Let us continue with our endeavor of solving the puzzle.
Many RAers do have swelling of joints off & on & most of the times, it is absent when they reach the Rheumie’s clinic. This (called palindromic complaints) suggests that RA activity is minimal but definitely not fully controlled. The best thing you can do to help your Rheumie is to take snaps of the swollen joints & show him at the time of your visit. He can never miss out on the RA activity & modify your DMARds accordingly.
Are you a pure vegetarian? One of the causes of persistent pain can be vitamin D/ B12 deficiency. This deficiency generally causes diffuse pain rather than the typical RA pain localized to the joints.
Are you hypothyroid? Have you ever checked your thyroid levels? One of the causes of persistent pain is hypothyroidism. This again would cause diffuse pain rather than the typical RA pain confined to joints. The pain related to these causes would definitely be different from the type of pain one would experience when the joints were swollen.
We still have big pieces of the jigsaw puzzle remaining namely Fibromyalgia. To err is human.. Even Rheumies can be wrong. Even we can miss out on the RA activity at times… We shall look into this soon..