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Always another pain!

I was diagnosed with psoriatic arthritis about a year ago and I am taking methotrexate which mostly controls my worst symptoms of hand stiffness, swelling and joint pain. But I am sick of always having something that hurts me and there doesn’t appear to be any rhyme or reason to it. It doesn’t always even seem to be the joints themselves but more the muscles around them. I can be fine and then I will get pain in my upper arm so if I try and take my top off or reach backwards, I struggle, like I’ve pulled a muscle. I can be fine all day then get home and find I get pain all in the side of one foot. The latest is my knee with pain on straightening. Sometimes these things are short lived for a day but sometimes for longer. Does anyone else suffer with this? There often doesn’t appear to be any visible inflammation or swelling so it’s so frustrating because no one can see what I’m talking about. I also feel like I’m going crazy because it’s random, differing body parts. Any advice is welcome, please.

  1. Welcome to our community. I am glad that you have gotten a diagnosis so that you know what you are dealing with and that you have managed to get some relief from the methotrexate. Some of our community members find relief through a combination of medications or treatments. Is this something that is an option for you? inflammation is a funny thing and has often shown up in places where I never expected it to.

    What you are experiencing is something I go through from time to time, too. The pain is random and cannot always be pinpointed from day to day.

    Having a great pain management doctor makes a huge difference. Is this something that you have tried?

    - Clair ( Team Member)

    1. Hi , I can certainly relate and I know that I'm not alone in this. This pain that jumps around the body for seemingly no rhyme or reason can be so draining. I believe someone here referred to it as "migrating pain", which I feel makes a lot of sense. Your description of the pain reminded me of how described her enthesitis in the following article: https://psoriatic-arthritis.com/living/enthesitis Have you ever been told that you get enthesitis with your PsA? I wonder if that may be worth asking your doctor about if not. I believe there's a physical assessment that can be done, and I also had an MRI which showed enthesitis. Is there anything that helps you cope with this pain and discomfort? I find ice really helpful, although I know others prefer heat. I'm also on methotrexate and it does help, but it's still a struggle at times. Hoping you can find the relief you deserve. Gentle hugs! -Catherine, Community Moderator

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