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...
As for as the girls at work-- they should be shot. How DARE anyone make fun of someone else's pain. May they experience it someday so they can learn compassion.
Good luck and keep us posted!
Have you tried other medications? You don't mention it here- why are you not on methotrexate? The generally accepted current thinking with RA is that it's a good idea to bring out the "big guns" right away, to start aggressive treatment, to get the inflammation under control and prevent permanent joint damage. Methotrexate is the usual first choice, and many people add a biologic drug like Enbrel or Humira as a next step, if the methotrexate alone isn't enough. If you have a very old-fashioned rheumatologist who just isn't current in his thinking, it's time to get a second opinion.
You also mention cortisone shots, but not prednisone. Cortisone shots are a great way to get pain and swelling under control in a single joint, but when you're having an all-over flare, you might need to consider a short course of prednisone. Prednisone is dangerous and shouldn't be taken long-term, but sometimes the benefit is worth the risk of taking it short-term.
Your questions about whether it should be hurting this bad are totally normal! There are lots of questions on here from other people wondering if they're going crazy! You're not going crazy. RA really does suck this bad, and it does cause terrible pain when it's uncontrolled. That said, if the pain you're having is mostly in your muscles as opposed to the joints themselves, it might be something else causing that, maybe fibromyalgia, which is common to have along with RA. There can also sometimes be severe pain when a joint swells an impinges a nerve, especially in the wrist or elbow. That kind of pain feels hot, burning, or like an electric shock, and there are different medications to help with it. A good rheumatologist should be able to help you sort all this out.
I'm glad you found this board- it's a great way to connect with people who can relate. (I'm 30, and I work full time too.)
Caren
I also was diagnosed with secondary fibromyalgia and experience incredible pain if I am touched lightly. I was put on Savella with a wonderful response for several months. I have experienced an increase in blood pressure which is a common side effect. So currently I am weaning down with it, and at half strength, the blood pressure has started coming down. The Savella was not only helpful with the muscles but with the mental health part of the puzzle. I notice your feeling of fear of loss and uselessness; depression is so common with RA! I did go through the loss of my job, but was successful at getting social security disability (but I am 57). This @^&**((&%+# disease affects every aspect of our lives!
For Caren28: You mention the pain that is hot, burning and feels like an electric shock, can you add to this? I asked my RA doc about the electric shock type of pain in my feet and he did not really know much about it. He mentioned it is neurological, but had no other input.
I am so sorry your co-workers are treating you poorly! There is absolutely no excuse for this!
Hoping you have a good appointment tomorrow! -daizy8
It sound like you have a severe case, I did and my rheumy said putting me on Celebrex and Plaquinel was like giving baby aspirin to an adult with a migraine, it won't touch it. He put me right on MTX and prednisone and Enbrel shortly after that, this has given me blessed relief and while I still can't stand or walk long and my hands get achey I am so much better than I was. I appreciate a rheumy being conservative and not starting you off on the "big guns" right off the bat, but sometimes it's necessary. I went thru 3 rheumys so don't be afraid to switch although sometimes the thought of the energy needed to do that will stop you in your tracks.
suera
As for those poor excuses of co-workers... as Johnny Carson used to say; "May the fleas of a thousand camels infest their amrpits!"
For daizy- Nerve pain happens most often when a nerve is being pinched. That can happen either in your spine or down in a joint. Carpal tunnel syndrome is a type of nerve pain. There are other things that can cause nerve pain too, like diabetic neuropathy. It's a hot, burning, tingling, electrical kind of pain. Opiate drugs like vicodin usually don't help much, but newer drugs like Neurontin or Lyrica sometimes do. I know all about this because I had a spinal injury that left me with severe nerve pain, and I take a high dose of Lyrica to manage it. I have also had some nerve pain in my arm, caused by swelling in my elbow.