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It sounds like you have a number of problems that are all interacting to make the picture more muddled. For instance, your headaches/migraines could be due in part to the lack of glasses and/or possible RA in your neck. It is important that you find a way to get to a doctor. It may be a good idea to check into Social Security and try getting on government assistance so you can get medical treatment. Although I can tell you that it sounds like you may have RA, it won't make a difference, because you need treatment and once you have a doctor and a prescription, the drug companies have programs to provide medication to people like you who are on a low income.   I'm Canadian and don't know enough about the American system to advise you how to access medical care when you don't have any money. Your local Social Security office may be able to help you, at least with information and you may want to go through the phone book to find advocacy group for people with disabilities, as these types of groups often know the ins and outs of bureaucracies and might be able to help you. One place to start is The Arthritis Foundation, who may be able to talk to you in general terms about this or perhaps point you to resources in your community.