I have had two hip replacements for osteo-arthritis, and definitely have arthritis in two toes after an injury. This kind of pain is long-standing.
Several years ago I had an 18-month course of steroids for apparent polymyalgia rheumatica, involving buttock and shoulder pain. Recently, I have similar pain, but my C-reactive protein and put down to arthritis. I also have a severe recurrence of right-sided sciatica, for which I've had facet joint injections and radiofrequency ablation, plus sporadic neck and thoracic pain and sporadic wrist/thumb pain. One notable point is that apart from the sciatica, the back problems, and also the buttock and wrist pain are always bilateral and, with the exception of the buttocks, not so frequent.
Do you think this is likely to be fibromyalgia- I also have severe tiredness and depression, or a recurrence of PMR? I see yhe pain clinic in April. Are they likely to consider the cause or should I also be referred to a rheumatologist?