I tested positive for RA FACTOR (<50)and Anti ccp (<200) last month. However since i did not have any pain, joint stiffness or clinical symptoms i was not prescribed any medication and was told to watch symptoms. I still do not have any pain or stiffness. No stiffness in korning howevrr i feel like my right hand knuckle at middle finger is looking more protuded when i make a fist. It could be possible that i had not noticed it earlier. I got a hand xray last month only. Everything was normal. Could this be a symptom? Should i vist the doct again? Also does +RA AND ANTI CCP mean that symptoms will surely appear?