When Your RA Flares, What Do You Do?

As a freelance writer and professional musician, I use my hands a lot; I mean really a lot! It is not uncommon to be keyboarding away for hours on end.

Normally this isn’t an issue. My rheumatoid arthritis has basically been in remission since I began using my current biologic and disease-modifying anti-rheumatic drugs. I am very fortunate.

Aside from the occasional stiff wrist, ankle, toes, or shoulder, I haven’t experienced much disruption in my daily routine from RA. I certainly haven’t experienced any pain that approaches the excruciating horrors that plagued me prior to diagnosis. For that, I am thankful.

But lately, something is going on. A few days ago, I thought that I had been typing too much, causing some pain and stiffness in my left hand, particularly in the metacarpophalangeal (knuckle) and proximal interphalangeal (mid-finger) joints of my 4th and 5th fingers.

Day 1
I tried to rest my hand and allow the pain to dissipate. But after letting my hand rest in a partially closed position, the joints would hurt even more. So I tried to rest my hand in a flat, relaxed position. This was hard to maintain because it meant I needed to basically stop using my hand entirely.

Day 2
I finally broke down and dug though my “prescription drawer” to find an old bottle of naproxen. I took a pill and a few hours later it seemed like my hand might be feeling better. But I’m aware that some doctors recommend avoiding NSAIDs (non-steroidal anti-inflammatory drugs) when you take methotrexate, which I do. So I was reluctant to take too much.

Day 3
After thinking that overuse may be the cause of my pain, I realize on day 3 that perhaps something more is going on. Grrrr. I can still feel the pain. Maybe my body is reacting to the bag of Twizzlers that I indulged in? I’ve been craving a jelly donut like crazy lately, but I haven’t had one so I can’t really blame any baked goods for my troubles. (Bakery cookies are the worst. I am sure to swell and become stiff after having a few of those.)

Day 4
I really should think about getting an ice bag out of the freezer and using it on my knuckles; maybe that will feel good. Or, perhaps soaking my hand in some warm water will be soothing. I take some more naproxen and notice that my arm is feeling a little numb. The numbness is left over from nerve damage caused by the MS. It’s a sign that there is inflammation messing with my body.

Day 5
This is so unusual, I think to myself. It has been so very long since I’ve experienced an honest-to-goodness RA flare-up (not caused by food reactions or overuse) that it is difficult to admit to myself that a flare-up is probably exactly what’s going on. Dang. My wrist has also begun to “click” and my elbow is just a bit more noticeable than usual.

Since I’ve responded beautifully to my current RA treatments for so many years, I don’t plan to entertain the thought of switching. But this constant pain and discomfort causes me to ponder a few questions:

  • Are my RA treatments starting to lose their effectiveness?
  • Did I do anything to cause this flare-up?
  • Should I call my rheumatologist? What would she suggest that I don’t already know to try?
  • Why don’t you actually do some of the things you know to try, Lisa? Get on with it.

I basically know what I should do, but somehow having the knowledge doesn’t always translate into immediate action. I suppose that I should decide what my plan of action will be if I’m still experiencing increased pain, interfering with my ability to use my hands, by the end of the week.

I would feel silly, however, if I called the doctor then everything was back to normal by the time I got to see her. But I suppose that it is important to have this episode, especially if it continues, documented in my record. If the pain gets worse, I will definitely call, but fortunately it is still at a tolerable level right now.

I guess I’m opting to stay in a holding pattern for now. Wait and see. In the meantime, my husband is taking care of a few more things around the house for me. For that, I am also very grateful.

What do you do when a minor flare-up emerges, especially if you’ve been in remission for quite some time? Please share your experience; your story will help others dealing with the effects of RA.

 

This article represents the opinions, thoughts, and experiences of the author; none of this content has been paid for by any advertiser. The RheumatoidArthritis.net team does not recommend or endorse any products or treatments discussed herein. Learn more about how we maintain editorial integrity here.

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