How your journey started with PsA?

I got diagnosed with psoriatric arthritis 3 yrs ago, when i got pustular psoriasis on palms/feet. And diagnosed with Rheumatoid arthritis in 1995. Within 3 yrs, i had my first knee replacement, 5 yrs on prednisone , 17 yrs on Mtx now....They put me on ENbel in 2000, and it was like a miracle for 3 yrs, then Humira, 5 yrs, Rituxan didn't work, now on Remicade

Do i have all 3?...RA/PSA/psoriasis...possibly, but i am sero-negative for RA...so maybe i've always had PSA, not RA, doesnt matter, same meds

It's a mystery i can't solve, going back to a minor foot surgery in 1991, a sesamoidectomy...ortho says gee, you have a lot of arthritis in there...he should have sent me to a rheummy. My mom had RA, but hers still showed in her bloodwork,at age 80.

I had a cervical neck fusion in 1991, and it was a bad herniated disk, with nerve involvement, but i have that old MRI and it did mention spondylitis....I have to dig it out, and re read......i wonder if i just fell through the cracks of the system. I've had a lot of ankle fusions, subtalor, and triple arthodesis, but have very flat feet from birth...but wonder if this is connected also, my tibial tendons ruptured about 1992....and then i needed the ankle fusions

My mom always said, it's all in the attitude...and i try to be positive myself

Hi. I’m very new to all this, I was diagnosed twenty years ago with sero negative, however it all settled down and i had no issues untill may this year, i fell and injured my sholder, within a few weeks as many as 33 joints ecame swollen and stiff, so after many investigations psoriatic arthritis was diagnosed a few weeks ago. I do not presently have skin issues, and iam still getting my head around it all.
I have just started Sulfalasine, due to other health issues we agreed to withhold meth and pred.



For me (and I am still undiagnosed) the problem with diagnosing has been made a thousand times worse by the fact I have a panic anxiety diagnosis from 20 years back. It does not matter that I can tell them that anxiety is in no way a factor in this ("trust me, I know what anxiety can and can not do, this is JOINT PAIN"), they will at any and all possibilities assume first that anxiety is the issue. Wich means that it took this long before somone could discover I have Psoriasis, and even so they doubt that I do really have joint pains, and if so that they come from anxiety not from PsA..........I am probably one of the most patient men in the known universe, but I am telling you, if they keep stonewalling me like this for much longer, I will start calling in favours from old friends that work in news and television, and I'll make this a public case they will NOT benefit from.

I have a very relaxed attitude to my anxiety diagnosis, and the anxiety itself I have beaten a long time ago, so if what it takes is me becoming a posterboy for how ignorant anxiety patients are being treated / how bad GP's knowledge and attitude toward auto-immune diseases is, then I will make a perfect one. I am in a full wellpaid job, I have never once asked for painkillers, and I do not want sick-leave. I want help and aid to be able to continue in a career I love, and to be able to lessen the impact of damage this disease can do to my joints...I'm pretty sure the media would love me to be honest.

Seriously.....it's fine if you don't believe me, but for pete's sake, order some images, send me to the rheumy and prove me wrong!

Gilth…that’s so bad that the professionals can’t see past the anxiety diagnosis, unfortunately this is an attitude that is held in a lot of our society and still in the medical profession which is disgusting…In my training (nursing) we were always told 1 the pain is what the patient says it is 2 listen to the patient about their views on their condition, they are the one that know best what they are going through! Saying that, I have worked in the NHS for 10 years and have come up against predudice redicule and written warning for being of sick for 4 months after collapsing at work. You push for your right to be heard. Good luck x

Thank you all very much for sharing your stories. I found it incredibly helpful and confirming of all that I feel and have experienced. I hope it helped others as well. I perused the various threads each day and have been able to extrapolate an abundance of wonderful ideas, thoughts, and suggestions. Thank you to all and keep sharing.

My journey started in 2000, when I first started showing signs of Psoriasis, It started appearing on my scalp. I knew what it was, because a few years earlier, my younger brother had it on and around his finger nails. It remained just on my scalp, but none the less drove me nuts. That is where I got my neck name MajorFlake, it was constantly there, with no releaf in sight.

In 2007, I was standing on slick very polished wooden stairs talking to a co-worker. When my left foot slipped off a stair and landed on the next step down. I didn't fall at all, however, I felt this electric shock shoot through my entire body. I didn't feel any other pain at all. So I didn't go to the Dr. About a week later, my neck, shoulders and feet started to hurt. So after about a month, I finally went to my Dr. She took an x-ray of my neck and asked me what happened to my neck. I told her about the stair well. And she told me, no, that isn't what damaged my neck. I said, yes, that is what happened. She told me, no, because the injury was much older, like 20 years or more older. I was shocked and asked her how did she come up with that? She said that she could tell by the bone spur growth. Then she insisted that I tell her what happened.

I then told her about the abuse my father gave me growing up. How he use to pick me up by my shirt collar and the seat of my pants and ram my head against the wall. She told me that she had no doubt that is what caused my neck injury. I asked her about my feet and why they hurt so much. That was the start of almost 5 years of going to my Dr. and her earnestly trying to figure out what was going wrong. Everything from: maybe it is a virus, lets wait and see if it will go away (blood tests showed nothing), to gout, to platar's factitous at the podiatrist. He told me that I had plantar's factitious and that he noticed I was limping when I walked in and that I should stop limping (hmm, I was limping just the heck of it?). Needless to say, that really pissed me off.

After that visit, I decided that I had to find out what was wrong with my feet. It had been almost 5 years with still no answers. I decided that I was going to have to go this alone and figure it out. So I started looking at different things that effected my feet. At this point in time, I thought that I knew what was causing the pain in my neck and shoulders. By this time, my toes were starting to get swollen and about a year before, I had a foot operation on the tendons in my left foot because it was so swollen, I couldn't wear shoes. That operation did take the swelling down in my left foot. But none the less a year later it still hurt and my right foot and toes in both feet were swelling up all the time.

