Oh I'm so sorry to hear that you're in so much pain, , and that you're managing both breast cancer and PsA. That is a lot to be dealing with. Do you have a rheumatologist in addition to your oncologist? Have they been coordinating your care? Also, I'm not sure if this is something that has been mentioned to you (or you've already tried), but you could considering seeing if a pain management specialist was an interest for you, https://psoriatic-arthritis.com/answers/pain-management-specialist. Some of our community members have found these doctors helpful when managing pain, of course not everyone has had success, unfortunately. And, hopefully some of our community members here can also chime in and share with you. Please know this community is here for you. Sending you gentle hugs. -- Warmly, Christine (Team Member)