I was just told Thursday night I need to start on Humira for my psoriatic arthritis. My psoriasis is horribly bad on the soles of my feet. There are numerous splits and my feet burn and hurt very badly. My dermatologist prefers that my arthritis doctor lead with my medication recommendation; however, I feel that my feet must be fixed before my joints. Although my joints and feet both hurt terribly, my feet are much worse and I have to be able to walk. So, is Humira my best choice of therapy? Also, I have been on Plaquenal for one year and went off about three weeks ago. Do you think that is one reason the psoriasis is so much worse these past several weeks. I am up now because I cannot sleep because they hurt so badly. Thank you for answering.