Joint pain

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My rheumatologist and I believe I have Sjogren's syndrome. I had a test blood test several months ago that was negative, but I understand that having a negative blood test does not mean you don't have it. So in a couple of weeks I'm having my lip biopsied.

For many years I've had dry mouth and dry eyes and never knew there was a disease that had these two problems until somebody on one of my groups on social media said something to me. Well now I also have joint pain. And the joint pain gets worse and better depending on the day. Today very bad. My question that I want to ask you is do you take anything for the joint pain that works? The reason this is a question is because I have chronic pain from a lower back injury and I take opiates for it on a regular basis so I'm really surprised my joints hurt as much as they do. But I have another disease called polymyalgia rheumatica and it's pain does not respond to pain meds so I thought maybe it was like that with Sjogren's.

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11 Replies

  • Posted

    I was having this conversation with the clinical nurse specialist at my jospital unit yesterday. We have chatted before amkoffee. I had dreadful pain in my feet also sometimes in knee joints ankle and hands. Hydroxychlorequine has worked wonders and is often prescribed for this kind of joint pain.

    I often don't tolerate certain drugs. Codeine is an absolute no no for me. Because of stomach issues drugs are often problematic. Others just don't work. Your problems could be compounded though if you are over medicated. There may be interactions between hydroxychlorequine and other meds. But do ask as it has been amazing for me. I was beginning to really struggle with walking my feet were so bad and this has taken a lot of the pain away.

  • Posted

    My pain was exactly as you describe. I could not flex my ankles in the morning and had to walk on tiptoes on getting up in the morning. I also invested in a feather mattress topper because the pain in my knees at night made sleeping impossible without this soft support. I was put on hydroxychloroquine and the pain in my feet, hands, knees and shoulders is now a thing of the past I am delighted to say. I also have erosive arthritis and it has helped those joints but not my back for some strange reason.
    • Posted

      So glad they hydrocychloroquine worked for you too. The relief has been spectacular. I also agree with you wholeheartedly about the mattress. I invested in a good box sprung bed and it has helped ease pain in my joints. Think sometimes people underestimate the importance of this. 
    • Posted

      How long did it take for the hydrochlorequine to start working on your joint pain?
    • Posted

      It was a matter of a couple of weeks for me which I found truly remarkable! I hope it works as well for you too.
  • Posted

    Thank you to both of you for taking the time to answer my question. I was on hydroxychlorequine for several months and didn't think I was getting any pain relief from it so with my rheumatologist approval I stop taking it. Now that I have this joint pain I'm wondering if it was doing that good a job and that's why I now have joint pain whereas before I didn't. I did not have the joint pain when I started the hydroxychlorequine so I suspect that the joint pain may have started while I was on the drug and I didn't know it because I was on the medicine.

    Last night I looked up a drug I'm on called Gabapentin. I started it when I stopped the hydroxychlorequine. Well it turns out that one of Gabapentin side-effects is joint pain. I didn't really want to be on this drug anyway but she asked two different occasions and I agreed to it the second time she asked. So I'm going to ask this morning if I can just get off of it and then I'll see what happens with my joint pain. And we both agreed and I can start back on the hydroxychlorequine after I had an MRI of my hands. And that's scheduled for tomorrow.

    • Posted

      Great. Yes I didn't get on with gabapentin either. Some of these drugs cause as many issues I think. They love to give them out though. Not sure why.

  • Posted

    I think most doctors give out drugs because they don’t know what else to do for us. No real treatment for Sjögrens so they give out pills that may help but most likely won’t help. It’s a guessing game for them too. Maybe someday they’ll come up with a cure but until then we just take something hoping for relief.  I’ve tried gabapentin etc etc. had this for over 20 years. Now on azathioprine to calm the immune system and amitripyline at night to help with nerve pain and sleep. Both seem to help. I’ve been on them both for 5 years and my small fiber neuropathy doesn’t seem worse. 

    Have severe arthritis in both thumbs so dealing with that with cortisone shots and next year will have surgery which the doctor says is very successful for the majority. 

    Hope all of you get some relief from your pain. 😥

  • Posted

    I have tons of joint pain, some of which responds to ultram/tramadol and some of which does not. I can't tolerate any stronger Rx pain med tgan ultram on a regular basis, and I use as little of it as possible.

    One of the things it doesn't touch is arthritis in the C-spine. Fortunately I can control that by alternating Tylenol AS with 600 mg. Ibuprofen. I take 1 or 2 of the Tylenol AS first thing in the morning, ibuprofen 7 or 8 hours later, 1 or 2 Tylenol AS 7-8 hours later, and 400-600mg ibuprofen with my sleeping pill. This particular pain has to be treated prophylactically because otherwise I get into a pain deficit cycle that's hard to break. Physical therapy helps a lot on my neck pain.

    As to my shoulder, it responds only to Chinese pain patches, acupuncture and the Ultram; PT only aggravates pain in this joint. No one can explain why the different meds work or don't work on certain joints. I am glad that the Ultram doesn't work on the neck as I prefer being able to keep it in reserve, PRN.

    Good luck. Joint pain stinks and I hope you find something that helps you.

    I am considering the plaquenil.

    • Posted

      Unfortunately I can no longer take Tylenol and I have never been able to take Ibuprofen. I have had high liver enzymes in the recent past and so I had to stop taking anything that affects the liver. That included my Percocet but fortunately they sell the oxycodone without the Tylenol in the strength I need.

      I also have new information since I posted this question. I found out Friday that I have rheumatoid arthritis which of course explains my joint pain. So I'm meeting with my rheumatologist on Tuesday and we will go over how to treat my RA and we also have to rule out lupus just to satisfy Medicare. So if Medicare wants to spend money to rule out lupus just so they can turn around and spend more of their money on an RA treatment. I'm just hopeful that my rheumatologist can find a biologic that I can take that won't hurt my liver.

      I am still going to have my lip biopsied for Sjogren's syndrome. But that's not for 2 weeks.

    • Posted

      Yes, the liver/Tylenol and kidney/ibuprofen problems, not to mention digestive tract issues, rashes, etc., are huge. I literally pray that my liver gets no worse.

      An RA diagnosis makes sense. I hope they can help you.

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