If rheumatoid is ruled out but mri and xray are clean what would be the next step for treatment? i am getting frustrated. pain has been constant daily

Not true: While these studies can help confirm a diagnosis if positive, RA is not ruled out by x rays and mris that are normal. Have you seen a rheumatologist? Ra is diagnosed by meeting clinical criteria including a positive ccp antibody.

See rheumatologist: Mri and x-rays may not actually rule out rheumatoid arthritis - especially if not interpreted by an individual trained in skeletal radiology. Ra is a clinical diagnosis, so rheumatology evaluation essential.