hope you feel better (as much as you can, anyway-but it CAN get better, it just takes awhile sometimes) very soon.