Ok now I know this is gonna sound like a silly question and I'm assuming that if I'm getting less pain and feeling less tired then the mtx is working, however ...
I had an IM steroid injection at the end of July and started mtx mid August. I've been taking Celebrex during this period. The steroid has taken away the pain and slightly reduced the fatigue but I needed to keep going with the Celebrex to keep the fatigue manageable. Over the last week or so I think that the effects of the steroid have been slowly wearing off as my joints feel slightly grumbly but I wouldn't say very painful.
I went for my first bloodtest today and have a review with my GP on Friday. My rheumy said that if I was tolerating the mtx after a month and my symptoms haven't improved to increase the dose. I have no idea whether its working as the steroid is still giving me some relief, or maybe the mtx is working and I've been taking Celebrex. I thought I could stop taking the Celebrex and see what happens?? My crp is never significantly elevated and may still be affected by the steroid. So how will I know??