Dear Kristen,
My heart goes out to you, I just don't know how you are even making an attempt to keep up! I too have PsA, and have seen my sister in law suffer beyond words with TN, and the medical community clearly lists it as the worst pain known to mankind.
NO, people don't understand, and unfortunately make little effort to change that. People disappear when you can no longer be the one who is perpetually giving.
My first med for nerve pain (Sciatica) was Gaba, and it was like I was in a spinning top, it was changed to Prega, and I have been taking that for years, 225 mg 3x daily, my GP wanted to get me up to 300 mg, but the Rheum said "NO", because of the swelling. I do have to 'go off it' for days sometimes to alleviate the swelling, fortunately my body proccesses it naturally.
It is so incredibly painful for me to ride in the car that my Rhuem started spraying my SI joints and central canal Spinal Stenosis with Ethyl Chloride, and then gave me a prescription, but as you know, getting that near the the mouth and nose will literally 'knock you out', but it gives hours of relief, and it does help me to ride in the car short distances, so it may help other areas as far as the PsA, it is much better than Lydocaine patches. I have literally had to ask strangers in bathrooms to spray me, but if they are willing, so am I!
I was on Embrel for years, and at the end of Dec caught the worst flu/bronchitis of my life, my GP told me my immune system was shot, told me not to dare take it again until I was completely well. I feel like I have a bit more energy as I have NOT yet resumed that med. I see the Rheum on 3-3 to discuss this move. I know it slows the progression of the damage, BUT I even before the flu, I was going from the bed to the couch, just fatigued and exhausted beyond words. It's always a catch 22, you know.
I'm not sure if I've been any help, hope so. I give you so much credit for pushing yourself to work, and care for your family, but your body is trying to tell you something. I hope you can somehow find a way to take better care of yourself.
I take Opana, though I cannot tolerate the time release type, and have to take Phenergan and Benadryl to tolerate it on any level, it's is surely a necessary evil at times,, but I am not a fan! Daypro is my NSAID, and nothing helps the bone pain more! I take the max, it is more helpful than any other pill I take.
I am hoping that you have a parent, sister, brother, aunt, best friend or SOMEONE who you can call or go to and ask for help, who can take your son to his hockey game and root for him!
Sending you lots of love and understanding,
SK