So I've got it and it makes all of my joints hurt, but mostly the knees. I've went to the dermatologist and the orthopedist about it and they both have different ideas. The Dermatologist wants to start me on a biologic medicine that will screw with my immune system and the ortho wants to do knee replacement. If I have knee replacement I can live with the stiff fingers and elbows, but if I have the biologic it could take care of everything while screwing with my ability to fight off a cold. Anyone got any insights?