Hi, I recently was diagnosed last year with PSA after numerous visits to an orthopedic, my GP and then finally a Rheum Dr. The catalyst for me going was my right elbow being "Frozen" and unable to extend straight (30 degrees immobile as of now). Has anyone else experienced this and if so, did any therapy or biologics work? I am currently experiencing only mild symptoms with 2 of my fingers on opposite hands relatively swollen and stiff and only using NSAIDs. My job is in the aviation industry and I fear the use of biologics and certainly Methrotrexate and Sulf. The side effects of those alone would prevent me from flying any longer so for now am in an incredible crossroads of treatment options. Thank You