Woke up several times in the night with my right shoulder hurting.  Just been downstairs now to grab a small flapjack and half a cup of milk so I could take a Naproxen.  Tried rubbing Voltarol on the shoulder and also on the left wrist.  I've also noticed what appears to be a rheumatic nodule starting to form on the knuckle of the left thumb.  The shoulder pain is the worst.  This is not the same as the pain in the upper arm.  The front of the shoulder is sore to touch and the joint feels swollen and inflamed.  I can barely move the joint as the pain is too severe.  I tried to raise the arm and I felt resistance as well as too much pain as the arm became level with the shoulder.  I hope when the Naproxen kicks in I can get back to sleep as I'm missing a lot due to this and the tinnitus is super loud that I can hear 2 other pitches in my ears as well as the white noise.  One sounds like a high pitched tone and the other a much louder lower pitched noise like the one in the 1980's on TV when there was nothing being played and it had a screen test picture with a little girl playing on a chalk board with a puppet in the middle.

Had an extra 3 hours in bed and used extra pillows on top of my wedge pillow so I could lie comfily on my back and support the shoulder.  The pain is still very bad.  The pain in the wrist has also worsened again and is back to being sore when flexing.  I don't know how I'm going to manage day-to-day tasks like going to the toilet, eating etc.  I'm going to have to wear pyjamas all day because getting into normal clothes is going to be impossible.

I'm still finding traces of pink blood in my urine.  If it were red and lots of it I'd be more concerned.  For now I think I'm fine.

Had another few hours' sleep.  Hoped it might help make the pain ease off, it didn't.  Went to the toilet and the blood traces are looking more redder.  I did a check to try to determine if it was from the urethra or not.  Looks like I'm ok and I'm on the edge of starting a period.