cold feet always walk in a vicious circle

The more you lie around, the more exhausted you feel. Corticosteroids may cause daytime tiredness by keeping you awake at night. Common culprits include certain antidepressants blood pressure medication narcotic pain relievers some prescription nonsteroidal anti-inflammatories (NSAIDs) and certain disease-modifying antirheumatic drugs (DMARDs), such as azathioprine and methotrexate. Several medications, including some you may take for arthritis, can cause drowsiness or fatigue. Several of them may work together to cause your extreme tiredness, but identifying and treating even one of these factors can provide relief. In fact, according to a 2017 study published in Current Rheumatology Reports, your fatigue level probably has more to do with other contributing factors, including obesity, physical inactivity, sleep disturbance and depression. Your fatigue is not always directly related to your arthritis disease activity, inflammation or pain.

Being fatigued, in turn, can worsen pain and make it more difficult to manage. It can affect your sleep habits, which adds to your exhaustion. Dealing with arthritis pain for months at a time over many years can wear you down. The pain-fatigue connection can be a vicious circle. That can cause fatigue, especially when disease activity is high or low-grade inflammation remains for a long time. The body undergoes stress as it tries to cope with the release of inflammatory cytokines (proteins) in the blood. If you have an autoimmune disease, your immune system attacks your body and inflammation is the result. The main culprits are the inflammatory disease process and the accompanying chronic pain. Disease Activity and Sleepįatigue and sleep problems go hand-in-hand for many people with arthritis. Your lack of energy may be caused by your inflammatory disease and other health conditions you have, as well as medications side effects and lifestyle habits. Fatigue significantly affects the quality of life for people with many forms of arthritis-related diseases, including rheumatoid arthritis, psoriatic arthritis, spondyloarthritis, lupus, fibromyalgia and osteoarthritis.

But exhaustion that disrupts your daily life and doesn’t get better after a good night’s sleep has its own medical term: fatigue. Everyone gets worn out from time to time.

Cold feet always walk in a vicious circle