Looking for opinions. I was diagnosed a little over a year ago with RA. I have been on max dose injectable MTX, doing quite well on it. Minimal side effects and blood work and pain under control. Since it's been over a year, my rheumy had me do repeat x rays on my hands and feet, to compare. X rays do show some additional damage in my right hand, but they cannot say for sure if it is due to the RA, or osteo arthritis, as I have both. My rheumy feels that as it might be due to the RA, it might be time to introduce a biological, to avoid further damage if possible. But if the bone erosion is due to osteo, taking a biological right now will be useless. The choice is mine as to which way to go. Any ideas or suggestions?