feeling misunderstood..

In terms of looking elsewhere for an explanation, have you consulted a doctor?

sorry, my post didn't really make sense. Thank you very much for taking the time to read it and reply. I was so upset last night, having had a difficult consultation with a rheumatologist and I was crying. I'll start again... I have psoriasis and one nail affected. I have had pains in my fingers and toes, neck, shoulders, wrists and ankles for about 8 years. I have had a period on sulfasalazine, then methotrexate, then 5 years ago a rheumatologist decided I didn't have psoriatic arthritis after all and stopped all medications. since then, i have struggled on with aches and pains. 3 years ago I developed blood clots in the veins in my head which was unexplained (but can be caused by inflammatory disease amongst other things) and I had to have a year of blood thinners. I became deaf in my right ear, developed dizziness and loss of balance and had some difficulty finding words as well as severe migraines which have never left me. Over the past 6 months, my joint/tendon pains have worsened. My big toes are very sore, hot, swollen and I am miserable. I saw the rheumatologist yesterday and he says I have osteoarthritis (wear and tear) in my big toes and that I need to wear special shoes for the rest of my life and no more exercise. I think he was ready to push me out of the door until I asked him what was causing all my other pains. He reluctantly said it was possible I might have mild psoriatic arthritis. So having said I just needed to take painkillers for wear and tear, he seemed to do a complete u-turn and say I had psoriatic arthritis after all and he might give me a biologic. I feel he was ready to dismiss me totally, and now I feel like I've "made a fuss". Perhaps I should just put up with the pain/discomfort?

Thank you very much again for taking the trouble to reply and I will certainly try the FODMAP diet. I had been half heartedly trying it anyway but I guess you really have to do it properly to see the effects so i’ll Put more effort in. And as for ‘making a fuss’ it’s not my thing at all but from what you say and from reading more posts on the forum it seems that a lot of people have had to push to get their diagnosis. Thank you for your support and advice.

I am wondering if I can use hot and cold therapy. some people suggest me that simple hot and cold treatments can make a world of difference when it comes to arthritis pain. I use the knee pillow to improve the blood circulation.https://www.cuou.net/knee-pillow.html