I realize this is an old thread, but yes you can have inflammation and normal labs - mine are like that all the time. I have RA, initially dx'd based on exam and an RF of 40 (not real high), now all my labs are normal, and the pain is worse, and so is the stiffness. My rheumy said I'm in an active state right now, and need more aggressive treatment. I start infusions next month.

How is your elbow?