Lupus pain

Posted by terriann @twinkie23, Oct 23, 2023

I am struggling with the pain of SLE. I was diagnosed officially in 1999 and have tried numerous treatments with varying success but the pain has been more severe lately. I am currently being treated with Leflunomide, Hydroxychloroquine, Azathioprine and Tramadol for pain. I know how to soothe my pain with heat, topicals and rest, but it’s taking more of this to manage the daily aching in my body. I feel like I’m losing a battle, losing my strength and losing my creativity which is what makes me, me. Thank you for letting me voice my complaints. I rarely tell anyone how bad I feel. What’s the point?

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Brain freeze headaches and I felt like bugs were crawling on my face. I had to stop the Plaquinel. I use Restasis for dry eye twice a day and Systane Complete. I also had punctum plugs put in by the doctor back in May and they have been a life saver. I hope this helps. Blessings...

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@twinkie23

I’ve dealt with pain throughout my illness but it seems to be less tolerable lately. I don’t know that the pain is increasing or the frequency is increasing but I don’t seem to be able to deal with it as well as I used to. My Rheumatologist told me not to be afraid to treat the pain. But, by treating the pain by taking meds, it seems to me that I’m accepting it instead of trying to fight or ignore the pain. Does that make sense?

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Hi @twinkle23
I was diagnosed with MCTD back in 2002. I used to be in a lot of pain in those days. Dr started me on Hydroxychloroquine. Because I had Scaladerma more so than Lupus, they had me on an infusion called Cytotoxic (I could be spelling it wrong) Got a reaction from it so they then put me on Rituxin which I have now stopped this year as it is giving me too many upper respiratory infections.
What I will tell you is that once I quit working thus lowering my stress and starting warm water therapy at a local gym did wonders to my pain. These days I hardly have Lupus flair ups. And please talk about your pain with other people. It really helps! I hope you find a medicine that works for you. Maybe time to change your Dr? I am lucky I have a Dr who is great and open to receiving emails from me 24/7. Praying for you. 🙏

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@dee5

Hi @twinkle23
I was diagnosed with MCTD back in 2002. I used to be in a lot of pain in those days. Dr started me on Hydroxychloroquine. Because I had Scaladerma more so than Lupus, they had me on an infusion called Cytotoxic (I could be spelling it wrong) Got a reaction from it so they then put me on Rituxin which I have now stopped this year as it is giving me too many upper respiratory infections.
What I will tell you is that once I quit working thus lowering my stress and starting warm water therapy at a local gym did wonders to my pain. These days I hardly have Lupus flair ups. And please talk about your pain with other people. It really helps! I hope you find a medicine that works for you. Maybe time to change your Dr? I am lucky I have a Dr who is great and open to receiving emails from me 24/7. Praying for you. 🙏

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I’m familiar with Cytoxin and Rituxin. What will you replace them with? Is your scleroderma controlled now? I was treated with Benlysta for five years but kept having infusion reactions so was taken off it. I was then prescribed Methotrexate which gave me sores in my mouth and nose. It’s been quite a ride. I love my doctor so won’t be changing him, just meds. I may suggest the injectible form of Benlysta. I felt the best when I was on that, minus the infusion reactions.

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@twinkie23

I’m familiar with Cytoxin and Rituxin. What will you replace them with? Is your scleroderma controlled now? I was treated with Benlysta for five years but kept having infusion reactions so was taken off it. I was then prescribed Methotrexate which gave me sores in my mouth and nose. It’s been quite a ride. I love my doctor so won’t be changing him, just meds. I may suggest the injectible form of Benlysta. I felt the best when I was on that, minus the infusion reactions.

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Hi
I will probably replace with tocilizumab (Actemra).I had Methotrexate lung when I took Methotrexate, so can’t take that. For lupus I am also on leflumide (Arava). It’s hard to tell if scleroderma is under control because it’s internal. It’s mostly effecting my lungs. What is Benlysta for?

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Benlysta is a biologic for SLE without kidney involvement. It’s now available in a self injection but when I took it, only by infusion. You said your scleroderma is internal. How did they diagnose it? I thought it affected the skin.

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@twinkie23

Benlysta is a biologic for SLE without kidney involvement. It’s now available in a self injection but when I took it, only by infusion. You said your scleroderma is internal. How did they diagnose it? I thought it affected the skin.

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It is a skin hardening disease. I have a lot of scarring on my lungs. It sounds like crackling of glass. They do Chest Ctscan to monitor the lungs. My esophagus is involved also. I have an appointment with the rheumatologist. Need to discuss a lot of things. Coming to an end of 2 years of using Tymlos for my osteoporosis. Not taking Rituxin for lungs so need to discuss replacement. It’s never ending. Lol

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@dee5

It is a skin hardening disease. I have a lot of scarring on my lungs. It sounds like crackling of glass. They do Chest Ctscan to monitor the lungs. My esophagus is involved also. I have an appointment with the rheumatologist. Need to discuss a lot of things. Coming to an end of 2 years of using Tymlos for my osteoporosis. Not taking Rituxin for lungs so need to discuss replacement. It’s never ending. Lol

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I’m giving you a big hug 🫂. I have an idea how hard it must be. You are in my prayers.
I’m interested in what you’ve experienced with osteoporosis. Last dexa, 2 years ago, I was diagnosed. I’m not happy with taking a drug that increases my bone because my spine xray shows bone spurs from my c-2 to s-2.

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@twinkie23

Thank you so much for your thoughtful reply. A massage sounds wonderful but I’m concerned that the pressure may cause pain itself. I have tried soaking in my jacuzzi tub and it brings relief although it’s been a struggle lately getting in and out. I use Voltaren gel on my hands and it is nice for a little bit. Today I woke up with painful spasms in my legs. I put my heating pad under my calves and wrapped up in a blanket, took a Tramadol and waited for it to kick in. I thank God for my sweet husband and the things that bring a little bit of relief.

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I hear you about the massage. I think it still helps, but it's no longer a pleasant experience. It hurts. 😔

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Hi, I had 4 episodes of ITP which “can possibly” be a precursor to SLE; however no Dx for that, yet. Hopefully never. But I do have 2 knee replacements, enthesitis in foot joints (fusion recommended), body aches & stiffness, low back pain with 3 episodes of Myofascial P.T. I get some relief from water exercise classes & the hot tub next to the pool; but I have to be consistent. Also, I’ve tried Feldenkrais exercises in the past (can see on you-tube) for Neuroplasticity connection, nerves to brain; they are small & gentle movements. I used to do Pilates but got too stiff. Maybe if I go to more water classes, got lazy over the holidays & family issues. Good luck!

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