In my experience as a NP, you are on the highest dose.

Prednisone will help bring the inflammation down, in turn the pain. Duloxetine has pain relieving effects. I sincerely hope this combination works to alleviate some pain for you.

I use gloves that they gave me at therapy

I wore the above gloves for months until I got my symptoms under control. My blood tests were all normal. Aside from my reported symptoms, MRI results and my family history were the only things that pointed to RA.

I order a pair off Amazon cause didnt want to spend lot of money if they didnt work😕. I can say they help me out . My hands have been killer today