I aged 46y and have swelling in left index finger and left hand wrist which is for now 2 months. Recently seen a bulge above left wrist which moves up and down when I move my fingers but not painful whereas finger joint and wrist is very painful. Blood tests were done for Uric acid, RA factor, CBP, ESR, anti CCP, HLA B27 which were all OK except ESR which was at 52. Been on medicines like Etoricoxib and HCQS 200mg is regular. Recently Folitrax 15mg was added but regret have not improved at all