I finally decided to look at different types of arthritis. About this time I was starting to get swollen fingers in both hands. After looking at the different types of arthritis, stumbled across Spondilitis. I remember when I first read it, thinking, dang, that can't be what I have, that really sucks. Then more I read, the more I was pulled in by everything lining up. I didn't know how to feel or how to confirm or dismiss this. So, I decided to see if there was a support group. I found one for autoimmune diseases and decide to show up at a meeting. I didn't know how to feel, I was afraid of looking like a complete idiot showing up to these complete strangers, spilling my guts out to them about my last 5 years and then they telling me "you don't have that".

I decided to attend the meeting against my fear. When I showed up, there were 4 women, only women. They meet at a Starbucks. I though, oh gawd, what am I doing here, this is for women. I introduced myself and told them that I wasn't sure if I should be here. They asked me to tell them what I'm experiencing. I told them the last 5 years of my life. When I finished, they told me that unfortunately I was probably correct in guessing Spondilitis and that I need to see a Rheumatologist. They also told me about this cool little ride that I was about to ride on for the rest of my life. They called it "the medi-go-round". They also told me that my life has now changed for the rest of my life.

After that, I immediately went home and e-mailed my Dr. links to Spondylitis and PsA and told her that I needed to see a Rheumatologist. I also told her about my meeting with the support group and what they told me. Her response was that it might be a good idea to see a Rheumatologist. About a month later I finally was in the Rheumy's office. She ready everything that I had e-mailed my Dr. She then examined me from head to toe and had an xray taken of my neck and pretty much the rest of my body too.

The next visit about a week later, she pulled up the xray from 2007 and the one from the week before (Nov. 2011) and showed me what had happend to my neck in that time frame. In 2007, there was a bone spur in c2-c4, now my whole neck was fused from there down to between my shoulder blades. She immediately started the process of preparing me to go on Enbrel. She told me that it is very severe and that my only hope of not being wheelchair bound was the biologics. Then she tells me to wait for the nurse. The nurse comes in and tells me that she was assigned to me. I thought ok, so you will be taking care of me for this office visit. She must have read my face,because she said: "I don't think you quite understand. I am your nurse, I am responsible for you. You have to tell me anytime you get a cold, sniffle or scatchy throat. You have to communicate everything of concern no matter how trevial it seams, I have to know about it" I about had an accident in my pants when I heard this. This all was coming at me at the speed of a freight train and there was no stopping it. I finally realized what they told me at the support group about my life changing forever.

Sorry for the novel, but that is my story. I hope that I didn't spill my guts too much to you all. If I did, I sorry about that.

Joel

My PsA journey started in the spring of 2007. I had just started a new job and I started to notice my head flaking and scaly patches next to my nose and behind my ears. After many months of this, I asked at Great Clips, what I might do for the dandruff. The hair dresser pegged it as psoriasis. I went to dermatologists and got it under control with Clobetasol.


The next year the PsA started. Three things happened at once. My right knee swelled up, the tendon in one of my fingers swelled up and my neck got incredibly stiff. I was biking a lot at the time, and I think the biking contributed to all three issues. The combination sent me to an orthopod. I received cortisone for my knee and physical therapy for my neck and for my finger. I also stopped biking and bought a new pillow. Over several months my health improved and a forgot about it for several years.

In the winter of 2011 I started biking again. Everything was fine until that summer when my knee started to swell again. It wasn't painful, but as it persisted I went to another orthopod. He couldn't figure out the problem, and we sort of adopted a "wait and see" approach. The swelling worsened, however but I went and got a cortisone shot -- which lasts about a month. I continued biking, finding that the biking loosened up my knee and seemed to reduce the swelling. Long term, I think it caused irritation which made the swelling worse. Finally it got so bad that I almost had to stop a bike ride in the middle due to the pain.

That next Monday I went to the orthopod without an appointment. He drained the knee, and we discussed options. He mentioned sending me to a rheumatologist as he had noticed a bit of psoriasis on my leg. The rheumy gave me an appointment for three weeks later, but I called them and stayed on the phone until I could get something for that Thursday. They had some lab work from fluids the doctor had taken from my knee, and after an exam they told me it was PsA and laid out a course of action. She drew out the fluids and gave me another cortisone shot. She also put me on MTX and said that in four weeks I would start on Enbrel. She told me to baby my knee for a couple of days.


Since that appointment I've never looked back. It's been almost a year now. My knee felt immediately better, first from the draining, then from the cortisone. The swelling continued to decrease and now, if I didn't know what knee it had been, I'd never be able to figure it out. For several months my knee would hurt a little if I really stressed it, such as carrying my daughter on my shoulders, but after about six months, there's nothing. I had other issues, such as my jaw hurting and some stiffness. All that went away as well. I stopped the MTX after six weeks, but I've continued the Enbrel. If it wasn't for the shots, the bloodwork, and the rheumy appointments, I wouldn't even know I was sick.


I've since done a lot reading as to the side effects of Enbrel and as to other alternatives. I'm currently a big fan of Enbrel. My only side effect from it has been injection site reactions that may last a day or two. I'm still working on the right combination of antihistamines and ice/heat to mitigate that effect. I currently bike 100+ miles per week, sometimes faster, sometimes slower. My knee never gives me any trouble, I can run, climb stairs, jump, whatever. If it wasn't for being 30 lbs overweight I would think I was in my 20s again.

I love that people are sharing their stories. We all have had different experiences, yet there is some in each story to which we can relate. Thank you all for posting - and keep them coming! :)