For the past 8 years I have bounced between orthopedics and rheumatology to determine what was causing the swelling and pain in my ankle. Since the onset my ankle joint has deteriorated significantly. I was originally told I had a minor fracture and given an elastic brace, told to come back if not better and then referred to a rheumatologist who tested me for RA but the results were inconclusive but she thought I exhibited systems so put be on Methotrexate. Was on this for 6mos and no improvement so I took myself off it and went back 3 mos later to discuss. The rheumatologist agreed with me that I did not have RA and referrred me back to orthopedics. After 5 years and 2 MRI's and multiple xrays I still have not been able to find out what is wrong. Even went to a vascular doctor who said the problem was not circulation. I now decided to go back to the rheumatologist to see if it is psoriactic arthritis. I only have a few of the symtoms and no psoriasis. I am hoping that it is psoricatic arthritis so treatment can be started to stop the inflamatory swelling. Once that is under control the next step is to have surgery to clean out the ankle deterioration. Has anyone else experienced this problem? Any suggestions would be appreciated.