It’s 12:43 AM and I am wide awake. Sharp pains shoot through my toes and fingers from nerve pain due to inflammation caused by my rheumatoid arthritis (RA). 

If only my legs would stop throbbing and my elbows weren’t so swollen and stiff, I might be able to get back to sleep. I try to adjust my body twenty different ways as I attempt to fall asleep, but it’s no use. I am awake. 

It’s a night that is dominated by painsomnia, or being unable to sleep because of pain.