It's been awhile since I have posted anything, but thought a few of you might be able to help me, or at least rationalize what I am feeling/thinking. I have only been diagnosed for a little over a year with PA. It started with one swollen knee, then progressed to a toe. I've been taking a nsaid twice a day for over a year now. In the beginning I was also taking sulfasaline but after 3 months decided it was not doing anything for me except making me miserable and decided to switch over to mtx. I also over the course of the summer avoided all gluten, nightshade and adopted a anti-inflammatory diet that also seemed to provide little to no relief. Every time I have seen the doc we have up'd the mtx dose, and last visit before the holidays it seemed like things were slowly improving, but since then it really seems as if things have just gotten worse. My apt was not for another month, and under convincing from my wife decided to call today to see if I could get in sooner. Sure enough someone canceled and they were able to get me in tomorrow. The swelling has not only spread to my fingers now, but I have have pain in both hands where up to this point the pain had only been on one side of my body. I just can't deal waking up in the morning not being able to even make a fist, and spending all day in pain, and so tired. My health insurance sucks, and I am not sure what else at this point I am going to be able to do/afford. I feel like a wuss having to call the rhumey and complain about being in pain, but at this point I do not know what else to do. I certainly do not expect him to snap his fingers and make everything better, but my quality of life has got to be better then this. Do I really have to suffer like this everyday or can it be better?