Ive taken methotrexate, prednisone, sulfasalazine, numerous kenacort injections and every side effect possible over a period of a year, small improvement to aches and inflammation but had a flareup nearly every month, do I go onto tnf blockers next? My rheumatologist said my MRI has to show ive got sacroilitis in hip/lower back to move onto next treatment?? Ive stopped all meds for 3 months as had significant weight loss and bad health, take tramadol daily and vitamins. Any suggestions???