Hi, well I saw my Rheumy Specialist Nurse yesterday hoping she would drain the fluid from my knee. We had a good talk about how I have been feeling and she did the check of my joints. She agreed that the Sulfasalazine is not controlling the inflammation adequately enough and went to speak with the Consultant about my knee as she thinks that further investigation is needed, she doesn't think it is just fluid causing the problems and agreed my knee is very swollen. I have lumps starting on some of the top joints on my fingers and she said this is more likely to be osteo-arthritis rather than rheumatoid. The Consultant sent me for another blood test to check my CRP level, don't' know what that means though. I have to go back again next Thursday to have a steroid injection into my knee and elbow and if the Consultant thinks it will help they will drain my knee and then consider if anything further needs to be done. As I can't tolerate more than four Sulfasalazine tablets a day it has been decided it is time to add in Methotrexate, they will also discuss this on Thursday and explain what I need to be aware of and how to take it, I don't know what dose I will be starting on yet. I didn't want any more medication adding but I know this is the way for most people in order to get the disease controlled, so will take their advice and hope for a good result. I also have to wait for an appointment to restart Physio and see an Occupational Therapist who may be able to offer joint protection as my wrist is painful and you can see a lump coming up, she thought this might be caused by using the stick which I have been using for about 2 weeks. I will also get advice on things that may help me at home/work. The appointment went well and I felt that I was really being listened to, not at all rushed as can sometimes be the case when they are so busy. So next week I should get some relief with the steroid injections and I will prepare myself mentally for the next round of new meds. Thanks to everyone who gave me advice, hope you are feeling ok.