Update to Severe Pain

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Regular Member

Date Joined Jun 2006
Total Posts : 30
   Posted 7/26/2006 8:39 AM (GMT -7)   
I think i have reached my limit as far as the pain goes. It never stops. It's like someone is grinding my bones together. I left work early last night and I got someone to cover my shift today. My regular day off is tomorrow so at least i'll have two days off to rest. I am taking Celebrex twice a day and i take the Methotrexate this Friday. I hope this is just a really bad flare. I haven't had pain like this since i was diognosed with RA last year. I can't sit for long because I stiifen up right away. This is crazy!!! I can't seem to get away from it no matter what I do. The good news is my insurance will be in affectin 6 more days and i have already found 3 Rheummy's that take it. Thank You again for all of your support. I don't know what I would do without it.

Veteran Member

Date Joined Mar 2005
Total Posts : 3199
   Posted 7/26/2006 8:52 AM (GMT -7)   
Hang in there Andrea...
Confirmed Diagnosis of - Psoriatic Arthritis/Spondylitis/Graves Disease/GERD/Scoliosis/Hiatal Hernia/Graves Disease of the Eyes/Chronic UTIs
Current Meds -  Enbrel/Prevacid/Synthroid/Nitrofurantoin
Past Meds - Inderal/PTU/Prednisone/Voltaren/Feldene/Mobic/Cortisone and Steroid Shots
Additional Supplements - Multi-Vitamin/Bromelian/Acidophilus/Green Tea

Veteran Member

Date Joined May 2006
Total Posts : 1179
   Posted 7/26/2006 4:19 PM (GMT -7)   
keeping you in my prayers........ i know it is so frustrating when that pain comes back out of nowhere.... like Ducky says hang in there and we are here to listen. ~*yalinda

Veteran Member

Date Joined Mar 2005
Total Posts : 3148
   Posted 7/26/2006 5:22 PM (GMT -7)   

Andrea ((((((((((( HUGS )))))))))))))

Oh my gosh...I really think you have to get together some thoughts & plans about pain control!  That is such a shame you're in awful pain, sad believe me I know. sad Have you thought of anything yet?  Discussed anything yet with your primary M.D.?

Are you able to take a Tylenol along w/ the Celebrex?

The Cox2's & NSAIDs (NSAIDs like ibuprofen, Advil & Aleve) will help with RA joint pain, inflammation and that throbbing & stiffness.  Tylenol and Percogesic (percogesic is hard to find in drugstores) will help with the overall pain, muscle pain & every other discomfort that comes along w/chronic pain.  A combination of a Cox2 (or NSAID) and Tylenol with a "buffer" (such as taking the NSAID with a full meal) if you're prone to or have ulcers or IBD (talk with your doc about taking PPI's) take an OTC Prilosec or proton pump inhibitor to protect your stomach & GI system.

What is your doseage of Celebrex? and Methotrexate?  How long have you been on these?

I can suggest the following:

  • Prednisone. It will help get you or start to get you out of an acute flare and help with severe joint pain.
  • Asking about increasing the dose of Celebrex or adding an NSAID to it.
  • Adjunctive pain management with an opioid such as Darvocet or even a long acting, slow release morphine like Avinza.
  • LidoDerm patches for topical application on joints.
  • Humira or Enbrel is more effective when taken with MTX!!!  Ask about them.
  • Using ice for throbbing knees and elbows & shoulders at the end of the day helps.
  • Keeping legs elevated at the end of the day while resting will promote lower extremity venous blood return and help ease the pain of inflammation around the veins (a problem w/ RA).
  • Write down & show what precipitates the pain, makes it worse, relieves it, and what extent it is impairing/interfering with your life.

Andrea, I FEEL YOUR PAIN!! I do. And it's awful I know. So REST REST REST as much as possible this weekend...it's crucial to have adequate recuperation time.

How soon will it be till you see your new rheummy?

Sincerely & best wishes.  :-) erin



Active/Severe Rheumatory Arthritis. Crohns. AS. Chiari Malformation & Right Brain venous anomoly. Partial complex seizures. Emphysema. Rheumatic Lung & Heart. MVP and Tricuspid prolapse. Had Lymes disease for 10 years.
Meds: Humira 40mg Q 4 days; Prednisone 20mg; Pentasa 4G daily; Imuran 50mg; Dilaudid 4mg; Diazepam 5mg; Avinza 60mg; Reglan; Antivert 25mg tid; LidoDerm; MiraLax & too many others.

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