I have been in constant pain/discomfort for over four years but now have some hope of relief. I was diagnosed with Psoratic Arthritis fifeen years ago and needed an Full Laminectomy. I didn't realise Psoratic Arthritis could be the cause of other inflammatory sites i.e. mid-chest and to the left side along my ribs and I have also just learned that fatigue is also associated with psoratic arthritis. My local G.P. hasn't been able to diagnose my problems. I do have a heart murmur so get regular checks of my heart. I have made an appointment to see my Rheumatologist for review.