Hi Jo,
RA loves to be warm, all of the time. RA hates climbing in bed between cold sheets. RA hates damp and cold. RA loves to do the dishes in hot, soapy water. RA hates all drafts! RA loves to soak in a hot, bubble bath. RA loves compression splints RA hates to carry anything arm extended, hand down. RA wants to carry items with elbow flexed, weight shifted towards the chest.
RA is about learning new rules so that you are able to succeed.
After 54 years of JRA, I am pretty good at defeating this illness. I sleep on a firm mattress topped with an electric.mattress pad because that way my RA stays warmed up even when my metabolism drops. This reduces morning stiffness. Year round I use it. You can adjust the setting from 1-10. Next is a 3 inch memory foam topper with a bamboo mattress pad on top. I also use polar fleece sheets because they are very soft, because they are not woven, but rather knit which breathes, and because my RA hates slidding into bed between cold sheets. How we sleep determines to a great degree how we wake up. RA relaxes when heated.
I always wash dishes by hand because hot, soapy water is soothing and theraputic to RA. Keep your hands and wrists under the water...gently open and ose your hand ten times...flex and extend your wrist ten times...we are looking for quality, not how fast you can do them.
A heating pad should be required ownership for everyone that has RA. Perhaps two...Watch the television with a heating pad turned on low across your shoulders.
RA likes added, local heat.
RA also likes to be iced down at times. So I suggest the gel ice packs you can purchase from a pharmacy. They are flat, therefore less irritating than pointy ice cubes. They do not leak,. Thermally, they hold their temperature longer. Some can be both frozen and heated in the microwave.
Ask your pharmacist for hand compression gloves. First elevate above your heart, then ice for 15 minutes. Hold you hand up in the air above your heart and put the compression glove on. In 30 minutes you will see a hugh difference in your inflammation.
Shoulders are temperamental...typically the rotator cuff is inflamed. It help to strengthen your back muscles...sit in a straight back chair...sit tall...keeping your shoulders level, pull just your shoulders back...slow, deep pull, hold for 5 seconds, relax...do 10 repetitions...warm muscles work more smoothly, warm up with the heating pad first.
And medication plays a major role because RA is a disease that needs to be medically addressed. Your rheumatologist will discuss your use of NSAIDs, steroid bursts, DMARDs & Biologics.
I urge everyone to learn how to manage their RA without the use of narcotics. This way when you really need a narcotic, the narcotic will be effective. I use acetaminophen 1000 mg each night to quiet my RA so thst I can sleep.
Two cautions: never take an NSAID and aspirin concurrently because they each reinforce each other in the gastrointestinal tract.
And never take acetaminophen dosed closer than 6 hours...this protects the liver.
kind regards
Ben...are you catching all if this?