Evening joint pain | Arthritis Information

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I was wondering how many of you experience joint pain that seems to get progressively worse through out the day? This is what is happening to me. Last night was the worst! I am taking 10mg Pred/400mg Plaq/7.5-15mg Meloxicam and it did not seem to be doing anything. It kept me up for the most part last night. I finally went to the couch around 3am as to not wake my husband.

Also, the skin on my feet & hands turn red, but where my joints are, are white. As if I had a death grip on something. Does anyone else experience this?

Lisa...for me I find the morning the most paintful.

Then I take my 5 mg of Pred and 800 mg of IBP then I start to feel better.  By the middle of the day I start to get that tired feeling...and by the evening all my Pred has worn off and I take another 800 mg of IBP.  I generally wake up in the middle of the night because of pain in my joints.  It's sort of my routine lately...

Lisa I also get progressively worse throughout the day and am down for the evenings.  That is more the course for the Psoriatic Arthritis I have and I had the arthritis part first and only now after over 2 yrs I am seeing skin involvement.

I do suffer in the evenings as well especially if it's been a busy day. If I've been on my feet alot I hurt by the evening. Mornings are rough as well right after I get up.....but that's not as bad as it was in years past.

I think a lot of the way you feel in the eveings is going to depend on what you did during the day. If I've been really busy.....or done a lot of standing or lifting type things I feel horrible in the evenings.

I don't know what Meloxicam is Lisa. Is that an antinflammatory? I'll go look it up. Maybe you could add something stronger for pain in the evenings. That's what I do. I take Tramadol & Muscle relaxers in the evenings when I'm not feeling good. I don't take them during the day when I'm working....but they do help at night and also help me sleep more comfortable.

Yep; I was right. Meloxicam is a non steriod anti-inflammatory. Lisa~I think you could definately ask for something stronger for pain just to use at night.

When do you take your meds?

I'm the same - stiff in mornings that turn to pain and achy not wanting to do anything at night. I think it is becuase I am go-go all day and as soon as I stop all the pain settles in and I'm finished for the night....

Lisa, I have posted as follows:

"What type of pain?

As far as I could remember there were many types of pain at different time and at different part of the body.

Pain at joints usually swollen joints the skin could be tense, red intitially then turned to bluish black. Pain stayed at joints in the day if not purturbed but once in the night and early hours in the morning the pain might be continuous with excruciating pain.

Pain at soft tissue hind of knee cap. This type of pain was unbearable as it touched the heart and sent to the brain.

Pain when tendons were pulling/muscle spasm that was the time held on the leg to prevent any movement with mouth openned, eyes closed and murmured ow............... for minutes.

Pain at shoulder's joints that radiated to the neck or chest that radiated to the heart.

Pain at any part of the body with slight movement that radiated. It just tensed up and needed to stayed still completely.

When bedridden slight movement of any part of body by turning right or left might trigger pain.

What type of pain have you got?"

Pain varies according to condition and severity.

 

I'm achy and stiff in the mornings but meds have helped a great deal with that.  By late evening I'm down and not ready to walk anywhere.  Last night I did some gardening around 8:00 p.m. and carried a few bags of craft supplies into the house and I collapsed.  Every evening is the same.  This is the only constant that I have with RA/PA - bad evening pain.  Once I lay down and go to sleep I'm fine.  I know this but I had to start an evening garden.  Why?  Maybe to torture myself.  It's all while flowers and will  be beautiful in the moonlight. Might be worth the pain.

My pain is worse in the evening too. The more I use my hands during the day, the worse it is at night. And when my 1yr old is up several times during the night and I try holding her....it gets really bad. Same with my feet/ankles....the more I'm on them, the worse they are towards evening.

Mornings are pretty good for me, a little stifness in my hands/fingers, but not too bad.

I did attempt to go walking last night...but by the time I got the baby ready, got her stroller out---I was pooped. Weird night. Good thing I didn't go though- I ended up taking my husband to the emergency room...still not positive what's all wrong. Chest x-rays indicate pneumonia...but they also found bilirubin in his blood and urine. Not really sure what that's all about...they also did an ultrasound of his gall bladder and liver this morning. Waiting on those results yet.....

(sorry...got off topic there)

I hope your huby is feeling better soon! Did they admit him or send him on home? Hugs to your familyMy pain is always worse towards the late afternoon and really bad in the evenings as well. OH, thanks.

 

My palms are very red. its weird. my  RD said its  typical with RA.

 

Hi, I don't have pain anymore (need to chg my name), but I did get stiff, swollen joints in my fingers when I went back down from 10mgs of Pred. to 7.5 then 5mgs! Maybe 10mgs of pred would help you.  I'm taking metho/remicade, also. love, sarah [QUOTE=Lovie]

I do suffer in the evenings as well especially if it's been a busy day. If I've been on my feet alot I hurt by the evening. Mornings are rough as well right after I get up.....but that's not as bad as it was in years past.

I think a lot of the way you feel in the eveings is going to depend on what you did during the day. If I've been really busy.....or done a lot of standing or lifting type things I feel horrible in the evenings.

I don't know what Meloxicam is Lisa. Is that an antinflammatory? I'll go look it up. Maybe you could add something stronger for pain in the evenings. That's what I do. I take Tramadol & Muscle relaxers in the evenings when I'm not feeling good. I don't take them during the day when I'm working....but they do help at night and also help me sleep more comfortable.

