I went to a rheumatologist because of what I thought was rheumatoid arthritis in my hands. My RF factor was negative so they gave me a diagnosis of OA for hands. They also took x rays of my spine as I have had back trouble for 8 years (around the time my arthritis started). No one has ever treated the back pain-just said I pulled a muscle or that it is an old injury. Anyway I have also been anemic recently ( had two pints of blood to bring levels up-gone in weeks, then had iron infusion in June-so far it is holding good). I am MAJOR tired all the time. So far they are saying the back arthritis is just OA ( am ONLY 40!) but I am wondering if it is the spondylitis? Neither my family doc or this doc seem to be listening!