Hello Happy Chappy.
Just your name sounds optomistic! It is not easy to come to terms with knowing that there isn't anymore meds that will help. I try to do other things as well as meds to help me cope with my PsA.
I have had to find what helps me for me. I changed my Rhuemy. Then I had to work out how to get him to realise how much my joint pain affects my life. I need to change my general practicioner but it is difficult because I live on an island so I guess I will have to work harder at working out how to work with him and educate him in understanding the full extent of what my disease has on me..
I have changed my eating habits and I made that choice. I am still trying to find the best possible foods that works for me and I have tried many different elimination diets that did not make any significant change for me. I do know eating plenty of fruit and vegetables helps my general health. I limit red meat, avoid fried food, any over refined, manufacured or preserved foods. I use natural sugar alternatives and cut the refined sugar intake down as much as I can. I cut down on eating bread because I try to avoid yeast. I eat foods that are suppose to reduce inflamation and avoid the foods that cause inflamation. I am not over strict or too concerned about eating something occassionally that I beleive is not good for me. It may not be a cure for my PsA but I believe the nutrition gives my body the best chance to cope with this disease.
Getting outside into the sunshine for a least 10 minutes a day and living where I get plenty of fresh air that is not polluted can only benefit me. I am trying to use natural products where and when ever I can to avoid the chemical additives.
Nothing seems to help me when I am in a flare and that gets me back into the vicious cycle of not getting out doors and not eating properly as I eat what I can put together in a couple of minutes and I don't get proper nutrition and I believe it makes it harder for me to get over the flare. I then resort to a multi vitamin capsule but I don't think taking vitamins is as good as eating good fresh food.
When I am not in a flare I go to the Swimming Pool three times a week in Summer which it is now in Australia. The water gets a little solar heating so it is not cold on my aching joints. I am almost pain free when I am in the water. I am exercising in the water and doing a little swimming. I am not sure what I am going to do in winter, but I am thinking of buying a very small hot tub to put on my deck.
I also have a few hobbies to keep myself occupied my favourite one painting abstract. Finding things to do that I can loose myself in is well known as a tool in pain management. The distraction does help.
I use my breathing and relaxation techniques and this helps with pain. Tai Chi is very gentle and helps with joint movement. I use a DVD to follow but prefer to do this outdoors.
Having a sense of humour and laughter helps. Read jokes, watch comedies and laugh at yourself. This gets the bodies endorphins working which help relieve pain. So does exercise and smiling!
I can also feel like a hermit and getting out to go to the pool has helped me connect with other people again. I do connect with other people on the phone and by email. Visitors to my home are rare these day. For me it is important that I do what I can to avoid having days that make me feel down.
What I am trying to explain is that I had to look a little harder at my life and think about how I could do things differently that is within our abilities when there is no more meds that are going to work for us.
I do hope this gives you some things to consider that might help you.
Regards
Bella