Both. Arthritis was actually one of my later symptoms. You can have infection in places that is below the symptomatic threshold and therefor only notice it when you herx. I have this frequently. Most of my cardiac symptoms and neuropathic pain has greatly reduced on it's own, but when treating it comes back out. On the other hand, i've also found that treating ineffectively can also lead to spread of the infection to new places that it never was before. For me this doesn't typically happen while i'm on treatment, but when i take it and then stop. Since you had it before it sounds like it may have just been nonsymptomatic but always present. Keep pushing forward, it will run out of places to hide
![smilewinkgrin](/community/emoticons/smilewinkgrin.gif)
I've also herxed symptoms i never had before. They're definite herxes though, come and go like the others