Speaking from experience, I can only say that I wish I had started on the TNF blockers much sooner. I tried going it on my own just taking otc nsaids and now have permanent deformity in my hands. Have had some problems even since starting the meds but they have kept me walking and functioning for the most part. I would not wait too long to begin trying some of the drugs that are available. Yes, they are scary but so is the thought of being in a wheelchair.
Good luck and take care
Alicat