Hi guidob222, I am with ya. It took 6 mths for the various specialists to decide I had Psoriatic Arthritis, because I had no skin issues, either. Short story long, I woke up 5 years ago and couldn't move. Since I've always been pretty active/athletic, I assumed I over=done it working. But it got worse, so I went to a doc and they couldn't figure it out. Finally after 6 mths they started me on Prednisone which gave me halucinations, but at least the pain disappeared. Doc was happy, LOL. Mean't it was PA.
You see, unlike the other types of Arthritis, there is no blood test or anything to figure out PA. They use the process of elimination. Then he asked about my personal history; I never considered this, but my dad had Psoriasis (skin issues) and Arthritis! He just smiled and said, Well, PA is often inherited and said that clinched it. Figures, I am just like him in a lot of areas...
Now, if by MTX you mean Methotrexate (sp?), I couldn't do the pills, either. I'd throw up. I ended up taking self-injections in the fatty area of the stomach. Don't freak, it isn't as bad as you thing it is. Just pinch an inch (LOL) and do it. It isn't bad, really. Kinda makes you feel like a doctor... (Right....). And yes, the injections do not make you sick. It did the trick until they had to take me off of it. You can't stay on it forever; bad for your liver, etc.
For me after that, they just put me on Ultracet (Tramadol is the generic) and that's how I've been able to deal with it. The Tramadol works....usually. Its bad that you're suffering so much; they need to do something soon., Before I was dosing myself with 4-6 advil at a time, which will also fry your liver, etc. Not good. The Tramadol will make you a bit sleepy but after a while, that doesn't affect you. You just feel better and you can be your old self again, at least until you take your next one. Pain pills 24x7 is my life, now. I had to up the dosage after 3-4 years, I take 1 1/2 pill every 6 hrs and 2 at a time during bad periods.
Pergocet? Is that it? Or Percocet? My dad took that and had halucinations (altho it might have been Prednisone...) He and I are *so* much alike... Glad its helping you, tho.
At least with the Tramadol I don't see Elvis, LOL.
Again, lots of types of arthritis, unfortunately. PA is one they just guess at after all the others have been ruled out. Stinks, I know.