I am not on NSAIDs but I wanted to respond. Yours is a tough situation. If the NSAIDs are not an option, most times you would take a steroid. If you have not had this discussion with your doctor, I would bring it up. The only other option that I have read about is the use of capsaicin, the part of peppers that provides the heat. Doctors use that in people with neuropathy but I have read that it is painful to have applied on its own. I don't know if is applicable for RA but as always, discussions with your doctor are helpful in situations like this.