I don't know, it has just seemed to be progressive for me. But the discomfort varies, that's for sure. Sometimes the burning and tingling and stabbing pains are terrible, and some times I don't notice them so much. I assume it has to do with 'flares' other conditions, weather, who knows, phases of the moon?
I have had terrible and progressive tinnitus (ringing, buzzing, howling, whatever, in my ears) and progressive deafness has foillowed, with the ear having the worst tinnitus being the one that is most deaf.
Recently I noticed that things were blurry at t distance (sort of double?) and I had my eyes tested, and sure enough I had 20/40 vision at a distance. Now I had corrective lenses put INSIDE my eyes 8 years ago and was never ever going to need glasses. BUT this is the result of nerve damage to my eyes, from the Sjogren's.
My Eyes, Ears, internal gastric system, arms, legs, bladder, tears and saliva are all affected by Sjogren's at this point.
There are days when everything drives me up the wall, and days when I don't notice them so much.
I don't know why.
But I do know that NONE of the conditions will improve on its own, This is a one way deal. Sorry, but that's true.
I make more adjustments, take meds for the saliva, have hearing aids and glasses, use sprays and creams.
I wear flat shoes, hold on to things, take Cymbalta and oxcarbezapine for the pain, and Aleve.
BUT, this is a one way disease. It doesn't even go into remission like RA and Lupus. I'm sorry about that, but it's true.
I just want to be able to get treated with and tolerate one of the medications that slows or stops the progression.
Stay tuned, I see a new neurologist next week! Maybe he will help, or send me on to the rheumatologist of my dreams.