Does everyone start on Methotrexate first?

Hi there Briansgirl

A couple of things here: pain is not a reliable indicator of how bad your disease is. On a day-to-day basis, the fact that you are able to function if you are careful with your diet is fantastic. More power to you. But please don’t confuse that with controlling your disease. The real concern with PsA is joint damage that can happen while you think you are coping. Here’s a piece you might want to read about symptom control vs disease control.

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