Hi Sally, I have had psorisis since I was 15 and PA Since I was 26 (now 54)
I have the psoriasis pretty much under control, only odd patch on elbow and sometimes behind ears (no big deal)
the PA has been bad at times, (like a fire sometimes it is a roaring fire and some times its like a fire place in the morning just glowing embers)
I only take naprosyn and co codamol, I have been quite lucky that way, not to strong meds
My feet felt like they were on fire when I first got it then my toes began to bend, it has effected my fingers, neck, more rescently I have developed enthesitis causing pain in ribs arms and back of heels.
I find exercise is the best medicine, working within the range of what my joints can take, massage is brilliant for releaving a lot of the pain. I feel so much stronger after a good massage.
I use the foam roll in the gym (search in google for "foam roll and exercise" to see what I mean, or search in youtube.
try to get on top of it as best you can with exercise, massage, hypnossi for pain control and with any luck you will not need the strong medication, I have survived for over 28 year with it and I contiue to work and I enjoy exercise too (the hard bit is getting in the gym door,. I go in like quazimodo and come out like a spring chicken, cluck cluck.
I hope this helps and good luck.
Eddie