I have read your posts so far and thought I would give you my story so far, I was diagnosed with psoriatic arthritis 5 years ago (I am now 50). I have joint pain in neck, elbows, wrists, fingers, hip, knees, ankles and toes, and now my feet are hurting to walk on (what a nuisance that is!). I put up with it for four years struggling to work full of arthritis drugs, and gave up last year. I rest when hurting and do all sorts of little jobs when feel a bit better. I have been on methotrexate (upset my liver and my hair started to fall out) came off that went on sulphasalazine (didnt do much for the arth) then went on Leflunomide, which helped but blood pressure went up too high. Last year I was put on Prednisolone and last month I came off it as my weight had gone up. I am now trying a mixture of leflunomide and arcoxia which has helped the joint pain a lot. It upsets my stomach badly and always have to be near a loo!! I am going back to new rheumatologist in June and he is going to discuss enbrel. Everyone tells me how good it is, and it would be nice to see for myself. If you cannot get enbrel, try a dmard and an anti inflammatory together. Arcoxia is new to me and I feel so much better on it joint wise. I have a little dog and I make myself go out 3 times a day to get some exercise, but it doesnt help my feet or knees. It is a very frustrating disease. If I can help please ask. Not many people post on this board with psoriatic arthritis.