my mom has psoriatic arthritis. and the psoriasis with it. she has flares on and off pretty consistently. the psoriasis is really bad on her hands and feet when she has flares and water is really painful... she has a difficult time taking showers because of the pain. she tried taking methotrexate for a year and it did help but she started having problems with her liver so she stopped taking it. she isn't on anything anymore and just deals with the flares as they come and go.