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A MySpondylitisTeam Member asked a question 💭
Utah

Went on a weekend trip that was full of activity and excitement as my son was competing in a pro sporting event. It is now Tuesday and I don't think I slept at all last night, just tossed and turned. But my fatigue is through the roof. I hardly ever nap. But I am literally falling asleep at my computer. Can it be me recovering? I take Rinvoq for reference.

September 1
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A MySpondylitisTeam Member

@A MySpondylitisTeam Member, @A MySpondylitisTeam Member. After a period of heightened activity, you will feel tired anyway. However, because both of you have AS, your body is fighting against itself- which means that you will be more tired than you would have been without AS. When I get tired like that, I just nap. It helps me regain myself. Under those circumstances there is no wrong time to take a nap! The one thing to be careful of is taking a nap within hours of your bedtime. bedtime should be same each night. If you nap a few hours before bedtime, you might not sleep well that night. Be careful!

September 4
MySpondylitisTeam

What an exciting weekend — a pro sporting event for your son sounds amazing! But yes, what you're describing makes a lot of sense for someone with spondylitis. This kind of "crash" after a busy, stimulating period is very common.

Here's what's likely happening
- Overexertion from a high-activity weekend can trigger a Show Full Answer

What an exciting weekend — a pro sporting event for your son sounds amazing! But yes, what you're describing makes a lot of sense for someone with spondylitis. This kind of "crash" after a busy, stimulating period is very common.

Here's what's likely happening:
- Overexertion from a high-activity weekend can trigger a significant fatigue response in spondylitis
- Disrupted sleep from travel and excitement can snowball quickly — poor sleep increases pain, and pain makes sleep harder
- Inflammation can spike after physical and emotional exertion, and your immune system may be working overtime to recover Rinvoq works to calm inflammation, but it can't always keep up when the body is pushed hard. The fatigue you're feeling is your body essentially sending a loud "please rest" signal.

A few things that may help right now:
- Rest without guilt — napping when needed is your body recovering, not weakness
- Gentle movement if tolerable, as complete inactivity can sometimes worsen stiffness
- Good sleep hygiene tonight — dark room, no screens, avoid caffeine late in the day

If this fatigue doesn't improve in a few days, it's worth flagging with your doctor, especially since you're on Rinvoq.

September 1
A MySpondylitisTeam Member

@A MySpondylitisTeam Member. Yes, it is normal to have fatigue on the same level as severe flu or other extreme illness just from a celebration or alteration of good circadian rhythm. The way to alleviate, possibly avoid completely, and recover quickly is similar to how you would from severe viral illness. Afterall, it is a lifelong buildup of unresolved pathogens and other toxins as well as unresolved chronic stress that cause autoimmune diseases in the first place.

Leading up to any big event it is important to prepare your body by being as health conscious as possible. Extra nutrition, extra sleep and relaxation, stress avoidance is the name of the game here. Focusing on this for a week or two minimum in advance of the big event is important. It will help your body sustain the necessary energy and strength until you can get back into your normal routine afterwards.

During the event, avoid toxins like alcohol, smoke, excess sugar and high salt. Drink extra water with pure clean electrolytes (potassium, magnesium, a tiny pinch of iodized salt if you drink reverse osmosis filtered water. Reverse osmosis filtered water is important for avoiding heavy metals that do not get filtered out of most refrigeration and plastic container held water.

Eat extra protein, aim for a minimum of 30 grams per meal 3 times per day, especially important during the days of the event(s). This will sustain physical energy needs. Also important, eat extra clean plants sources, 30 servings in a day ideally (spices count so this isnt actually very difficult).

Be mindful of remembering to take your supplements.

Have a 2 hour established wind down routine to help you relax and signal your body it is time for rest. A cup of kava and chamomile tea is an excellent choice. Add a rhodiola, saffron, ashwagandha, and/or melatonin supplement to that. At bedtime try a GABA (not the same as Gabapentin, can be purchased where vitamins are sold) supplement to help you stay asleep.

The above are all very helpful for assisting your body in the lifelong recovery then avoidance for any autoimmune disease flare no matter how severe you are afflicted. Doing these healthy practices on a regular basis will help avoid celebratory exhaustion and collapse when there is a change in routine. Otherwise, look upon this experience as your new reality to prepare for in the future. At least you know you are not crazy and you are not alone. Even without chronic disease, the older you get the harder it is to bounce back after a big party. Enjoy the parties though. You never know when it will be the last one.💃

September 5
A MySpondylitisTeam Member

I feel tired, especially after a long busy weekend. I understand
Naps should be allowed at the computer.

September 2

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A MySpondylitisTeam Member asked a question 💭
Los Angeles, CA