Hi Cheryl,
If you are in pain, that keeps you awake, then it is time to let your Rheumatologist know what's going on. Take care and I hope you get the answers you need.

Numbness is usually nerve damage. At least that's what mine was. My hands and fingers was ulnar and carpal tunnel. Which gave me spasms too. The numbness in my feet was neuropathy. Nerve tests will tell you. I take medication for both, and I've had surgeries for the ulnar and carpal tunnel.

i have numbness in feet/hands what can we do for it? i to stay awake with pain.