We are rheumatologists, not ophthamologists. I would suggest that you get a second opinion from another ophthamologist. However, MTX is commonly used for uveitis. And MTX is generally a very safe drug. We use it all the time to treat rheumatoid arthritis and many other inflammatory conditions. We like it because it is very effective without causing many side effects. We have some patients who have been taking it for 20 years without difficulty. Good luck !!
Alternative Therapies for Arthritis
Magnets have been sysematically studied only for symptomatic relief from knee osteoarthritis pain. A recent meta-analysis of 29 trials of static magnets in knee osteoarthritis concluded that this modality was not effective in treating knee pain in osteoarthritis patients (reference: Pittler et al. Static magnets for reducing pain: systematic review and meta-analysis of randomized trials. CMAJ 2007 Sep 25;177(7):736-42.)
It certainly will help from a symptom perspective. Hydrotherapy has been a long time therapy for arthritis. However, don’t expect your insurance company to pay for it– many have tried.
Gout is the only type of arthritis that can be directly linked to diet. See our article on gout for a list of foods. There are very rare cases reported of certain foods triggering an attack of arthritis similar to an allergic reaction, but this cannot be generalized to all patients. Some patients report the benefits of fish oils but again this has not been reproducible in studies.
Although there is intense interest in this area, no diet has been shown to help arthritis. Fish oils (omega -3 fatty acids) have been shown to help inflammation, but only at significantly high doses. See our section on diet on this website.
It is always the basic, practical questions to which there are never any good answers. I have never seen a study looking at this in any scientific way. If I had to guess, I would think the hot water together with enough room to move the joints would be of most benefit. But then again, a water massage sounds pretty good about now.