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Conditions > Rheumatoid Arthritis > Pain and Fatigue > How To Beat Fatigue
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How To Beat Fatigue

Fatigue is a mysterious and persistent foe, but you can beat fatigue and feel more energetic than ever

Everyone gets tired. That is how the body signals it needs to rest and recharge. Overwork yourself physically and you feel it in your muscles or joints. Overwork yourself mentally and you....


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Deb
09 May 2012, 00:27
I have been suffering from crushing fatigue.
I am unable on some days even to go down my staircase to take the mail in or the garbage out. This is not Depression. I do suffer from depression but this is something different altogether. It is comforting to read everyone's comments; to know that I am not ALONE in this.
My question is this. I have not been diagnosed with R.A. but with early onset OA. Does anyone know if fatigue can be associated with O.A.?
or perhaps I need to be tested for R.A.
Any advice would be helpful. I am exhausted beyond belief.
jammies
25 Feb 2012, 00:01
I don't understand why fatigue is so badly ignored by our doctors. RA associated fatigue has pretty much stolen my life. No husband, no kids....I am too tired for all of it. And good luck asking your rheumatologist for stimulant meds of antianxiety meds - they look at you like your are a heroin addict if you even ask.

If I had to choose between getting rid of the pain or getting rid of the fatigue, I would get rid of the fatigue.

But I have made major strides in improving my energy in the last 2 year. I used to spend 16-17 hours per day in bed. Now I still struggle, but some days I feel decent.

I started a primal diet for autoimmune patients. No grains, no nightshades, no dairy, no nuts, no eggs. I mostly eat meat, veggies, and fruits. It was hard at first, but within days of starting the swelling in my joints dropped way down. I take B vitamins, good quality magnesium, and potassium (for that weird exhausted muscle feeling).

Life is still hard with RA, but I have improved immensely eating this way. I managed to get off all steroids for the first time in 4 years.

Peggy mcKinstry
17 Jan 2012, 09:50
I have lived with fatigue all of my life starting at 35 when I was first diagnosed with RA.( I am now 72) I am on all the proper medication so I "look" o.k. so I end up faking it as most people do not have a clue at to what RA is and what goes with it. I just can't say i am tired as no one will buy into that so I just keep on going whether I am tired or not..which maybe isn't all bad as it does keep me moving.
Neva Rogers
15 Nov 2011, 20:13
I have been fatigued for 15 years. I take a stimulant (looks like I'm not supposed to tell you the name) and it really helps. I was at the point with tiredness that I thought I would fall down from tiredness. I am beig helped quite a bit with this drug.

I have had OA for several decades and was very recently diagnosed with RA.
J Kelly
26 Sep 2011, 08:55
I find cycling a great exercise for RA and builds energy
Monica
16 Jul 2011, 21:23
I do not have an answer for everyone but found some solutions for myself.
First I do take B12 everyday. (sublingual) it absorbs and I take twice the dosage)

Secondly, I watch what medicines I am on and if they cause sleepiness I take them late in the day.

Next, it I get an usual sense of being tired I have learned that I have a hidden bacterial or fungal (yeast infection) that is lingering. Being on immune suppressants make us prone to infections. Even a small infection such as a yeast infection can make one very tired. I have an underlying strep infection in my female organs. When I had a pap they never did an ELISA or any other tests other than check the normal and then if I asked they would check for STDS. I have been happily married for 25 years and knew that was not the case.I told my Internal Medicine doctor and he checked and I had Strep that came back with a Pap.
If you are male, a yeast infection can be in a form of a rash or in ones mouth. This is often overlooked in males.

Lastly,if I know I have to go to several appointments and be alert I take Sudafed in the morning. It makes me alert. Caffeine works but one does get a drop later from sugars and caffeine causing afternoon sluggish feeling. I am not diabetic but I have found a few of the Glucerna bars tasty and they work to help even the blood sugar spikes that can cause fatigue also.

If one is on MTX are you taking Folic Acid. If not ask your doctor, as it is highly recommended to do so. Also, are you taking enough? Folic acid works well with B12. This may help some people. I cannot take Neuron tin or Lyrica, unless I want to be sleepy all the time.(one may need to wean off of these medicines as in some people they are addictive and the body needs to slowly have them withdrawn, this is TRUE)

There are a couple new medicines out there that work just as well and have less side effects for some people, that might be an answer for some of you.

