I have noticed that when I start to have joint discomfort in one area of my body, it is not long until the joints in other parts of my body join it. I almost never have pain in only one joint- and if the pain is bad, then there is pain in all the joints.
For example, yesterday and this morning I had no pain whatsoever. I was "aware" of my fingers and shoulders, but I would not call it pain at all. At around noon I started to feel in "irritation" in my left shoulder, and within 10 min I noticed it in the right side too. When I got out of the car and went up the steps I noticed that my knees were stiff and sore. I had only been sitting for 10 min. I took some MO, but within 20 min my elbows and wrists and bottom and middle joints in the middle 2 fingers on both sides also hurt. The pain is not eliminated by the MO, but I don't like to take Vicodin, and that is the next option, so I wait till it is body-wide pain. I was baking, but my fingers feel too stiff and my elbows hurt, so I don't feel like baking anymore.
I have also noticed that whenever I take some meds I go "downhill" (or increase discomfort) faster than I did just before I took pain meds. It almost feels like the pain meds cause additional pain, but I'm pretty sure that's not the way it works, and that it would be worse
it I did not
medicate the pain.
(I took a break from typing for a moment, and now my fingers are stiff more sore, so I am making lots of typos. If I don't catch all of them I am sorry
When the pain "comes on" it can go from no pain to very bad pain within a few hours or less. I don't find that my worst time is waking up as much as in the afternoon and evening after I slow down from the day. I have gone from a 0-1 pain scale to a 4 on my elbows, 3 on my hands, wrists and shoulders. My knees and not far behind. My feet don't hurt today.
But this change happened in 2 1/2 hours.
So, my questions are: What's up with this "cascading" pain? and Is it possible that the MO or Vicodin actually increase the pain when I take them?
Bipolar treatment-Lamictal, 200mg, Mood stabelizer, daily(main side effect: brain fog) Bipolar treatment-Cymbalta, 40mg, Antidepressant, daily(main side effect: GI upset, decreased clotting, insominia) Anemia, Fatigue treatment- Iron supplement, 65mg, daily(main side effect: constipation) Insominia treatment- Ambien, 10mg, daily(main side effect: amnesia eppisodes between taking pill and falling asleep) Mania treatment- Alprazolam, .25mg, Very rarely(main side effect: fatigue, slowing of thoughts, depression of CNS, can't take ambien or vicodin when on it) RA treatment- Plaquenil, 400mg, daily(main side effect: GI upset, decreased clotting) RA treatment- Methotrexate, 25mg, 1X weekly(main side effects: hair loss, stomach upset, mouth sores, sore muscles, fatigue, brain fog, compromised immune system, decreased Folic Acid absorption) GI upset treatment- Leucovorin Calcium, 10mg 1x weekly(main side effects: ?) Folic Acid defintioncy- Folic Acid, 1mg, daily(main side effects: ?) RA treatment- Prednisone, 8mg(and decreasing...)daily(main side effects: increased manic eppisodes, constipation, brain fog, bone density degeneration, compromised immune system) Multi-mineral Supplement (main side effects: constipation, GI upset) Constipation treatment- Docusate Sodium, 200mg, daily(main side effects:?) pain control- Motrin, 800mg, PRN Q6hours daily(main side effects: GI upset, decreased clotting) Pain Control- Vicodin, 5-500mg, PRN Q12hours regularly (main side effects: brain fog, fatigue)