Hello John and everyone,
I’ve been on biologics and NSAID’s since March 2021. I found a dramatic improvement to all my aches and pain, and a big improvement in my ability to breath better, move better and reduced fatigue (though I still need a daily afternoon nap). Then about a month ago, all my enthesis points flared dramatically. And I do mean all - from every attachment point in my feet, my knees, hips, burning searing pain right along my spine (which I’d never experienced before so it sent me into panic attack mode), fingers hands, wrists, elbows, neck and jaw.
This was a huge shock as I’d never had such a flare before and I had assumed being on biologics meant flares would never occur again (yeah I’m still new to understanding the power of biologics).
Im still experiencing enthesitis pain. I blame being over enthusiastic with my new found ability to move better. I can’t say if this is true or not, but I’ve pulled back on my daily actives. I’ve had a few massages and this helped reduced the burning along my spine greatly, so I’m assuming there is substantial muscle tightness at play.
In the past I have been told I have various tendinitis or bursitis in various joints. Once diagnosed with AS I was told it was also enthesitis (which I’d never heard of before).
All I can say is that you are not alone. And if anyone out there can explain my sudden enthesitis flare when all seemed to be going well, I’d be very greatful. I’m still able to be use all my day (as to half a day then collapse), and I can still move better and have less pain when I retire at night, so the biologic is still working. I just can’t explain the enthesitis flare nor how to quieter it down again. It hurts. A lot.
Beth