Does RA always start in small joints?

mine definitely did. first it was my knuckles, then wrists got bad during a flare last fall. my rheumatologist said yeah, that’s pretty standard for RA - the smaller joints usually flare first because of how the inflammation pattern works.

my anti-dsDNA and complement levels were tanked when my hands were worst. now my elbows are starting to hurt and honestly that scares me way more than the finger stuff did. has anyone else noticed this progression?

like, did smaller joints always flare first for you, or did you get hit all at once?