Hi, I am now 56, I was 28 when diagnosed. I stopped seeing rhematologist also years back. Lived off ibuprophen, then 12 yrs ago Tramadol got me by until last summer I was told I needed both shoulders replaced. I had one done in Aug. And the other this past Jan. Doing g great. But, it was inflammation that wore my bone away. Ugh, thought I had it under control. Now seeing great Rhematologist, have to drive 2 hrs each way to have a good one. Trying to save my hips and really everything else with Humira shots. Not keen on taking, but now I see what years of nothing has done. I also have intergrative doctor. Food has also been a huge problem the last 28 yrs . If I could not eat, I would feel great all the time