Oh, dear....a YEAR? Say it ain't so ! I don't have much skin involvement, only some inverse and nail dystrophy. The thoughts of waiting a year for the arthritis to feel better is too overwhelming to contemplate, as I feel at my absolute wit's end.
As far as the MTX, I wouldn't know if it was helping unless I stopped it. Ever since I began taking it, my symptoms have progressed. I don't know if they progressed slower with the MTX or if it simply isn't effective for me. I would much rather be able to have some wine if it isn't working !
My phenotype is the symmetric/axial/spondy sort of manifestation. My right knee has already "melted" and I am concerned about my feet and ankles. Perhaps if Stelara does nothing more than slow the progression, it would be a worthy endeavor, but what I also need is pain relief. I continue to work part time and exercise every other day and try to stay positive.