As I have just written at the bottom of my last blog post - today my OH noticed that my knuckles on my right hand and my finger joints (middle ones) are swollen again as they were a lot last year when I was diagnosed. Only this time I have no pain - but this morning they were very pink and hot to the touch he told me. I also find that the undersides of my knuckles ie the areas on my palm ache slightly and sometimes throb a bit nowadays but I've been assuming that is because I have some wear and tear arthritis going on in my hands too and they feel tight often. This isn't important enough to bother the GP with (I have no rheumy nurse) I know but just wondered if swelling matters much if it isn't accompanied by any pain? I will get my ESR taken at my monthly blood test on Monday with the nurse but sure it won't be above my normal rate of 30 as I feel fine otherwise. I'm horribly tired just now but I think that's down to the weather and Ruby the new puppy!