Hello , Mind started in my hands too, but they said it was everything but PsA. So sorry this is affecting you also. It doesn't bother my feet as much as it does my hands. It was so painful that I had to get a voice-activated computer to use. I am on my 8th biologic in over 20 years. They do great for my skin, but not the PsA. I was on methotrexate, but it was causing infections. Are you on any type of treatment? We would like to hear from you. Diane (Team Member)