I'm 52 and it has took me 10 years to get diagnosed, I started searching for answers when I "merely" had hand pain. It has progressed to axial/peripheral pain and issues - wrist and hand issues, foot issues, various tendon issues, SI joint pain, hips, neck, elbows, etc. and for me it's very symmetrical. Most of these symptoms are somewhat consistent these days but I can look back as far as my 20s to when they were intermittent.
I wear wrist splints at night and to drive. I have rings to help keep my middle fingers from hyperextending (preventing Swan neck deformity). I have splints on my little fingers at night to keep them straight (preventing Boutonniere's Deformity). I wear shoes all the time. I eat healthy, stretch, and am as active as I can be and I rest.
Methotrexate, plaquenil, sulfasalazine, Otezla, Humira and now Cosentyx have all been in my arsenal. I don't want to take any of them but, like with the diet and exercise, I'm fighting this stupid disease. Methotrexate pills gave me some digestive issues but the injections didn't. Sulfasalazine and Otezla did as well and I couldn't tolerate them. Humira stopped working. Everyone has different experiences. IMHO, this disease is worse for us than the medications. If you get side effects, you move on to the next one.
Someone in one of the groups I'm in said they didn't want medication - well, I don't want this disease but here we are. Natural remedies, cannabis, pain meds, diet, etc. all can have a roll in helping but aren't much in terms of slowing progression. I already see this progression in my hand and one ankle - I'm sure I can't see all of it. Medication is another tool and every med has side effects, most of which you will never experience. Even Tylenol has a big list of side effects.
I work very part time these days but I work to get seniors active, many in their 80s, many with a lot of health issues. My question would be - what kind of 80 year old do you want to be ? I wan to be able to keep mobile, so I take the meds. It's a very personal choice. Best of luck.