I take Tramadol on a scheduled basis for my AS. When the pain is not controlled by that, I have Vicodin to use. Have you discussed with your rheumy the fact that you aren't able to sleep because of the pain? Also, that you are in pain most of the day. If your rheumy is reluctant to prescribe stronger meds than Tylenol, what about
asking for a referral to pain management? Also, if you have inflammation in your SI joints or along the spine, have you considered steroid injections. I just had both SI joints injected and it made a world of difference in reducing pain and increasing mobility.
Moderator Crohn's Disease Forum
CD, Ankylosing Spondylitis, lupus, small fiber peripheral neuropathy, avascular necrosis, peripheral artery disease, degenerative disc disease, and a host of other medical problems.