I would absolutely seek a second opinion
and try
and find a Rheumotolgist (sp) that spends time with you
and takes his/her time finding the right combination of meds and physical therapy for you. Your Arthritis seems to be progressing rather rapidly and I can't understand why you are still on basically the same meds with little to no releife. Have you tried, Remicade, Rituxan, Humira, Enbrol, Arava, Cortisone shots and or creams? Theraputic massage? Anything for the pain?