Tue-01-03-2016, 09:19 AM
My experience of psa was most visibly of swollen knuckles. I could hold left and right knuckles together and see the size difference. It also affected different knuckles at different times, including toes. I guess it would be good to rule out RA but I dont see how it would make much difference to the initial treatment. Only thoracic and cervical pain now. The doxycycline helps a bit but I think it is the DMF that has made the biggest difference.