Hi CLGrange. So sorry you’re suffering. I get pain in all my big joints during a flare without much swelling there. From what I’ve read, I think pain without swelling is more likely when you have enthesitis (when your tendon/ligament is inflamed where it connects to the bone), which is a hallmark feature of PsA. For me, that means I actually feel more pain on the side of my joint (for example, on the right and left sides of my knee joint), rather than in the joint. It’s suoer frustrating and exhausting, so I totally get where you’re coming from. My rheumatologist said that Methotrexate is less effective for enthesitis than for joint inflammation, so we’re (finally!) starting with Humira next week. I had to do the full trial on methotrexate first, though, for insurance to cover it. Hang in there. I definitely have non-flaring periods where all of that (mostly) goes away, too. I’ll hope that happens for you, too!