Spring_hill, have you taken prednisone or another corticosteroid during your arthritis journey? It might be worth trying for a couple of weeks to see if you get any relief, which would potentially indicate an inflammatory condition.
I'm sorry you are having such difficulties with the rheumies. Some of our members have had to visit quite a few doctors before they found someone they were comfortable with, so I encourage you to try again, especially since you are getting conflicting information from the ones you have seen.
I think getting biologics without radiographic damage is easier than it used to be. It all depends on the doctor and your insurance.
It does sound like you could possibly have a combination of SpA and OA. But a good rheumy can recognize that and help you develop a treatment plan for both.
Ginny - 56 year old female
Dx with USpA in March 2013; changed to AS in July 2015
Iritis and Scleritis
unicompartmental knee replacement June 2014
MTX, Humira, Cyclobenzaprine, plus Indomethacin ER as needed
Supplements: Folic Acid, Vitamin D, Calcium, Fish Oil, Melatonin, Culturelle probiotic