I had that happen when I was put on Diclofenac in the exact same spots. The doctor put me on sulfasalazine to control that. It worked but I'm not too crazy about controling side effects caused by medications with other medications. And then even though the doctor took me off Diclofenac I had to remain on sulfasalazine because he felt like I had peripheral arthritis. He didn't believe it was from the Diclofenac. It would be different if I were on biologics though, especially if everything was good otherwise. Has your energy level improved? You have probably mentioned it in previous posts but I've been kind of "away" for a while.

Sharon