Good morning, I have phoned my specialist nurse today and left a message asking for a call back. I'm on mtx 15mg a week and feel loads better than I did before I was on treatment. The thing is that my wrists and fingers are still sore and getting gradually more so. Also I have swan neck deformity on my right ring finger and now my index fingers are curling downwards at the ends as if the tendons have shortened. Just to top the whole thing off my right hand looks like it's widening at the joint below the little finger. It looks as if it's been squashed and pushed out..is this ulnar deviation? I just wondered if this is to be expected with ra as normal or would you speak to your team and consider increasing meds? Nobody has discussed expectations and although I'm not in great pain as I used to be I think I'm accepting gradual deformity. I can cope with pain and as I'm not currently working I don't have to push myself. That said when I do housework or drive I'm in pain and feel very tired. Your advice would be much appreciated
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