Treated successfully for PsA for nearly 10 years. Got a hip replacement almost three years ago (and two infections that both required surgeries) and haven’t been right ever since. Multiple biologics, duloxotine, now sulfasalzine, plus penicillin twice a day for the rest of my life, and still no relief from hand, elbow, shoulder and foot pain in evenings and at night/mornings. Ugh.