If rf is less than 14 what is the possibility of rheu arthritis? and if meds are prescribed can they be used on as-needed basis depended on when pain is present or not. doc appt in a month. mri showed inflammation in wrist tendon. bone intact no prob?

I believe I answered your question suggesting that are more likely to have osteoarthritis.

Your RA factor is at the upper limit. Over 14 is considered high. You don't describe your symptoms. People with significant symptoms from RA are advised to take medication daily to minimize not only symptoms but progression on to permanent joint damage. I recommend consulting a rheumatologist for accurate diagnosis and appropriate treatment.