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Lene   Thank you very much for your very valuable advice.  I originally saw a Rheumatologist privately and after only one appointment he said here's some Methotrexate and get on with it.  That was 12 weeks ago.  I think I have active arthritis which seems very devious and travels to different parts of my body.  It seems to stay in one place for a while then when it gets fed up moves on to another area.  I have really struggled with pain.  Unfortunately it is also difficult to get to see the same GP at my practice as they are always so busy.  Luckily after a very bad episode of pain I managed to get an appointment with a GP who has now referred me on the NHS to another Consultant.  Hopefully then I will then get access to a secondary line of care.  It is a very frightening time and as I have to work full time, life is very hard at the moment.  I will take all your advice with me when I eventually receive my appointment.