@diverdown1 Yes, all labs were done. None point strongly to RA but MRI of my left hand showed inflamation in my thumb joint and that led to the decision. My mother had lupus, my two daughters each have auto immune issues...and I have awful pain in my lower back and hands and wrists worse in the morning. Lots of osteoarthritis on X ray in back. I think it was not clear to anyone but just a well, maybe this is whats going on? That is why I am seeing yet another rheumatologist but not till next year as I can't get an appointment...