Tomorrow I will have my 5th injection of Enbrel. I take this with Celebrex, which I don't feel is helpful. I was less than a month into a brand new job when I experienced my first flare. It was pure hell. I couldn't call in sick, take time off work or tell anyone I felt like the life was being sucked out of me all while experiencing inescapable pain. In hindsight, I now see that I literally muscled my way through a flare not knowing what it was. After about 2 weeks on Enbrel, the fog lifted and I experienced significant pain relief, but I feel like I might have hit a wall in terms of progress. Today, the pain was so bad I was in tears, again-- the pain still wakes me up at night, I cannot do simple things like squeeze a sponge, lift a mug, cover myself with a sheet, etc without significant pain. I am tough, but I have my limits. I am curious to know what is a reasonable amount of pain to endure. I am not one to cry, and to be reduced to tears because of the burden imposed on me from inescapable pain is highly unusual. Am I supposed to just deal with this and get used to it...is this life with RA, or can I anticipate a life w/o pain once I find the appropriate treatment? What are some pain management suggestions. I find myself clinging onto, or resting my hands on anything that is the slightest bit cold, and I hate the cold. I despise narcotics, but are these effective in treating pain associated w/RA?