for me, that pain is enthesitis (tendons mostly), thus contrast baths have helped a lot: 1-2 minutes in very hot water, 1-2 minutes in ice cold water, back and forth for ~15-20 minutes total, several times a day.

that's my main short term suggestion.

especially if like with me, this thing roams around, and will eventually be leaving your wrists and thumbs.

the LDN has improved my enthesitis tremendously. probably has helped that more than its helped anything else.

i've also found ways to minimize my hand use during those times when i need to:

•gel ink pens instead of ballpoint
•a good ergonomic keyboard
•using a mouse instead of the touchpad
•hubby doing the peeling and chopping in the kitchen as we prep meals together
•limited page turning (very hard on my wrists. a challenge when one has lots of grading)
•electric stapler, ergonomic whole punch, etc
•electric can opener, electric jar opener, etc

my hand PT gave me a bunch of these kinds of ergonomic solutions and they really do make a difference.

PT has also done ultrasound on these entheses when they've been at their worst. it helps. i even needed a cortisone shot into my dq tendon when it all first started. hoping those days are behind me. know so much more now than i did then, that helps.


sue

Spondyloarthropathy, HLAB27 negative
Humira (still methylprednisone for flares, just not as often. Aleve if needed, rarely.)
LDN/zanaflex/flector patches over SI/ice
vits C, D. probiotics. hyaluronic acid. CoQ, Mg, Ca, K.
chiro
walk, bike
no dairy (casein sensitivity), limited eggs, limited yeast (bread)