I should say that the pain and flares are back with a vengeance despite my labs looking the best they've looked in a decade. My hands and feet are incredibly painful. I have been on Actemra for nine months but the last three I've been flaring nonstop. I don't see the point in continuing if I'm waking in agony. I'm running out of things to try. Perhaps Xeljanz? I'm meeting with my rheumatologist next week to discuss this latest development. I've weaned down to 5mg of prednisone and I'm going to continue to wean off despite the pain. I've been on it for far too long.