I was on methotrexate decades ago for reactive arthritis, which went into remission after 6 mo. Did your doctors put you on a different anti-inflammatory drug that wasn't as effective? It might to good to check back if it has been a while. If you have RA there are new treatments, such as CAR-T and biologics, including clinical trials if your insurance is limited. There are also treatments for trigger finger, such as cutting the sheath that puts pressure on that nerve in your hand, cortisone injections proximal to the nerve, and even accupuncture.