Hi ssansoucie, I too have seronegative RA. My symptoms came on literally overnight. I woke up in the middle of the night with swelling so bad in my hands and fingers that they felt like balloons. I could barely close them. My lips were also swollen. I thought I was having an allergic reaction to something. But my mom (also seronegative) says that she knew right away what my symptoms were. After that I started to have problems with everything it felt like. Suddenly the trays at work were making my wrists ache. Suddenly when I crouched down there was a big chance that I would not be able to get back up without help. The swelling in my hands continued every morning. The Rheumatologist I saw didn't believe I was in any pain because my blood work always came back "normal". I fought with her to get put on meds for RA and unfortunately what she gave me did not help. Since then I have been on quite the medication journey- I found medications that were able to bring me into a drug induced remission for years. Until they stopped working now I am on a medication (Rinvoq) that works but it has not gotten rid of the morning stiffness, hand/finger swelling, or any of the "little things". But it has had a big impact on my larger joints, which is nice. When I feel like things are out of control in my body, I try to utilize heating pads or ice packs (I find that ice packs feel so nice on my swollen hands because the swelling makes them so hot and uncomfortable). Or sometimes if I feel like everything is hurting, I will soak in a hot bath for as long as I can. Temporary relief but its still nice. I know your post is over a year old now, but I think that maybe if someone else like me, was searching for posts regarding a seronegative diagnosis, they might see this and find some mental relief knowing they are not alone. I hope that the Rheumatologist you saw in July was able to help you and I hope everything is going well for you. - Kelsey