[/QUOTE]

I have some Tramadol my PCP gave me. Should I take it instaed of the Meloxicam?

Blessed39212.5330902778 [QUOTE=buckeye]

When do you take your meds?

[/QUOTE]

I take 10mg Pred and 200 Plaq in the moring. Then 60mg Cymbalta, 1mg Estradol, 7.5-15mg Mex and 200 Plaq in the evening. RD told me to take Pred in the morning, and anti-infammatory in the evening.
[QUOTE=LinB]I'm achy and stiff in the mornings but meds have helped a great deal with that.  By late evening I'm down and not ready to walk anywhere.  Last night I did some gardening around 8:00 p.m. and carried a few bags of craft supplies into the house and I collapsed.  Every evening is the same.  This is the only constant that I have with RA/PA - bad evening pain.  Once I lay down and go to sleep I'm fine.  I know this but I had to start an evening garden.  Why?  Maybe to torture myself.  It's all while flowers and will  be beautiful in the moonlight. Might be worth the pain.[/QUOTE]

Ooh...a night garden sounds really cool! I'm sorry you have to pay to enjoy it.

I love yard work and gardening. My husband and I tore out old bushes last week end and are plating new ones this weekend. He said I'd better get the yard like I want it incase I'm unable to down the road. I will really miss it...it's such great theropy!

I love to Garden also....and it's worth the pain it causes. I hate to think of a day that I won't be able to do it at all.

Lisa; I wouldn't take it instead of the Meloxicam; but you might not want to take them at the same time. I'm not sure. Let me poke around and see if their safe to take together. It would be best to consult your doctor, but if the same doctor prescribed them I doubt it's going to be a problem. Another option is to ask your pharmacist. Their always a wealth of knowledge when it comes to meds.

[QUOTE=amylynn]

My pain is worse in the evening too. The more I use my hands during the day, the worse it is at night. And when my 1yr old is up several times during the night and I try holding her....it gets really bad. Same with my feet/ankles....the more I'm on them, the worse they are towards evening.

Mornings are pretty good for me, a little stifness in my hands/fingers, but not too bad.

I did attempt to go walking last night...but by the time I got the baby ready, got her stroller out---I was pooped. Weird night. Good thing I didn't go though- I ended up taking my husband to the emergency room...still not positive what's all wrong. Chest x-rays indicate pneumonia...but they also found bilirubin in his blood and urine. Not really sure what that's all about...they also did an ultrasound of his gall bladder and liver this morning. Waiting on those results yet.....

(sorry...got off topic there)

[/QUOTE]

Boy howdy, Amylynn...your symptoms sound just like mine. I have an almost 3 yr old who comes and crawls into bed with momma and daddy in the wee hours of the morning half the time.

I'm sorry your husband feeling bad. He will be in my prayers. Please keep us posted on his condition.

Lisa~ I checked it at this drug interaction website: http://www.drugdigest.org/DD/Interaction/ChooseDrugs/1,4109, ,00.html

It doesn't show any interactions between those two medications so I think you'll be fine. But I'd be more comfortable if you call your pharmacist and double checked.

[QUOTE=kathy_in_wlsv]

worse  at night..  I'm stiff in the am  but by 8 pm  I cant walk, or sit or lie down .. many nights Iwake myself up crying in pain.

 

My palms are very red. its weird. my  RD said its  typical with RA.

 

[/QUOTE]

Me too...Even though I am stiff in the mornings, my afternoons and evenings are far worse! I thought from reading that most w/ RA had there discomforts in the am. Not that I want anyone to suffer, but I am sure glad I'm not the only one having these problems. For awhile I thought I was going to be in my own little world. I'm so sorry that it hurts so bad that it wakes you to cry.
Blessed39212.7089467593 [QUOTE=micheleb]My pain is always worse towards the late afternoon and really bad in the evenings as well. [/QUOTE]

What meds do you take in the evenings for the pain?
[QUOTE=hurts]Hi, I don't have pain anymore (need to chg my name), but I did get stiff, swollen joints in my fingers when I went back down from 10mgs of Pred. to 7.5 then 5mgs! Maybe 10mgs of pred would help you.  I'm taking metho/remicade, also. love, sarah[/QUOTE]

Rd has me take 10mg Pred in am and 7.5-15 anti-infammatory in pm.
I take oxycontin 20 mg (timed release form of oxycodone) twice a day and have oxyIR (immediate release oxycodone) if I need for the break though pain.  These are VERY strong and addictive medications though and are considered only after things like darvocet, ultram and vicodin have been tried.

If your pain is pretty much constant, ask your doctor about putting on you a maintenance dose of something.  Taking pain medication around the clock helps much more to relieve pain than trying to get it under control once it gets bad!

I also use a lot of the lidoderm patches and even the icy hot patches help!  Alternate heat and ice, the heat feels better but makes me swell, the ice helps to take the swelling out.  I use splints and compression socks as well.  I keep my feet elevated as soon as I get home to keep some of the swelling down also.  I would LOVE a hot tub or even a nice large bath tub but I just can not afford it!
Lisa, I only get joint pain in the evening. After dinner, I will sit down, and
both ankles will throb or my wrists will throb. But never at night or during
the day. I thought it was strange. The throbbing does not last but less than
an hour, then it is gone. My RD had no explanation for this.
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