Aside from continuing care with your rheumatologist, taking your meds, and following recommended guidance, I would recommend using Diclofenac gel (brand name Voltaren). It works really good on joints that are directly under the skin, like fingers and toes. It is a NSAID just like ibuprofen, but in gel form that is absorbed through the skin. As a result, there is less systemic absorption of the drug, hence fewer of the side effects typically associated with oral NSAID medications. You can buy Diclofenac gel over he counter now.