thanks so much for reaching out and sharing a photo of your arm. It looks like that could be very painful! As far as psoriatic arthritis goes, there are a variety of treatments available. I'm linking an article here from our sister site for PsA about various treatment options, https://psoriatic-arthritis.com/treatment. Are you working with a doctor/rheumatologist for your PsA? -- Warmly, Christine (Team Member)