You might try a hot bath with epsom salts. I do this in the evening when i have pain or do to much. It helps me. I don't have RA pain a lot unless I have a flair from the weather or doing to much. I am on an infusion and other pain medication every day and it sounds like you need something more.

Yes! I find that when I lay down after a busy day (or a quiet day) every pain intensifies! The bottom of my feet are on fire, my toes hurt, my knees hurt & sometimes other joints.

You might ask your Dr for a muscle relaxer for night time. I take either one of those at bedtime or a small amount of Xanax to relax at night. I don't know if that would help you but make sure you have a good RA Dr. I have depression and anxiety especially in the evening when I am tired and hurting. Prayers for you.

It's common to have RA pain at night, especially when you're trying to sleep. I always get stiff and sore whenever I stop moving. If this is a recurring problem, talk to your doctor about it. They might suggest trying different treatments.

X-rays will show RA damage -- that's why doctors order the test. However, they mostly show more advanced stages of damage. RA can cause bone and cartilage erosion over time.

Try getting a second opinion.