Sorry if this is a lot, it's late and the wild temperature changes over the past two weeks have been difficult so this has been on my mind. I talk about the type of pains I have and an ER visit. I also have a difficult relationship with commas, so if that's your thing I'm sorry for that too.
C4, T4, L4, and major joints here. Degenerative since probably my early 20s, my knees make actual creaking sounds. Over the years I've developed a lot of referred pain in my shoulders, chest, and right leg. I've had to do a lot of my own research because I pass all the physical tests and therapies. I've got it pretty well figured out now thanks to a few relatively recent research papers coining the medical terminology for future research (giving a name to what I'm experiencing). I started doing home traction (with a foam head block). That's the only thing that will relieve the pain for more than a few minutes. Other than that meds that reduce nerve impulses keep me functional.
A particularly bad event felt like radiating pain down my left arm, acid reflux, shortness of breath, stabbing pain trying to breath, etc. Went to urgent care then the ER and all the monitoring came up fine, if slightly elevated. Eventually gave me a nitro as a "kitchen sink" last resort and when I bottomed out they stopped trying to figure it out because it wasn't my heart. They gave me morphine which barely scratched the surface. I just laid there for a couple hours until the pain went away on its own (nearly 10 hours), then they released me.
A couple interesting things. I wasn't diagnosed with anything for almost a decade, but I had near-constant hot flashes where I felt feverish and couldn't tolerate anything over 24°C, but my actual temperature never changed. At this stage I'm fairly confident that that was related to inflammation from environmental things. Also COVID (and the vaccine) causes intense pain in my joints for up to 2 weeks. The first time it happened I couldn't will myself to move for a couple hours. Like a non-rheumatoid flare-up, which isn't even a thing as far as I can find.