I currently suffer from rheumatoid arthritis, woke up in excruciating pain?

i am 19 years old and currently suffer from rheumatoid arthritis i have tried 3 types of medications and seem to be getting no where recently my symptoms have gotten so severe its making me worry about my safety. I have felt pain in my neck and right shoulder for more than a year everyday i am in severe pain. The past 3 or so months have gotten so extreme i am now dealing with migraines , blurred vision, lightheadedness , nausea , and numbing of my right arm and coldness of both my hands , this has been every single day . This morning i woke to my hands frozen and the top of my spine in excruciating pain along with pain in shoulder neck and lower back part of my skull. What do u think i have ?

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