Medication Management

• Continue methotrexate and consider adding or adjusting DMARDs like leflunomide or biologics if symptoms persist.

Symptom Control

• Use NSAIDs for pain relief and consider corticosteroids for flare-ups, under medical supervision.

Physical Therapy and Exercise

• Engage in regular, tailored exercises to maintain joint function and reduce stiffness.

Monitoring and Specialist Care

• Schedule regular follow-ups with a rheumatologist to monitor disease progression and medication side effects.

Lifestyle and Support

• Adopt a balanced diet, avoid smoking, and consider joining support groups for additional coping strategies.