Hi, Lisa. Welcome to our community.  This is a great place to come for information and support. People who do not have chronic pain do not understand. I guess it is really too much for us to ask them to understand. Rest assured, people on this site "get it".  I don't have much to add to what Ronie said. I call her Ms Merck.....the medical manual.....because she has so much helpful knowledge and experience. I need to check this w/Ronie, but I am pretty sure they have injectable MTX for those who cannot tolerate the oral medication. As far as exercise goes...I have a DVD of Tai Chi for Seniors. LOL I am 56 but this is a great DVD for me.  Lots of stretching and gentle exercise, and it helps me immensely.  Just an idea. Hang in there and try to take one day at a time. Things will get better.  Peace, V