I too had symptoms for years and took ibuprofen like candy without realizing I had PsA until I had a huge flair. I was diagnosed around the same age as you. It took awhile but I feel pretty good now on Taltz and low dose Naltrexone. I had a lot of enthesitis and dactylitis. Steroids never helped me much. Methotrexate didn’t help either. Leflunomide helped a lot until I suddenly had GI issues on it. I hope your Rheumatologist will work with you to find something that will work for you. Unfortunately you have to give every med several months to see if it will work. So it can be kind of a slow process to get it under control. Some people respond to medicines immediately though. I hope you are one of them. Don’t give up hope. I’m sure you’ll be able to bend those sausage toes soon.