mischiefmaker -All these diseases are treated step wise, which I’m sure you didn’t know. Take the time, since you’re on the net anyways and research your disease. I believe you’re at the stage for the next step. What the next step is will depend on your Derm. If you really are in a lot of pain, get an appt. ASAP with your Derm. In the meantime take Ibuprofen for the pain. Your PCP won’t treat your psoriasis because you are already seeing a specialist.