question: Hello doctor, I was diagnosed with rheumatoid arthritis two years back. I am on Ayurveda treatment and have taken Panchakarma treatment as well. There is a slight improvement, but still, my swelling on the left knee is not coming down, and recently a pain in the left wrist has begun. My ESR and CCP are very high, and the cartilage in the left knee is torn. I cannot walk fast or climb the stairs. I also started Methotrexate 7.5 mg and Vitamin D recently. Please give me the best advice to deal with RA. Should I continue with Ayurvedic medicines or should I try steroids?