I was diagnosed last year with RA because of a positive Rheumatoid factor, and persistent elevated sed rates and CRP. The Rheumatoid factor was low, just 20. My first rheumatologist diagnosed RA and prescribed me methotextrate and sulfasalazine. The methotextrate alone did nothing for my symptoms, so sulfasalzine was added. Both medications did not for my symptoms. My symtpoms are primarily muscle pain, sometimes burning pain (like sunburn) in muscles of thighs when sitting for long periods of time, and a feeling of swelling in my hands. I should mention that I have 2 cervical herniated discs with cord compression. I never had joint pain, sometimes my ankles or knees will hurt, but nothing major. My primary pain is muscle pain & stiffness mainley in my neck and back which feels as if I have had an intense workout. I switched rheumatologist, and my new rheumatolist does not feel I have RA (CCP was negative) as I do not have the typical symtoms. She feels I have fibromyalgia . She initially prescribed Flexeril which did nothing for me. She now is recommending PT for the neck/back muscle pain, and Cymbalta for the fibromyalgia. I am fearful of taking this as I hear some bad things about withdrawal symptoms. She still has me taking the Methotextrate until she can completely rule out RA. Lupus and thryoid autoimmune disorders have been ruled out. I should mention I have a very low vitimin D level (5), and have been placed on a vitamin supplement. I am confused about the fibromyalgia diagnosis. I still continue to have elevated sed rate and CRP. I thought fibromyalgia did not cause these rates to be elevated. Also, from everything I read about fibromyalgia, the pain is intense, more like a nerve pain, and someone will hurt even if they are touched. My pain is more like a muscle pain and stiffness. Are there different degrees of fibromyalgia? Does fibromyalgia cause the feeling of swollen hands? I am very confused with my diagnosis, and don't want to take the Cymbalta just yet, until I at least start PT to see if that makes me feel any better. I appreciate any help I can get! Thank you.