So, a year ago I posted my rheumy at Mayo diagnosed me with AxSpa; however, I recently read his notes where he stated he wasn't sure. However, at my followup this week, I brought new mri scans and reports showing I have developed insertional tendonitis with bone marrow adema in my Achilles tendon. He said that confirms the diagnosis of spondyloarthropy and because of my chronic back pain, he designated it axial for now. I also have a new pain mgmt doc who was trained in rheumatology by my Mayo doc (serendipitous!). He stated my overall pain and fatigue is def fibromyalgia and changed my meds to treat that. So, together with my awesome pcp, I now have an awesome care team after 50 years!!