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I’m new to RA after being treated 10 years for lupus, started having joint pain with nodules on my fingers and toe joints worsening over the past 1/12 years and now effecting multiple joints .. have been treated with multiple Lupus meds and none helped, Dr sent out another very sensitive lab test that showed 3 times the markers for RA and no lupus activity

4 days ago
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myRAteam

First, what a journey — 10 years is a long time to be working toward answers, and it sounds like things are finally starting to become clearer. Welcome to the RA community, even if it's not the club anyone asks to join!

To your first question about random sharp muscle pains — yes, this is very common with RA. Many myRAteam Show Full Answer

First, what a journey — 10 years is a long time to be working toward answers, and it sounds like things are finally starting to become clearer. Welcome to the RA community, even if it's not the club anyone asks to join!

To your first question about random sharp muscle pains — yes, this is very common with RA. Many myRAteam members report muscle spasms, cramps, and sharp pains that come and go. These can happen for several reasons related to RA:

- Muscle weakness from reduced activity due to joint pain
- Inflammation affecting muscles and surrounding tissues
- Nerve involvement — RA can affect the peripheral nervous system, causing twitching, weakness, or sharp sensations
- Medication side effects — some RA treatments can cause electrolyte imbalances that trigger muscle cramps

One myRAteam member shared, "With RA, you expect joint pain, but what bothers me even more are the muscle spasms." For your second question about deep aching pain at the base of the skull — this is also recognized with RA. RA can cause inflammation in the cervical spine joints at the very top of the neck, and around 80% of people with RA show signs of cervical spine involvement. This can cause:

- Pain at the base of the skull
- Headaches
- Pins-and-needles sensations in the hands or feet
- Limited neck flexibility

It's really important to mention both the muscle pains and the skull base pain to your rheumatologist. They may want to do imaging like an MRI or X-ray to get a clearer picture of what's happening in your cervical spine.

Given that you're newly navigating an RA diagnosis, keeping detailed notes about your symptoms — where they are, how they feel, and how long they last — will really help your doctor tailor the right treatment plan for you.

4 days ago

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