I was diagnosed with RA years ago when a sudden flare up left me unable to walk within the space of just a few hours. For a long time I only took hydroxychloroquine, and apart from fatigue I did fairly well without pain relief. In July I had a big flare up, I had been having increasing pain over several months I had a steroid jab and started on 15mg of methotrexate (plus folic acid). I Had three fabulous weeks with hardly any pain , until steroid wore off and now I'm in so much pain in wrists, thumbs, hips, feet and ankles. My question is, do most of you take regular pain relief, and if so, what? I'm functioning, just about, I do my full time job (very active as an early years teaching assistant,) but feel that I'm spending my evenings and weekends just trying to recover physically. Feeling really down about it all at the moment. I'm 48, and think recent increase of symptoms is related to early menopause brought about by surgery to deal with ovarian growths (no ovaries now).