Rheumatoid Arthritis Support Group
Rheumatoid arthritis is a chronic, inflammatory, multisystem, autoimmune disorder. It is a disabling and painful condition which can lead to substantial loss of mobility due to pain and joint destruction. The disease is also systemic in that it often also affects many extra-articular tissues throughout the body including the skin, blood vessels, heart, lungs, and...
Rheumatologists, we all have found on this site, do NOT like prescribing pain meds. When I called my family prac to inquire if they can do my pain management and be in charge of giving me pain medication, they flat out said no.
Pain management doctors are the way to go. If you have private healthcare ppo, then search around and call pain docs. Tell them your condition and you're desire to begin management. Ask what they need. Usually it's the rheumatologists last notes and diagnosis faxed over. They review your case, and they decide whether or not they can help. If you run into road blocks, call your rheumy office and ask who they recommend for pain management. Maybe they know someone. Then you're in and you go to them, only them for pain meds. They must be informed of emergency room, dentist visit pain meds etc. It's like a contract you have with them. They drug test and see if you're taking other meds etc. So if you have leftover Tylenol 3 and pop those, and the doc prescribed say hydrocodone, and you test positive for the Tylenol 3 the doc may drop you. It's a lot I know, but pain management docs are worth their weight in gold with this disease in my opinion.
So you must be real responsible with your meds if you see one.
The right meds and ra can be a TON better. Unfortunately it takes time finding that perfect combo. My gma had ra. Diagnosed at 50, she lived to her mid 70s and ra didn't get her, cancer did. So try and not think about tomorrow. Worry about the moment to moment living, getting through the next hour. The next day. Let tomorrow worry for and take care of itself. Being young (you look young lol), you and I both have an extra 15-20 yrs on top of persons like my gma, but that doesn't mean it will destroy us. Try and stay positive. Your emotional state can drive the pain into unbearable territory sometimes, I find. I hope you can findrelief soon.
I see you are in Canada, and I'm sure drug laws are different there than in the US. Here, getting pain meds gets more difficult by the month, it seems.
Ill look into pain management doctors
Pain management is the best solution for managing ra pain if you don't have a great understanding family physician that's willing to long term treat your pain.
Oh, and no real way of knowing if you can definitely go into remission, but many experience much less pain and virtually no swelling with some med combos. A select few do make remission. I was doing so much better once I started enbrel (adding it to arava and Plaquenil). I was feeling almost normal, well until I had to stop all meds. That's a whole other story. Good luck switching. Hopefully it is a great help!
Pain management may be the way to go.