For me, when I flare, the fatigue is like the fatigue I get when I get the flu...all I want to do is sleep...for like 12 hours straight.

but if the pain is bad enough, then we can't sleep, and so we stay fatigued.

At least with the flu, my body wants to sleep and sleep it does.

With spondy, my body wants to sleep, but it can't.

Yes, this fatigue of which you speak is fairly "normal" for spondy. In my experience at least.

Only on methylpred and now Humira did the fatigue lift.

I was so fatigued for so long I didn't even realize the extent of it, til I finally found something that lifted it.

and if it had been caused by something else, the methylpred and humira wouldn't have had an effect on it.


sue

Spondyloarthropathy, HLAB27 negative
Humira (still methylprednisone for flares, just not as often. Aleve if needed, rarely.)
LDN/zanaflex/flector patches over SI/ice
vits C, D. probiotics. hyaluronic acid. CoQ, Mg, Ca, K.
chiro
walk, bike
no dairy (casein sensitivity), limited eggs, limited yeast (bread)