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Unfortunately it is normal to have a horrible flare after a surgery as you can't take a lot of the medications while you are trying to heal.  Have you let your husbands doctor know how badly he is doing?  You need to make sure his rheumatologist knows, even a call to the nurse will help as the doctor may want to put him on other medications while he is healing.  As far as his pain goes, unfortunately most rheumatologists or primary physicians aren't adequately treated in pain management.  Speak to his rheumatologist about a referral to a pain specialist who is trained in managing pain.  Make sure all his doctors know what is going on as it sometimes takes all the doctors working together to get this under control.  I am sorry to hear that your husband is having so many problems, and I pray for relief for him soon!  Good luck and best wishes!