Hi Gayle, I also have the symptoms that you have. I have suffered with back pain since I was little. I am 69 years old. That’s pretty much a lifetime of pain. I have recently broken out with psoriasis, this winter. This is new to me I have never had an outbreak and it was truly miserable. I have had 2 back fusions and 1 neck fusion. I also suffer from spinal stenosis top and bottom of my back which I have had surgery for. I have been very lucky with my surgeries . They have helped a great deal. Since I had them done. I also have a very awesome surgeon . This year I have had everything under the sun it seems. I ended up getting an infection in a knee replacement that I have had for fifteen years. I thought I had a piece of glass in my foot but when they cored it out I had a staph infection. I also ended up getting Pseudomonas Aeruginosa which is an antibiotic resistant superbug. Luckily I was able to fight it. . I also suffer from rib and back pain. Achilles tendon and pain in my knee wrists fingers and now a shoulder joint. Some days I don’t think I’m gonna make it. But I pick myself up and tell myself that as long as I can I’m gonna fight thrue it all. If you doctor doesn’t understand your pain and fatigue it’s time to find someone else. Having a physician that understands this disease is very important. I have had a lot of Dr.’s that ignore what I’m trying to tell them and it wasn’t till this year that I finally got the diagnosis of axial spondylitis. So hang in there, find a Dr. that understands what you are going thrue. And keep fighting!