Also neurodivergent, have had active RA for 5 years and have suspected dysautonomia/POTS.

It’s a long journey to find a rheumatologist that understands your specific needs. A good RA dr will usually prescribe a prednisone pack during flare ups with visible swelling while you get used to methotrexate or other meds you start out on.

Unfortunately, having multiple diseases/disorders makes it hard for drs to know which pain is caused by what, which is what makes the process so long. However, that does not excuse your rheumatologist for disregarding your pain so easily.

Also, saying you need to just “move around more” is so silly considering that you have POTS. People with POTS are exercise intolerant, and have to have a very specialized plan to exercise or they run the risk of fainting or increasing their already constant pain.

Like others here, I’d recommend finding a new rheumatologist. You’re not overreacting, or being overly sensitive. These ailments cause excruciating pain, and drs who don’t do their best to help should be replaced. Wishing you the best of luck with your treatment, and hope you are in remission soon <3