Under-treated pain was mentioned and it is a fact. One may have to go to a Pain Clinic or Specialists for pain management. Your doctor has to deal with malpractice insurance and treating chronic pain with Opioids or other pain medicines are going to raise his rates or in some cases their policy forbids it. My Rheumatologist said he is not that knowledgeable about all the pain medicines and their are so many new ones that he recommends someone that specializes solely in knowing all about them for his patients to get the best relief for their pain and this helps one sleep and can alleviate fatigue for some of us.

Lastly, I never stop until I find a solution to my problem. I keep going and I ask a lot of questions. I also found doing a few things I enjoy with a friend helps. Getting away from thinking about my illness and doing chores. Plus, being in a clean environment is important so one does not get sick. I take wipes with me and I ask at the doctors to be seated away from those that I could get an illness from. Take back and have me wait in the room or I will even wait in the hallway but my immune system is low.

Good luck and I believe each of you deserve the best care possible.I understand that we all are dealing with something and less stress really helps.Some things we can control and other things are not easy too. But try everyday to make it a little better for yourself.
MG
07 Mar 2011, 20:17
I have fibro, full body OA, and waiting to find out which kind of inflammatory arthritis I have (appt. in 2 weeks). I had Graves disease with 2 doses of Iodine therapy when I was 24. I had a head and neck injury which resulted in me going on disability in 2005 and proceeded to develop fibro, then full body OA, and in 2010 dx based on tests with inflammatory arthritis, but with questions as to which one(s) as well as type 2 diabetes. When I go into a flare, my fatigue is horrendous. I wonder if the body fighting itself is what is making it so much worse than when it is just aggravating itself and that is the cause of the fatigue. It does not help when every time I miss church or any function that I explain my health. That alone is exhausting. Rest, vitamins, healthy eating, gentle stretching, warm baths/showers, rice bags hot/cold, and taking medications as prescribed are all that I know to do, and often that just is not enough. I wonder how much more exhaustion I can take once I am put on methotrexate and/or plaquenil??? It amazes me how many people are affected from the effects of the various arthritis' and yet so little useful information is available for us on how to live a quality life. IMO we are under treated for pain and exhaustion, even though it is well documented that chronic pain IS exhausting on the body. So why? Why do we have to lose our quality of life because the medical field is either afraid to provide pain relief or just does not recognize the need for better control of our pain? Why are we not given treatment for the whole our illnesses and only usually just for one or parts of the illnesses? Why is there no truly useful information for chronic illnesses that we all seem to need and search for? I empathize for us all and pray for advocacy for us.
Marlene
19 Feb 2011, 09:20
well again ....NO answers. I so understand all these comments. It is so hard to do that one day at a time thing. I am at a t point in my early life that I can't even make a scheduled appointment, because I do not know how I will fell the next day. It really does suck. It hurts even worse in spirit as I been a nurse and nurse educator, I have helped people all my life and I can't even get the help I need. I am so sick of trying this and that. The fatigue is awful,it is such a different tiredness/fatigue than any other I have had. I rather any day come home from work so exhausted, than have this fatigue.
Shannon
05 Feb 2011, 08:05
I am 38 years old and have had RA since I was 35. I am pretty sure I had it at least a year before my diagnosis. I, too, am dealing with the fatigue. It's so bad that I can't make it through an entire day without a nap and I sleep for about 2 to 3 hours. I have trouble sleeping at night, I constantly wake up. I mention this to my RA doctor every appointment but he just skips over what I say it seems. I am on cimzia shots every other week for the RA. So far, I haven't noticed any change in how I feel. My depression is worse with the RA, my diabetes is worse with the RA, I also have fibro! I am so tired of feeling tired. Any suggestions?
sharon d
22 Nov 2010, 19:45
I am 38 years old and have the fatigue problem also. I rarely can finish any house hold chores except maybe the dishes once a day and I wash laundry but never get to folding it and putting it up. I could lay down and sleep all day and night and never feel any relief. I had my thyroid radiated with radioactive iodine 14 years ago. The problems started within a year from that. Now I have all kinds of issues, fatigue being the worst, thin hair, cold feet, doctor says my labs are normal, I don't care about the lab, I know my body is not normal! Too late for me now. I would never recommend Radioactive Iodine to anyone. Graves disease was much better.
Lois Newman
03 Nov 2010, 20:56
I have gotten a lot of relief from the B12 shots my RA doctor gives me once a month for the extreme fatigue and grogginess.
Diana
19 Oct 2010, 15:14
