Hi, ! Apologies for not seeing your post sooner. I hope, by, now, your pain is at a manageable level.
Listen. You need to do what is right for you, but people with RA are some of the toughest folks I have ever met. If you are feeling like your pain is well beyond a "10" on the pain scale, then it's probably a good idea to do what you need to get some relief. If that's going to the ED, maybe do that. Sometimes, they can give you meds that at least give your body a breather so you can think straight, regroup, and come up with a game plan. Sometimes, it doesn't go that way, but you deserve a break in the pain, either way. Whether it's temporary or not, you deserve some relief. I wish I could suggest some surefire way to send the pain packing for good, but it seems to be trial-and-error for many people. The ED may be able to give you some strong pain meds and maybe prednisone, if that's an option you want to consider. Again, I don't know this for sure and they are not long term fixes, but living in excruciating pain doesn't sound tolerable, either.
I hope you are doing a bit better now.
Gentle Hugs, Erin, Team Member.