I must say it was intially my hands and feet, and occassional left elbow, now it is hands/feet/left shoulder/left elbow/lower back with psoriasis now spreading acroiss my fingers from underneath my nails, but hey the small patches of psoriasis on each elbow have completely gone, then they comne back - nothing makes any sense, I am just relieved that I have afound a pain killer that gets to the pain.