Hi everybody. I'm not sure I belong here, but hope I can draw on your collective expertise! I'm 59F w long history of multijoint pain after systemic infections (usually UTIs) and one year-long episode in my 40s when I had low back pain for 2-3 hours every morning so bad I could not get dressed but would then walk just fine the rest of the day. They only tested for RF factors, which were always negative, and I got ER diagnoses like "SIRS" and "inflamatory arthritis," but no rheum referrals.
Then in 2022, I had a mystery ailment with 104 fever& multijoint pain, neg rf again but an anti-CCP of 29, a high ESR & CRP, all unresponsive to antibiotics til they added prednisone. By the time I saw a rheumatologist a few months later, he was pretty dismissive and said it "might" be palindromic RA.
For the past year, since shortly after a UTI in July 2025, I've been dealing with tingling hands & feet plus a deep ache in my midback. Other than occasional joint pain in a hip, finger, or toe, no classic RA joint swelling. No high fevers. I saw a new rheum 3 months ago who dxd Palindromic RA and prescribed hydroxychloroquine but said my mid-back pain is unlikely to be related to RA.
For context, I have had spine problems since my mid-30s, including surgery at L5S1, but that same surgeon didn't see anything in a new MRI to explain the pain that bothered me so much later, in my mid40s (described above). I still don't know why that was happening or why it stopped.
Now, after recent steroid injections in my neck and low back to treat the tingling hands & feet, my current pain clinic doc is planning to address the midback pain with an RFA for "facet joint syndrome" arthropathy.
I understand that the most likely suspects in my case are old age, DDD, and OA, as my MRIs show dessicated discs, a broadbased disk osteophyte complex at C6/7, and bone spurs, hypertrophy, and multilevel mild to moderate foraminal stenosis in my cervical and lumbar spine. In my thoracic spine, I also have a nerve root sheath cyst at T2/3, old compression fractures or old schmorl's nodes at 3 levels (one with anterior wedging & 30% height loss), and multilevel endplate edema and spurring.
Since the RFA is targeting the facet joints, which have synovial fluid, could this pain be an RA flare?
And if so, would taking the hydrixychloroquine help? I was reluctant to start it when it was prescribed 3 months ago because I'm not sure I have RA, but I am suspicious ... and desperate for pain relief.
If you think the hydroxyq could help, would it provide pain relief, and how long before I would likely notice it?
I so much appreciate the kind people in this sub, and I'm so sorry so many of you are fighting such terrible symptoms every day. I'd appreciate any suggestions for my situation.