I am 20 years old and have been diagnosed with psoriatic arthritis for the last two years. I developed psoriasis when I was about 11. My main problems are in my knees and pelvis but recently I have started to feel more and more pain in my wrists and ankles. I am currently injecting 15mg of methotrexate a week, taking tramadol at night and 150mg of diclofenac a day. I feel like things are getting worse. My doctor suggested switching the diclofenac to celebrex but I’m not sure that’s the best solution. I’ve been on methotrexate for six months – at first it was working really well but now my periods of stiffness in the morning are much worse and I’m constantly in some kind of discomfort. Can anyone suggest anything? I feel unable to tackle my rheumatologist who seems to think I should just plod along as I am.