Hi all, I started Methotrexate injections about 6 weeks ago after failing to respond to the tablets and not qualifying for biologics. I get a severe headache shortly after injecting but have been lucky enough not to feel sick anymore like in the first few weeks. Anyway I've been having increasing trouble sleeping, I've suffered from insomnia before my RA diagnosis but its becoming unbearable and unlike in the past I am also waking up really early so I was wondering if anyone on methotrexate injections had experienced the same and if its something that improved overtime like the nausea did?
Since I stopped my steroids in February (to try and raise my ESR and qualify for biologics - which hasn't worked) the pain in both of my knees has increased to the point that I am really struggling, it was so bad last night I couldn't sleep until after 4am only to wake up after 5am and had to take tramadol which isn't a long term solution. My physio for my shoulder pain won't treat my knees because I'm only referred for my shoulders. What do other people with knee pain do, is heat or cold better, does exercise make it better or worse, do knee supports make a difference?? I have contacted my rheumatology team but am not seeing them for a couple of weeks and they advised me to stay off steroids so we have a true reflection of my disease activity even though since diagnosis a year ago steroids are the only thing to have helped my pain. Its all getting me down a bit at the moment.
Any advice would be appreciated. Thank you x