Uh Oh!

[jiml]

Cheers Guys,

Aye ill be keeping my patience hat on.  I guess there are more serious things for docs to concentrate on that are life threatening.   

Ill drop a line once I know more!

If I am not on before hand have a Merry Christmas everyone 

I hope we will see you again a few times before Christmas ....
But if not I wish you and yours all the best for the Christmas season

If you do ill be very very drunk whilst posting! im going home to Ireland for a couple of weeks 

Have a great time you will notice we like the occasional drink in the off topic section

[Turnedlight]

I was told I have psa as I have had problems with plantar fasciitis, achilles tendinitis, and carpal tunnel (had my right wrist done last year).

[Kat]

I was told I have psa as I have had problems with plantar fasciitis, achilles tendinitis, and carpal tunnel (had my right wrist done last year).

They suspected plantar fasciitis with me but it turned out to be bone spurs, and I've had cubital tunnel both arms done but no psa. I do sometimes wonder about the similarities of "other" issues with psoriasis and how they are or aren't related.

Con, Have a safe trip and Merry Christmas!!!

[Caroline]

I was told I have psa as I have had problems with plantar fasciitis, achilles tendinitis, and carpal tunnel (had my right wrist done last year).

Indeed Turnedlight. I think Jim is on the wrong track. I was also a runner and had the same thoughts when my arthritis came up. It is much more likely to be that than Plantar Fascitis, as there is no reason why that would pop up with a trained runner.

Jim is correct though on Fumaderm not being prescribed for the PsA in the UK, so ConLFC, you have to play over the side of he psoriasis !! This because..... Fumaderm helps exellently against the PsA.
"Sometimes" the medics have it wrong...

I have used DMF against PsA for more than ten years already.

[Fred]

My question is though, if this is likely arthritis in my feet and hands, will this elevate my chances of being proscribed fumaderm or Cosentyx or will it take my treatment down a different path?

As you are in the UK.

Fumaderm: No if it psoriatic arthritis, and depending on where you live Fumaderm is a no for psoriasis too. It's a postcode lottery as to if Fumaderm will be prescribed, but it won't be prescribed for psoriatic arthritis.

Cosentyx: No for any reason. It is still a new treatment and not many people are on it. To get any of the Bio treatments you will have to fail on the oral treatments first, but even then Cosentyx will not be given first.

As this is your first consultation with a dermatologist in the UK I would say you will be offered Methotrexate.

This is my own opinion and you could be very lucky, but I doubt it.

Have a read at these threads it may help:

NICE issues new guidance for GPs treating psoriasis

NICE Quality Standards for Psoriasis

[Caroline]

And remember for methotrexate as Fred says: [Group Specific]
Which is one of the points I agree totally.
But.. there are people whom I even have met, who can deal with it.

[mataribot]

I am a fan of poison (MTX) - certainly not for the first systematic choice. But I am not against it if nothing else works. In my opinion, Most people have to stop taking MTX around 2 to 4 years. Might as well start off with something else

[D Foster]

I am a fan of poison (MTX) - certainly not for the first systematic choice. But I am not against it if nothing else works. In my opinion, Most people have to stop taking MTX around 2 to 4 years. Might as well start off with something else

I took MTX for nine years ,six by 25mg tablets and three by 20mg injections and I did have side effects from it but it did work on the P at 80% clearance was better for my PsA and has caused me no long term problems. Most treatments can be described as poison in some form as they are, for the most, not really compatible with the human body . I like the Stelara I am on at the moment but wonder how long it will continue to work.
When I was on MTX I had to be more and more careful what I eat as the slightest thing would upset my stomach which was one of the reason I had to go on injections which improved it but eventually the same thing happened on the injections.
This dam disease is a real pain but I do look at what's happening in the research of it and I think that more is happening now than ever before and it gives me a little more hope.