Hey Lindsey, The worst time for me (and most RA patients) with soreness and pain is right after getting up in the mornings (sometimes before I'm ready to get up, at the crack of dawn!) I force myself out of bed because laying flat is sometimes too painful. I can sometimes manage the pain by using strategicly placed pillows (under sore arm/shoulder) while I sleep. I seem to have less pain in the mornings if I take an anti-inflamitory (prednisone/advil, etc) before I go to bed (after dinner), rather than just in the mornings. I find that the combination of heat/cold and light massage helps to releave the pain of these symptoms too. If you have access to a hot-tub (or even warm/cold water in bath or shower) I find this helps manage the pain alot. Swimming is a perfect excercise for RA and I recommended it. I also use cold pads for my hands or ankles when they are swollen and sore. I find that light message works wonders for sore feet, ankles and hands too. Also, just walking (or hobbeling ) seems to make me feel better after a while. I try to take it easy in the mornings if I'm real sore and elevate my feet in while resting in my recliner. Lastly, Its possible that your medication may not be ideal if you are having pain so often. I'm starting a drug trial next week, so I've been off all my DMRDs for about 3 weeks now and I'm beginning to feel it. Take care sister and God bless. Bret