<s>[INST] my husband has been told that he has arthritis in his foot joint. His shoulder and back have been hurting also. now he has a knot on his finger. he can t sleep with out taking a bunch of pain meds. sometimes that doesnt even help. he can t get into an arthritis dr. until july 22. don t know what to do for him. he s in constant pain. it seems like it keeps spreading. don t like him taking so much pain medication. don t know where to start. [/INST] Hello, I have studied your case with diligence. There is possibility of polyarthritis. Rheumatoid arthritis may involve small joints and early morning stiffness in joints, does she have sucChatDoctorplain? Ankylosing spondylitis typically involve spine and hips with other large joint also. There is reduced chest function in this disease. Stiffness in spine is increased does she have such stiffness in spine? NSAIDs, Awards (disease-modifying anti-rheumatic Chat Doctor.  These include methotrexate and sulfasalazine. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care </s>