Hi, ! If there's ever a time to not put on a brave face, it's at your doctor's appointment! I would definitely write down (if you have time tonight or tomorrow morning) any episodes of pain you have experienced since your last appointment. If you're thinking, "Well, I would be writing for hours!" Then that tells you something. If you experience pain almost every day (as you mentioned), that's something your doctor should know. And when it comes to RA, I know it can be hard to decide if a medication is working or not, as it seems some level of pain is pretty normal when you have this condition. I guess if you can see a trend of pain worsening or if you are adding more body parts to the "what hurts today" list, then that's something to take note of.
People with RA have notoriously high pain thresholds, so asking them about pain can be kind of misleading. Your idea of "just a little pain" may be someone else's idea of "excruciating levels of discomfort". So, if you have time to really think back over the past six months or year and really try to note some of your highs and lows, that might help you be prepared to answer your physician's questions.
Don't be afraid to tell him that you're hurting. We know how tough people with RA truly are. It's okay to say once in awhile, "You know what? This sucks and I hurt and I am tired of hurting."
Your physician may not have all the answers to magically take your pain away, but he may be able to offer some suggestions for changes in treatment.
Good luck! I hope your appointment is fruitful and that your doctor isn't running behind (I hate waiting extra long in the doctor's office 😉 ).
Best, Erin, RheumatoidArthritis.net Team Member.