<s>[INST] I have rheumatoid arthritis for past 12 years after the delivery of my child. I am on western medicines pednisilone, mtx and was also on ayurved treatment. My ra factor is been on increase from 130 to 250. I have deformities on fingures and feet over the period. Can u suggest and advise. Regards chitra . [/INST] Hello, As the RA you have been having from long I assume you have the full knowledge of the condition. As in this condition, there is inflammation of the joints and due to pain, there will be deformity of the joints. Like the one, you have in fingers. I will advise continuing medicine. Try to take medicine only when you have the pain or maximum try to avoid the painkillers as this may over long run trouble the kidneys. Also, I will advise keeping the body warm as much as possible, so the pain does not increase. Taking help from a Physiotherapist who can help you to regain the muscle property by which the joint inflammation can be reduced and also the normalcy of joints is achieved. For finger deformity, we need to assess the grade of deformation if we can make it correct with the help of exercise and splints we should do it at the earliest.  With medication, and Physiotherapy you should be benefited. Jay In Chat Doctor.  </s>