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For me it depends on the weather and time of day. At night it’s a heating pad and durning the day I may have ice packs strapped to my hands, if I spend too much time on the computer. Hot dishwater feels so good ... I learned the hard way to take it easy with medications.
When I'm in a flare I rest and use heat and pain meds. A hot bath almost always eases things a bit.for me. Sometimes I'll take a bath then hop in bed under my electric blanket. If it's a full on flare there are times I'll need a steroid tapered dose pack to relieve the swelling and inflammation. OTC meds do nothing for my pain levels so a flare also usually means some prescription pain meds.