I have been treated in Atlanta for the last 30 years for PSA. NSAIDs, Sulpha, Methotrexate in the past, and now just NSAID and 10 mg prednisone per day. My hands and wrists are mangled. No active inflame in other joints.
Because my damage was already done by the time TNF's came out, my doctor at this point feels if I feel pretty well, and not much has changed that I can continue on prednisone. I will never be off it even if I added a biologic since I have been on it so long, and that not much benefit could be added by adding a TNF. Cost prohibitive as well.
Seeing a new rheumatologist
I waited 4 months to see a Rheumy
in Florida and it did not go well. They refused to treat me unless I went on a TNF. Kept using the word "protocol". Also wanted me to do a clinical trial. This was before ever touching me, in fact, never got in a gown, never had an exam. I began showing her my range of motion, duh, shouldn't she have put me thru the paces?
Anyone else using prednisone for psoriatic arthritis?
Now I am faced with flying to ATL twice a year or moving back permanently. Anyone that could offer feedback or has chosen prednisone
for long term use with docs blessing, any help appreciated.
My ATL doc worked WITH me on my treatment plan on cost and my fear of side effects. The Florida doc it felt wanted to treat me as a newbie and not. 30 year veteran of the disease. My Georgia doc is on the Arthritis Foundation board and a top Rheumy in the area. I feel confident he is doing nothing wrong in my treatment.