I have had RA since I was 23 yrs old. Had a 3rd child to see if it helped with the RA and it did for about 7 yrs. I am now 54 yrs old and very, very, sick to myself with this constant Pain and Fatigue.....I am also very depressed at times. I do take med for depression, Its not fair why did we get this illness??? I help with my Grandkids because if it wasn't for them I would Never want to get out of bed or do anything. To top this off this yr we found out I had thyroid CA. thankgoodness it had not matascised. It was caught in time.... But still my question is WHY.....I can't keep up with my house, cooking, cleaning or myself....I just want to give up. But my Grandchildren depend on me too much I can't let them down. Does anyone have any thing besides haveing to have money to pay that can help with the
FATIGUE?????
Diana
Nazira Ali
06 Aug 2010, 06:33
I am reading all the posts so far and I do understand so much as I am going a really bad spell of serious fatigue all the time...like 24/7.
I was first diagnosed with RA almost 31 years ago in 1979 after the birth of my third child and this is the first time since then I have experienced this extreme tiredness and also always susceptible to any cold or virus going around. I have had ups and downs with severs flares and crippling excruciating pains and even had to use a walking stick at times. I am always using some brace , a neck brace nowadays.
Does anyone know if your immune system degenerates over time making you an easy target for any other illnesses.
Elsa Mullins
30 Jul 2010, 03:21
In response to Janie, yes, I have severe fatigue such that I cannot get up to even eat until around 1:00pm or so. I have juvenile RA but no one knew it, I just remember hurting. When I finished college, I always took on stressful jobs in Engineering. In 1993, I started my own company so I could work at the office or home. It's grown, and am very grateful, however 3 yrs. ago, I crashed, as I call it. No meds worked and the Enbrel, Humira,etc., have so many symtoms that I couldn't take them. I use to do weight training but when I started hurting, I started training with Dan Tripp at Head-to-Toe in Madison, AL where I live. I have been doing pilates with him for 16 yrs. When I can make it there I feel great, so I force myself to go! You have to move your joints and blood and stretch! I take Plaqueil and vitamins, swim, stretch, have very mild massages twice a week and all of that has helped me since 1993. It's expensive so if one can't afford it, you can do the breathing, calming yourself, pilates at home.
Jody Johnson
28 Feb 2010, 14:50
New to the disease (January 2010 diagnosis), I am just beginning to deal with the constant feeling like I need to nap and go to bed at nine. It is like someone flips a switch and there is no more keeping the eyes open. It is nice to have some suggestions for combating this symptom of RA while one is trying to wrap their brain around the rest of the disease, especially at 41 years old when you have been so active your whole life.
Lynn
19 Feb 2010, 11:04
I have had RA now for 3 years. The fatigue is extremely difficult at times. Last year I went through a really bad week. I just wanted to sleep and not do anything and the pain was incredible. I called my physican and he saw me and stated that he felt it is more a fibromyalgia problem and prescribed me with prednisone for the week. If that did not help then he felt it was fibromyalgia and he could no longer help me. I am glad to say the prednisone worked but it has made me question his advice and I don't call if I have a bad time. It is good to hear others have the same issues at times and realizing you can have really bad days or weeks regardless what medication you take. I notice stress really does make a difference. Enjoy each day and not overwhelm yourself to feel you have to be the superpower that you need to be.
Dale Barlow
06 Oct 2009, 17:50
I was diagonsed with RA approx 12mths ago..With my feet so bad I could hardly walk& my wrists & hands in alot of pain particuarly in the morning.Also in the past year My marriage broke down,I seperated,Sold my home,& lost my source of income..So its been one hell of a year.I have been experiencing fatigue quiet a bit of the time ,just thinking it was from my life experiences,I never realizes it was part of the Ra condition,I do find a early morning walk in the sunshine & keeping a positive attitude does help. Cheers Dale
Sharon West
12 Sep 2009, 01:34
Hello to all my fellow RA sufferers,

I was reading all your recent quotes, and just had to share some stuff I have learned over the past couple years. I got diagnosed with RA in 2003, and it was pretty severe by that point...barely able to walk, go upstairs, even use the bathroom (you know how that goes...)..but eventually the methotrexate and hydroxychloroquine (plaquenil) and the assorted steroids for 6 months started to take effect and the massive flare I was experiencing, got under control. But I had read about warm water exercise arhtritis classes as being real good for RA so I started going to those later in 2003...they have really helped, and I continue to go 3 times a week. And believe me I know what it's like to be in so much pain that moving is the last thing you want to do...but strangely the warm water (and hot tub and steam room) really help, so if you have access to anything like that, I strongly recommend it.

