My cousin has been battling pain and problems his whole life. He was even eating bute (pain meds for horses for a while).He talked to me the other day, said he has destroyed his guts over the years, he lived on tab, and pain killers for years. His new rheumy thought he had AS but finally settled on RA. Started him om enbrel, it has been a miracle for him. Makes me wonder my hands give me fits once in a while. Who knows, his enbrel co pay is 400 a month he says it is the best car payment he has ever had.