I am a 57 year old female and I would have described myself as healthy two years ago. Now I live with pain in multiple joints everyday without any real explanation or relief. Started two years ago with swelling and mild redness in both ankles within a few days of each other with acute pain it seemed mostly in the Achilles tendon but also in the area of the medial malleolus. At about week two of this ( estimated) I developed a rash on the medial aspect of my left ankle which started as itchy pink flakes then spread and became a confluent raised purple rash which lasted about three weeks. I treated with wraps and triamicinolone cream. I eventually saw my MD and had labs done then eventually referred to rheum. The swelling eventually went away but I was left with pain and an unstable feeling in my ankles. MRI showed effusions. Labs showed elevated Ana titer and mildly elevated serum ACE levels. ? ? Lofgrens. Ankles started to feel less painful but then seemingly over night developed pain in bilat elbows and wrists which have persisted now for over a year. Symptoms wax and wane but never go away. Re eval at Mayo showed all labs normal, no real answers. The belief it is less bone issue and more a multi joint tenosynovitis. I have been an NP for almost twenty years and I am not sure what to think. I work, I function but my sleep pattern is poor due to pain. My life has drastically changed. I was also diagnosed with OP of my spine with T score of -3.6 which was a bit of an outlier . Long convoluted story. Any thoughts. Pat