Also, a couple years ago I started taking Tai Chi...and what I have learned from that class is not only how to move to stimulate the lymph glands and build back up muscle, but the secret I have really learned is about breathing...breathing into your muscles through this...deep breathing...it really relaxes the body and lets your muscles and joints get some much needed oxygen and blood flow. I have realized how shallow my breathing is throughout most of the day, and especially in the midst of a flare (which I still get, but now I better manage them). The thing is that I can get so "fearful" of the pain, which is so real and tiring, that I start to breathe shallow again and get into a state of fear and almost hopelessness sometimes...but I have found the deep breathing and simple movements of Tai Chi to be very liberating....I can't really explain how it all works, but I defintely have less pain and can sleep much better.

I am a music composer so my hands and fingers degrading can be most frustrating at times, but I have found not fighting it sometimes and then not being afraid of the pain and giving myself a break and just saying it will be better by the afternoon, really helps.

I hope this has helped some of you...I can't recommend the warm water exercise and Tai Chi enough...and just wanted to say I really know what you are going through...it's not easy, but you are never alone:).

Sharon
peggy
02 Sep 2009, 09:45
I was diagnosed with RA 3 years ago at age 48, less than a month after passing my RN boards. I had worked in the emergency room for nearly seven years prior to that and they created an RN position for me. I had to leave that job that I loved and wanted so badly due to fatigue, pain and loss of function.
I moved across the country with my family, started new treatment and found a job in a tamer emergency room. I did quite well for about 2 years and was promoted to charge nurse. The pace in the department has greatly increased and now RA has me wondering how long I will be able to work. My current insurance pays for my enbral and other meds, but I am increasingly fighting fatigue. The nodules on my feet make it hard to stay on my feet for the twelve hour shifts that I work. I can't help but think the stress level that has been in my workplace the past few months is not helping, but I am not in a position to find new work. And, I dearly love what I do. However, when I am not at work I do very little due to pain and fatigue. I want to be more involved with my church, my children and my grandchildren, but I am too tired and don't want to be grouchy in those settings. I look for similar stories and do not find anything similar. I look for advice and get very little guidance. Sometimes I think going on disability might be the right answer, but I am a worker and an achiever. I don't know what to do.
brenda lea
21 Aug 2009, 22:14
I too suffer from fatigue and depression. All I want to do is sleep and make my body comfortable and relaxed. It's hard to plan anything at any time of day, You never know how you will feel. I could sleep any where any time. but am up about ten times a night restless and just to tired to sleep.What I do today will disable me tomorrow. I listen to relaxing tapes and try to zone out. I am only thankful that my children are grown and gone. So now when I;m tired I don't feel so quilty and selfish for always wanting to sleep. Thanks for having this sight to share my feelings . It helps to know there are others who suffer as I do . Thanks
Ida Criswell
18 Aug 2009, 15:50
Is there an answer anywhere in here to the fatigue questions?????
JANIE CLARKE
05 May 2009, 11:06
I am experiencing daily fatigue and at times cannot stay awake..almost like I am going to just pass out. This makes it difficult to attend social functions.

Does this sound familiar?

Thanks
Janie
JANIE CLARKE
05 May 2009, 11:06
I am experiencing daily fatigue and at times cannot stay awake..almost like I am going to just pass out. This makes it difficult to attend social functions.

Does this sound familiar?

Thanks
Janie
Trudy Vollmar
25 Apr 2009, 20:45
I wish there was a cure for the fatigue brought on by RA. I can go to bed and be sound asleep by 9pm, yet wake up 2 or 3 times a night to try to get comfortable yet again, and just never feel like I have gotten enough rest. I do sleep with some extra pillows, one between my knees and one between my arms. Then when I end up on my back, I still prop up one leg and one arm with the pillow and put my other leg on my husband (he is my 4th pillow!). Hope it may give you some idea, the extra pillows do somewhat help.
Jean Lee
13 Mar 2009, 13:57
I've read the article which has some interesting point of views. I suffer with R.A. and chronic fatigue and I find myself becoming discouraged with all the testing and still no answers on how to be able to LIVE a normal functioning life with this disease when I personally am finding it hard to stay awake long enough to be able to function.Does anyone have the MIRACLE answer.
Ron Rondeau
11 Mar 2009, 10:39
Hi:

May I suggest that when a user selects to print an article, like this one on fatigue that is 6 wweb pages, That the entire paper be printed not just the current page

Thank You
Ron Rondeau

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