Pain following a pattern: Good Morning... - Action on Pain

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Pain following a pattern


Good Morning Everyone

I have a bit of a puzzle that I hope someone will be able to help with. I have Rheumatoid Arthritis, Osteoporosis of the spine and hips, Osteoarthritis of the spine,hips and pelvis and a slight bulging disc. I am on 20mg Zomorph twice a day, 400mg Ibuprofen 3 times as day, 500mg Paracetamol 3 times a day and 5mg Prednisolone twice a day. The thing that's puzzling me is that the pain seems to be following a pattern over 3 week periods. Week 1: Pain is excrutiating, can hardly walk or stand and meds don't touch it. Week 2: pain still bad but meds taking the edge off it. Week 3: first 3 days pain is bearable and can cut down Ibuprofen and Paracetamol to one dose a day. Day 4: Pain starts to get worse again. Day 5: I am in complete agony again. I have spoken to my GP and he is as puzzled as I am. I can tell you to the day when the pain is going to become unbearable. It seems as though I am only ever going to get 3 relatively pain free days every 3 weeks and actually start to feel normal!

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2 Replies

Rheumatoid arthritis is an autoimmune disorder. As such, it follows a flare/no flare pattern.

If I may make a suggestion, I would do research online about foods and things like perfume and other chemicals that could make your flares worse ( or better.)

I would also ask about changing your ibuprofen to another NSAID, as it can aggravate any cardiac condition you may have.

Here’s an article that explains NSAIDs in more detail:

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