Psorasis - is the type of arthirits I have or so says the rheumo, I have had psorasis on my skin my entire life, and used many different medicines to try to help. Don;t think anything really helps, it never really goes away, just levels on angry, and the arthiritis is much the same.
Rheumo and GP follow my progress or lack there of with two blood tests ESR & CRP, the levels of these are what tells them I am improving or getting worse.
What has helped me, rheumo has been telling me for years to reduce weight, but it has been a really big probelm for me as I had osteo arthirits in hip joints as well, since I have had both hips replaced moving more and have started to lose se weigh, also arthiritis has settled more.
Also the less wheat products I eat the better I feel, rheumo said there is no link they know of but i can tell the difference if i have been caught out with hidden wheat, really achey the next day, and hands more swollen.
Also have discovered moving is a life saver, not moving only makes it worse, for me at my worst getting in heated pool, and treading water, with noodle under my arms, stretching, arms and legs, trying to move all joints out and around, I make a consious effort to do the heated pool three times a week, even up until the day before hip surgery, and then again 3 weeks after surgery.
Medicines, they have to see what works for you, just a matter of working your way through the chemsits shop as I have done.
Am now on methotrextrate, once a week, and leflunomide, daily, biologicals not for me as I have TB antibodies in my blood stream.