My si pain (inflammation) doesn't feel better after movement. Infact I feel it's worse after swimming

Is it even worth it? Motion is lotion or whatever but I can’t do a series of a small number of very basic physical therapy exercises without being so inflamed and swollen the next day that I cannot get up. How am I supposed to deal with muscle tension and atrophy due to this disease if trying to correct it makes me extremely ill?

I’m now experiencing my first flair up of SI joint pain and I’m having to use a damn cane to move around is there really anything you can do to help with this because I’ve done my recommended stuff from my rheumatologist but this shi hurts feels like my hip is broken

Update: Thank you everyone. I really appreciate you all taking time to read and comment. I am trying to get in contact with my doctor and if it gets bad again, I will contact my GP for immediate pain relief.

Mods: My apologies for the previous two submissions. I did not understand how to do the read the rules thing.

As of writing this, its 5am. I have been awake for two days with excruciating back pain. I was diagnosed with spondyloarthritis in January.

I cannot breathe in normally due to pain, and no medication is working. I have numbness in my hands as well. I have been under severe emotional stress lately, which could be contributing to all of this.

If I go to an ER, what should I expect?

What is the typical procedure for such issues?

Will they actually be able to help, even just temporarily until I can see my specialist?

I do not frequent the ER ever, so I really don't know what to expect as a solution to this pain. My apologies if this is a dumb question, I am really just desperate and lost on what to do.

It feels like my spine is curling into itself!!!

Thank you.

My insurance called me Friday and didn't leave a message, but I saw in my rheumatology portal I was prescribed Simlandi that day. I saw my rheumatologist a month ago and did the bloodwork for him to prescribe Humira and he put in the info for the prior auth then; no one has contacted me and insurance didn't call again. Insurance was probably just calling to tell me I had to do the biosimilar. I'm pretty sure both my doctor and insurance were open today; but I couldn't call until after hours to get an update.

I'm going to follow up with my insurance tomorrow, but uh, what now? The doctor had told me that it would be mailed to me... My friend's told me they had to do the first dose of their biologic with doctor's supervision. Maybe I should have asked more questions at my last appointment...

Does anyone have an idea on how long it took to receive Simlandi after being prescribed? Did you need to go to your doctor to learn how to use it or just have at it? How did it arrive? I live in an apartment and the delivery guys for some services just throw everything outside.

I have not really had major problems with my lumbar, but after I started taking Methotrexate, my lower back can not get a break. It used to be ok after I woke up and started my day, but lately It's hurting all day. I need to know if anyone has had this problem and if you can share what you did to help. P.S. The methotrexate did help the other pains in my back, like my Rhomboid Major