Am currently on 20 mg of methotrexate? weekly. I am somewhat better, but still have some finger joint pain and an occasional wrist flare up. I go back to see my doc in a couple of weeks. If he wants to add Enbrel to my meds do I really need to take it? I can live with the pain the way it is right now - it doesn't interfere with most of my activities if I use aleve too. Will it cause damage to my wrists and fingers if I choose to just continue the way things are? I don't like needles and frankly the expense of Enbrel isn't too appealing either