Your normal ESR of 10 is very reassuring, showing that systemic inflammation is well-controlled. This stiffness doesn't necessarily mean your medications have stopped working; it could be caused by localized joint inflammation not fully reflected in blood tests, daily mechanical strain, or weather changes. I recommend discussing this with your rheumatologist, who can evaluate your joints and safely adjust your treatment plan or suggest supportive therapies to help you feel more comfortable.

Please do not abruptly stop your current medications, especially methotrexate (Folitrax), levothyroxine (throxin), folic acid, and paracetamol. Suddenly stopping these can cause severe joint flare-ups and thyroid complications. Any transition to complementary therapies must be done gradually and safely under the strict supervision of both your conventional specialists (rheumatologist and endocrinologist) and a qualified homeopathic doctor. For trusted homeopathic care in Mumbai, Thane, or Navi Mumbai, you may consider consulting established clinics like Dr. Batra's or visiting the outpatient departments of reputed homeopathic medical colleges.

Medications like Lefumide (leflunomide) and Folitrax (methotrexate) commonly cause temporary increases in SGPT, SGOT, and Gamma GT. This elevation usually indicates mild liver irritation, not permanent scarring (cirrhosis). In most cases, this irritation is completely reversible once your doctor adjusts your dosage or pauses the medication, as the liver has an incredible ability to heal itself. Please share these results with your doctor soon. They can safely manage your arthritis while protecting your liver health.

It is completely normal to feel a bit anxious about starting your weekly 15 mg Folitrax (methotrexate) injection. Common digestive side effects include mild nausea, indigestion, loss of appetite, or diarrhea. It can also affect your liver enzymes, which is why your doctor will perform routine blood tests to keep you safe. Other major signs to watch for include mouth sores, unusual fatigue, signs of infection (like a fever or sore throat), a dry cough, or easy bruising. Many of these side effects are highly manageable, often with a simple folic acid supplement.

Psoriatic arthritis is a chronic condition, and currently, there is no complete cure. However, it can be effectively managed with long-term treatment to control skin symptoms, reduce joint pain, and prevent further joint damage. Doctors may recommend medications, lifestyle changes, physiotherapy, and regular monitoring to keep the condition under control. With proper treatment and care, many people are able to live a comfortable and active life despite the condition.

Since you still have active symptoms, the next steps typically involve discussing adjustments with your rheumatologist. Options may include safely optimizing your methotrexate dose, adding another medication like sulfasalazine, or transitioning to targeted therapies like biologics. Please schedule an appointment with your specialist to explore these options.