So, my followup with the rheumatologist was today.
The good news is my bloodwork all came back normal.
The bad news is twofold. Via xrays my hands are showing signs of bone erosion in multiple joints, especially the first knuckle of each finger on both hands. This is typical of rheumatoid type arthritis, though again, bloodwork was normal. And second there are multiple small bone spurs forming in both ankles. So yes, my ankles should be bothering me, and no, its not my imagination that my hands have been getting worse……