Hi, for two weeks now I have had bad joint pain in both wrists, both knees, and thumbs and fingers on both hands. I'm 33, and was recently diagnosed with psoriatic arthritis, primarily in my right foot. The current pain is severe enough to keep me up at night, and is usually worse in the morning. There is no swelling in any of the joints though. I don't have any fever or other symptoms. I am quite tired a lot though, but that could be because I'm not sleeping very well due to the pain. Any ideas?