Hello everyone, first post.
I have not had a good experience with both NHS and a private consultant. Diagnosed with PsA a year ago and had bad reaction to methotrexate. Am now having trouble walking due to the swelling and pain in my foot and have been left without treatment and support from the team and specialist nurses (staff shortages). I'm hoping no one else has experienced this and can share a positive diagnosis and treatment from a compassionate and knowledgeable rheumatologist.
Many thanks!
Posted Sun 11 Jan 2026 11.47 by Paul123
Unfortunately similar experience, was on methotrexate and Sulphasalazine for 5+ years but stopped methotrexate for adverse liver function results 6/7 months ago. Psoriasis has now appeared but rheumatology just suggests going back to reduced methotrexate. My appointment was in 2 months but has just been put back to mid April. Waiting for things is just how life is with a chronic diagnosis where there isn't a cure. You just have to make the best of the times you're ok. I've had long spells of being fine and also spells where I'm not...
Posted Sat 31 Jan 2026 13.43 by Dingiso
Aim for a large teaching hospital Rheumatology Department, is my advice. PsA is not that common so smaller hospitals don't have the depth of knowledge and experience.
Getting the right treatment for PsA is like being your own personal guinea pig - you may need to try many different drugs and combinations to find what's right for you. Patience is definitely needed!
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