Hello, Thanks for writing to us. I would like to tell you about nature of the disease so that you can better understand the disease. It is an autoimmune disease, which means the body s immune system mistakenly attacks healthy tissue and is also a long-term disease that leads to inflammation of the joints and surrounding tissues. She have to be started on medication called disease modifying anti rheumatoid drugs(DMARD) alone or in combination with biologicals (Immunomodulators). Since these are prescription drugs and regular follow up would be required, it would be best to see general physician for the same. I would also like to give some advice to make the life better and to fight with these pains- Do regular physiotherapy of joints. Hot fomentation to decrease the joint stiffness Hot bath of Epsom salts (magnesium sulphate)-Magnesium has both anti-inflammatory and anti- arthritic properties and it can be absorbed through the skin. Wishing you good health... Regards. Dr Saurabh Gupta.