How do I tell if I'm having a Sjorgren's flare or if I'm having a fibromyalgia flare. I always run a low grade temp between 99.1 and 100.0. I have pain everyday because I'm not on any pain meds at all cause of no insurance. And Sjorgren's affects my joints the most, I really don't have dry eyes but I can't wear contacts anymore because then my eyes do dry out. The past 2 weeks my knees have been hurting bad were I can't even climb 3 steps to come out my bedroom. I noticed right behind my ear that it's swollen, like a little lump. I have joint pain and back pain everyday. And some days are more bearable than others. My aunt gave me some pain meds to take and it's helping a little bit. I just can't tell when I'm in a flare and which flare am I having. I know I need some steroid shots in my knees as bad as it hurts as well as an oral steroid for my other joints. I need some advice support family!