... inflammation from inflammatory osteoarthritis. I am having way more pain than I ever had before. It’s so bad that I can’t even stay in bed laying down. The pain feels multiplied many times more than normal. I’m on opioids for my pain but they aren’t helping at all. It’s like the pain is too strong for my pain meds to even touch it. I’ve tried ice and heat trying to get relief. My pain is so severe I almost went to the hospital last night but I fear they’ll think I’m just looking for more meds. I also have thrush on my tongue. I used to get it every time I got a cortisone shot but I can’t have them anymore. Can all this be caused by the methotrexate. I’d greatly appreciate any advise or info on this. I’m so tired of pain and now I have more pain while trying to find some relief.