Tiredness and psoriasis

[Fred]

I do suffer with tiredness and have done for years. I also find my feet, back and hands are stiff and sore. I have very small lumps on my fingers and toes and my nails have slight pits in them. like arthritis sufferers. G.p. sent for X-ray and says it is not psoriatic arthritis, just my age! I keep telling them psoriatic arthritis does not show up on X-rays but to no avail. I get up an hour earlier than I need to in the mornings as I can't straighten up and it takes awhile of moving around to do so. They accept that the pain I'm in is high and prescribe tramadol and paracetamol but not that it is linked to the psoriasis.
I expect they're right but I have always wondered.

I would tell your GP he doesn't know his bum from his elbow. An X-ray will not show Psoriatic Arthritis. Like Jim said do you see a dermatologist? If not demand a referral from your GP to go and see one (you have the right to do this) and it's your body he is playing around with. It's going to do you know good what so ever keep taking pain killers especially Tramadol

Get to see a Dermatologist, they will know almost instantly if it's Psoriatic Arthritis or not, and can work with you to find something that will help. Probably like Jim said they will start you on Methotrexate, but there are lot's of other options.

The sooner you get a proper diagnoses the better life will be for you.