### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I have been on prednisone, 5 to 10 mg, at least 1 year.  Take Methotrexate 2.5 mg, 6 tabs 1 day week, hydroxychloroquine 300 mg a day.  R A 1 year 3 months.  I hate been on prednisone, know all side effects.  I am new kid on the block, 65 years, breast May 2014 cancer free.  My share medical problems, high tolerance pain, Rods lower back, both knees replaced last 30 years, neck bone on bone.  Pain always been with me, have lots R A pain, never pain free, flare ups and extra.  Are R A people pain free, pain always with me?  Rest of my life, pain, ever Pain free??

### output:

Here you need to understand what exactly happens In trades arthritis basically its autoimmune inflammatory condition. Hear our body immune system will be active without any reason and will create inflammation within different body joints so that there will be swelling as well as the pain in different body joints especially the small joints are affected more the classical symptoms of rheumatoid arthritis is patient will have pain early morning in all small joints of the body like hands fingers as well as the feet and patient will have early morning stiffness in all small joints of the body. And as the day pass and patients starts moving and working due to movements in joints the pain will start going away or will come down. So the condition progress like this first there will be inflammation with this inflammation there will be swelling and pain suppose if patient does not move the body joints thinking of pain and swelling then the inflammation will increase and along with that there will be more of swelling as well as pain and there will be damaged too joint cartilage which will end up as deformity In joints so here if somebody wants to stop this process there is only one way they have to reduce inflammation in body now this can be done bye medication as well as following two things the first is moved your points as much as you can and don't keep your self ideal. Along with this have more and more omega 3 in your diet because omega 3 is one of the natural anti-inflammatory ingredient for our body along with this you can also use hot and cold pack which will also help to reduce swelling and pain by relaxing soft tissues and increasing the healing process. As a physiotherapist I suggest my patients with RA to have more of omega 3 along with antioxidants like vitamin C and vitamin E rich diet in food as well keep doing stretching mobility exercises as much as they can. Take care