Well I had my rheumatologist follow up today, he said my immune system was definitely going crazy. My ANA and RH factor were both normal which is good, but my immune responses were high. He gave me two shots, steroid and tramadol, and told me to let him know if it helped at all with my pain or if the pain stayed the same. He said if it helped he could work with it. Not sure what that means. He said he wasn't sure if it was my lupus or the fibromyalgia that wascausingtbe pain. I guess the steroid shot will tell him what it causing the pain. I go back in 6 weeks. This illness is such a pain in the @$$, literally! :) Does steroids help any of you?