Hi, I haven't considered biologics. This is just the beginning of my treatment. I was only diagnosed officially in September, after being blown off by doctors for over 40 years. It's kind of confusing, because the bulk of the hand joint damage and pain is now in the DIP joints and is erosive osteoarthritis. The PIP joints are collapsing, and the doc said that's rheumatoid. Not much can be done for the erosive arthritis. My feet have rheumatoid and my spine has osteoarthritis.
I'm allergic to NSAIDs and I have been trying Boron. I'm used to the pain, but I'm not looking forward to being unable to use my hands when all the fingers are twisted and pointing upward.
Maybe the doc will mention biologics if the hydroxychloroquine doesn't work.