So my doctor called me and said what was causing my pain is that Im in a flare! I couldn't believe it, I usually feel really tired when im going through a flare, this time is just pain in my hands wrist and know ankles. Im on Imuran along with Plaquenil so Iasked her if this means my meds arene't working, she told me not really, it just means we want to get this under contrrol before it gets out of control. So she put me on the much dreaded rat poison I mean prednisone. Im really not happy about it, this is not good for my avascular necrosis not the mention the 25 extra lbs I have to get rid off that are not budging, but hey at least Im alive, not in a hospital, and my pain will be under control. So I guess I have no choice.