I was wondering if it is a real matter to catch PSA early so much symptoms only start to show up. Considering my current situation, when i am being diagnosed with PSA due to some blood work and symptoms and a questioned psoriasis by a dermatologist(they literally put a question mark on it), i am not much sure about whether there is a need in methotrexate treatment i was prescribed. Even though x rays came out to be fine as to what radiologist suggested(haven’t yet shown those to my rheumatologist), i feel strange come ‘n go pains located more or less in same places(right hand middle and pointer finger, right foot big toe, elbows), that mostly resolve as an apparent discomfort, rather than pain. My most noticeable symptom is fatigue- constant tiredness, not relieved by lack of stress, good sleep or change of diet or even my location which goes on for months. I was wondering if anyone had same or similar situation and it really did turn out to be the beginning- as of what i call symptoms i may feel to fit into what i read about the disease. That is much concerning. Thank you for your attention.