Since about June I've been having varying degrees of pain in my feet & hands. When I wake up in the morning or the middle of the night (sleeping terribly), my hands, ankles & feet are incredibly stiff and painful also my feet have a burning sensation. Is this rheumatism (RA) or more of a circulation issues?? Initially I can hardly walk on my feet... It's as if the soles are swollen and in parts it feels like I'm standing on the bones so painful but thankfully once I'm moving around the pain subsides until I've done a bit too much (and that's not a lot) and it starts to come back!!!! My hands also improve unless I knock them. I'm on plaquenil which has been up'd from 200 to 400mg which helped at first but not anymore, and painkillers. Rheumy didn't say much but am awaiting scans on both hands & feet. Other joints are stiff as well but nowhere near as bad as my feet. I have APS and am being treated for producing far too many antibodies but they are still reluctant to say the word "lupus". Any suggestions as to what this is would be really appreciated!!