Hello Sonnysmom18,
I have had numerous surgeries over the years since my RA diagnosis. Many of these have required that I stopped RA medications before and stay off of them after surgery. These surgeries include an extensive spinal surgery in 2020.
So let em try to answer your questions:
square 1: No. I always feel pretty bad, but I never go back to square 1. i always am glad to get my RA medications back, but I am never back to square 1.
controlled inflammation/pain: I will not lie, I always feel tough until i get 'my life back'. I am usually slower, I hurt more, I am more stiff and yes my pain goes up a lot. But the good news is that I know there are ways to put that mean genie back in the bottle. I always feel better when I do get back to them.
ramp back up: I have never had too. I have always restarted where I left off. However that is a question only your docotr can answer. Each person and each situation is different. But as I say I have been able to simply restart.
surgery pain: I have never felt it was worse. Instead it is concurrent. Meaning the RA and surgical pain just happen at the same time. Not worse. I tend to treat surgical pain for a short period until I get it under control and then I notice the RA pain. I always say I notice what is worse at the moment. After a surgery it is usually surgical for a few days then I start to notice the RA pain. for the most part it is the same treatment so suppressing one is no different than the other.
I seldom use opioids for any pain since i dislike it so much. However, if you wish to reach out to me feel free to do so. I will be happy to answer questions.
rick - moderator