text: 32 years old and in too much pain!!!? i have very bad bone pain all over..sometimes it is so bad i am up all night . i have been to dr after dr and none of them will do anything for me , they say i am too young to be in this much pain, but in the past year it has got to where i can barley stand it any more...my fingers are starting to twist as well and it feels as if i am loosing strength in my hands and legs. i can not sit for very long , nor can i stand for very long....my muscles are starting to hust as well...can any one tell me why...thanks sounds very much like rheumatoid arthritis (ra) and you should get a referral to a rhematologist as the others have suggested. i would also suggest working in conjunction with a pain management specialist. they are used to dealing with people with severe, chronic pain. they are more understanding of pain and that it strikes people of all ages. many doctors are afraid of prescribing pain medications because the patient might become "addicted" so they are willing to let the patient suffer instead. be proactive and seek out the doctors you need.  what are the symptoms of rheumatoid arthritis?  the symptoms of rheumatoid arthritis come and go, depending on the degree of tissue inflammation. when body tissues are inflamed, the disease is active. when tissue inflammation subsides, the disease is inactive (in remission). remissions can occur spontaneously or with treatment, and can last weeks, months, or years. during remissions, symptoms of the disease disappear, and patients generally feel well. when the disease becomes active again (relapse), symptoms return. the return of disease activity and symptoms is called a flare. the course of rheumatoid arthritis varies from patient to patient, and periods of flares and remissions are typical.  when the disease is active, symptoms can include fatigue, lack of appetite, low grade fever, muscle and joint aches, and stiffness. muscle and joint stiffness are usually most notable in the morning and after periods of inactivity. arthritis is common during disease flares. also during flares, joints frequently become red, swollen, painful, and tender. this occurs because the lining tissue of the joint (synovium) becomes inflamed, resulting in the production of excessive joint fluid (synovial fluid). the synovium also thickens with inflammation (synovitis).  in rheumatoid arthritis, multiple joints are usually inflamed in a symmetrical pattern (both sides of the body affected). the small joints of both the hands and wrists are often involved. simple tasks of daily living, such as turning door knobs and opening jars can become difficult during flares. the small joints of the feet are also commonly involved. occasionally, only one joint is inflamed. when only one joint is involved, the arthritis can mimic the joint inflammation caused by other forms of arthritis, such as gout or joint infection. chronic inflammation can cause damage to body tissues, cartilage and bone. this leads to a loss of cartilage and erosion and weakness of the bones as well as the muscles, resulting in joint deformity, destruction, and loss of function. rarely, rheumatoid arthritis can even affect the joint that is responsible for the tightening our vocal cords to change the tone of our voice, the cricoarytenoid joint. when this joint is inflamed, it can cause hoarseness of voice.  since rheumatoid arthritis is a systemic disease, its inflammation can affect organs and areas of the body other than the joints. inflammation of the glands of the eyes and mouth can cause dryness of these areas and is referred to as sjogren's syndrome. rheumatoid inflammation of the lung lining (pleuritis) causes chest pain with deep breathing or coughing. the lung tissue itself can also become inflamed and sometimes nodules of inflammation (rheumatoid nodules) develop within the lungs. inflammation of the tissue (pericardium) surrounding the heart, called pericarditis, can cause a chest pain that typically changes in intensity when lying down or leaning forward. the rheumatoid disease can reduce the number of red blood cells (anemia), and white blood cells. decreased white cells can be associated with an enlarged spleen (referred to as felty's syndrome) and can increase the risk of infections. firm lumps under the skin (rheumatoid nodules) can occur around the elbows and fingers where there is frequent pressure. even though these nodules usually do not cause symptoms, occasionally they can become infected. a rare, serio