I got hurt on the police dept years ago and had a disk fusion in my neck. Well that went into chronic pain and fibromyalgia. Went to the PCP one day cause I couldn't stand the pain anymore. He took blood and he called me the next day as he had a Rheumatology appt set up ASAP my RA count was 189. Rheumatologist says some people have a high count and don't get the disease. He ran a ton of tests to rule out everything from Lupus to God knows what, all negative. I was told to come in every 6 months to check for "hot joints" which I have never had and he said if I notice any hot joints to come in ASAP and they will start treatment. Been 2 yrs and nothing. Have arthritis throughout my spine but apparently not RA. I live on as low a dose of Percocet and Valium as possible just enough to take the edge off. Good luck. May be your thyroid as well. I have thyroid probs also. I transcribed a rheumatology that said people with thyroid problems and chronic pain should try T3 replacement along with the levothyroxine sometimes it helps. I have an appt Thursday and will ask him about that. See this job is good for something!!!! Good luck RA treatments are not fun I have a friend that has it and bless her heart she is only 21. At least I am in my mid 40s can't imagine dealing with that at such a young age.