Brief Answer: See detailed answer.       Detailed Answer: Warm Welcome. I appreciate your trust in HCM and assure you are on best portal on the globe for expert online medical services. I have thoroughly reviewed health query you raised, and well realize all of those concerns. I will take care all of them today and will extend my expertise to solve the problems. Although there is no cure for your deformed feet due to RA, there are some treatment options available to help you manage pain, staying active, and avoid disability. You should continue Remicade as per your physician’s advice. •     You should limit or stop activities that make the pain. Swimming particularly will help maintain your health without placing a load on the foot. •     Place ice on the most painful area of the foot for 20 minutes and is effective. This can be done 3 or 4 times a day. •     Take tab. nimesulide 100mg twice daily for pain relief. •     Get a custom orthotic (shoe insert) which will effectively minimize the pressure from prominent bones in your feet. It will not be able to correct the shape of your foot but will certainly decrease the pain and further deformity. Many patients have well responded to it. After these above measures, if you still experience significant pain, you may need a steroid shot. Hope I addressed all the concerns you have. Let me know if you have further questions. I will be more than happy to clear any doubts. Keep a follow up to see how you doing. Regards! Dr. Ali Raza