1) First & foremost, let us differentiate RA -related & RA-unrelated pain. Let us not confuse & blame any pain in the body on RA.
RA would cause joint pain & swelling.
Headache would not be caused by RA itself.
If it is only the knee that hurts (& is not so swollen) this can be osteoarthitis.
Neck pain & backache are less likely to be caused by RA. They are more commonly caused by spondylosis rather than RA.
Please speak to your Rheumie & clear these issues.
2) If you are better in the morning & worse in the evenings & better on weekends: Well, are you over exerting yourself? Over exertion may be the cause of your persistent joint pain. That’s also the reason why you are better on weekends. RA related pain is generally worse in the morning. Why not sit down, chalk out a plan to limit your exertion? If the body does not get sufficient rest, the joint pain may be out of proportion to the RA activity. How long do you sleep each night? With RA, you require at least 7- 8 hours sleep.
3) Little pain when you work but worsening especially in the night. This is a tricky situation especially if you are not able to sleep due to pain. There is no reason why joints with active RA should not hurt while working & hurt at rest. Is there anything else on your mind? Is mental stress/ tension adding to your pain? Are you depressed? Sit down, take your own time, think about the other things on your mind & discuss the same with your Rheumie.
Let us look at the other questions down the line & solve the puzzle fully.