Hi Sharon....you sound like me for many years. All the pain but none of the results to guide you to treatment.
What finally tripped my doc over into knowing it was RA was doing an MRI on my wrist. OA is not common in the wrist but in RA, inflammation of the wrist and the hand joints is diagnostic. It affects the hand and finger knuckles but not the joints at the ends of the fingers...that's OA. So if you have both, it makes it really hard to figure out what is what. Even that MRI didn't show erosions but did show changes consistent with RA. Since then, I've developed the eye problems and they are RA so despite still being sero-negative, it's RA until proven otherwise. For the purposes of insurance, my doc still calls it inflammatory poly-arthritis. Now I have some Sjogren's symptoms too. And possibly gout on top of it so I don't know where I'm going!!!!!!!
But here are the 6 criteria for RA....you have to have 4 of the 6:
1-morning stiffness for at least 1 hour plus
2-arthritis in at least 3 or more joints
3-arthritis of the hand/wrist joints
4-symmetric arthritis(same joints on both sides of the body)
5-positive rheumatoid factor
6-x-ray or MRI changes typical of RA
I have 5 of the 6...no positive RA factor.
Why don't you start looking for a new rheumy. I actually went out and "interviewed" several...told them that was what I was doing as I knew that this was going to be a life long problem and if we didn't get along, why even start. I gave the doc the chance to back out as well as me. Found myself a great doc. Younger docs tend to understand this much better than the older guys who still tend to see themselves as gods. All I did was talk to them to see if they were good at listening. Listening....the lost art!
PS....eye problem is called rheumatoid anterior uveitis. For me it caused wavy vision and rapidly changing eyesight....near sighted one day and the far sighted the next. Weird.