Hi Healthgirl

Thanks for the update - I haven't been on here myself for a while having other issues to deal with.

Sorry to hear you're having a flare up at present. Stillhoping's suggestion to try an autoimmune treatment may help the rheumatologist distinguish if there is an autoimmune component.

Although you were only on brief trial of celecoxib (NSAID), which you were unable to tolerate, on a longer term it only have acted as an analgesic and not necessarily helped manage the autoimmune symptoms.

Have you previously had any trial of steroidal medication? eg prednisone or cortisone. A short trial that showed improvement while you are under severe symptoms might give a clearer indication of autoimmunity.

All the best for finding solutions.