I started MTX about three months ago. It did help with my feet and inflammation. A lot!! Although that did help there. My hands and elbows are still painful and stiff and swollen. I was taking 3Mtx once a wk. I just started as of last week I went up to four MTX once a week. My doctor will only let me go to six MTX at the max eventually. I cant get over how tired I get and the burning in the joints. It seems like this RA moved so quickly. Is that normal?