RANT MODE:
mbsieg, BigAl & Dargo . . . since all three of you have RA, I'd really recommend you guys get to a rheumatologist, or at least a regular doctor who is well versed in RA treatment. If I did not seek treatment I would either be bedridden or confined to a wheelchair by the time I was 30. I tend to get emotional about this topic.
There are two basic courses of treatment, one is to treat the pain and swelling. That is basically a short outlook type of treatment but it is very common. It is typically treated with NSAIDS class drugs, which are non-steroid anti-inflamitory drugs used to treat pain. They do not stop the progression of the disease. While under this type of treatment, it is also fairly common to be treated with the occasional injection of steroids or take short courses of steroids. While under this type of treatment, your joints will continue to degrade and the damage cannot be undone. Over the long term, this type of treatment can lead to disability.
The other course of treatment is one that works to suppress the actual disease to prevent the damage to your joints. In the old days drugs like plaquanil (sp?) and gold shots/gold injections were common. About 20 years ago methotrexate came into common use for RA. Methotrexate was a breakthrough in that it had the ability to stop the RA and often put it into remission. It works for a very high % of patients who use it. Methotrexate is taken orally and can work for a lifetime or for a couple of decades. About 10 years ago a new class of injection type drugs started to be commonly used. Some of the most common are advertised on TV and you give yourself a shot about once a week. These drugs are used with methotrexate. They are even more effective than methotrexate alone and are generally considered the proper course of treatment for RA.
What it boils down to is that RA destroys your joints. Once the damage is done, it can't be repaired. Doctors who do not know how to treat RA often just treat the pain and that may cause you major problems as you age, especially if your RA is aggressive. A doctor who knows how to treat RA will typically treat you with a combination of drugs that are designed to stop the disease from destroying your joints. Also, for RA, supplements do not work.
In many ways, treating RA is like treating Cancer. The more aggressively you treat it, and the sooner you start treating it, the better off you will be. I am living proof of that fact. I may be complaining now about my RA, but I consider myself to be a very fortunate person to have learned early that following an aggressive treatment plan can lead to a normal life. If I would have followed a pain-killer NSAIDS type treatment with occasional steroids then I would very probably be disabled today.
/RANT MODE OFF
OsteoArthritis is totally different and needs to be treated differently, often a regular doctor can effectively treat patients with mild to moderate Osteoarthrits. People with RA really should seek out a rheumatologist.