After having the bad back inflammation I am feeling much better and thank you for your support.
I felt so defeated and accepted treatment so they have prescribed methotrexate.
Monday this week I put on a patch and can report that I haven't smoked since. Been really wanting a cigarette but keep telling myself that I want to improve my quality of life. I have to admit that even though the joints have still ached, I feel much better since I haven't smoked.
The rheumy nurse said that smoking can trigger RA so not happy that I have been smoking for years.
I just wanted to update you guys and thank you for the support.