I've recently been diagnosed with psoriatic arthritis....though I've been diagnosed with rheumatoid arthritis for over 10 years...in the last year I have progressively got worse especially in shoulders neck and groin/pelvis areas....even though I have it in nearly every joint of my body.....wat I would like to know is...when is the pain too much....feels like someone is trying to rip my arm off from the shoulder on a daily basis...yes I'm seeing a rheumatologist and am on injection methotrexate....but its made no difference....I need advice how to get things moving quicker in hospital....I'm a really patient bloke that only goes to doctors if it gets really bad....its beyond that now and I need more help...any advice please. ..my worst points I wanna grab a knife and dig my shoulders out....I'm a natural happy person...but this is giving me dark thoughts cause I'm fed up.....its been over a year and getting worse