I read your thread with interest as there are not many people on this site with psoriatic arthritis, I have had psoriatic arthritis for 4 years and have tried all the dmards going, leflunomide, sulphasalazine, methotrexate etc, and steroids. My rheumatologist wanted to put me on remecade or enbrel but I couldnt get it as the psoriassis was not present at the time of assessment. I have heard how good it is and was quite disappointed not to get it. Do you have psoriasssis as well as the arthritis? or like me just the arthritis once the skin problem died down. I have it bad in my knees and ankles and wrists, but it is also in my fingers, elbows and neck. How do you feel most days? Do you swell up a lot? Do you get a lot of headaches? Be interesting to talk to you. Are your hands twisting or just swollen? I am tired every day, and do not work anymore. I feel guilty all the time as I feel I should be doing more, but so achy and tired all the time.