I honestly would be okay with taking both. I take sulfasalazine and humira. Once disease progresses, there is no going back.

Steve, I would be curious to know what you decided. I am in a similar situation (sacroilitis / IBD associated arthritis plus UC). Considering whether to go on Cimzia. I'm reluctant as my UC is well controlled with a low impact medication, and starting on a biologic sound like a big commitment with potential side effects.

My x-rays were normal except for degeneration. I just had an MRI done that showed chronic inflammatory changes. Are you going to get an MRI done in the future? They are the most sensitive. Although more costly too.

I had some recent X-rays done and it did not show any disease progression in the past several years, although I'm told that X-rays don't always easily show disease progression or inflammation.