Greetings, I'm new here. 😀 I manage joint pain okay with diet and exercise so far with tramadol at night or if I am super sore from being especially active that day, like yard work, house work etc. I basically live with it as is. What works best is swimming. But . . The biggest problem with RA is the fatigue and low energy indurance AND if I get too run down from doing basically what would be normal, I am down for days. If there is the slightest invasion of; wheather change, too much company, emotional conflict, allergies etc. I'm wiped out, sometimes for 3 day's. I don't get it !!! Pisses me off ha. Help !!