Hi, This is my first post. I have been reading the questions and answers on here for some months. I was diagnosed firstly with PMR, then with inflammatory arthritis and for the last two years seronegative rheumatoid arthritis. I was on methotrexate tablets to start with - 20 mgs, then because of the sickness I was experiencing I went onto the injections 25 mgs. However, my blood results apparently were not good and I was not getting any relief from the pain so they took me off methotrexate and put me on leflunamide instead - currently 20 mgs. I also take pregabalin as the rheumatologist has also diagnosed fibromyalgia. My ESR levels however are still very high. They went up to 112 at one point about 6 months ago and the rheumy said they were a false result, despite the lab running checks to make sure the results were correct. She did run the tests again and rang me and said they were normal!! I know they did come down because I have to have blood tests every 2 months because of the leflunamide, but I have also been experiencing periods when I get quite a high fever for a day or so. Because of that my GP has been keeping an eye on my ESR and other bloods, and the ESR has been running around 65. I am getting concerned because the pain is getting worse and I feel I am being ignored by the rheumatologist. Advice as to whether I should be concerned would be appreciated.