I also want to jump in here since my disease diagnosed ca. 1999 has come and gone, but mostly been absent. Bad flares are awful and my last one had me using kitchen chairs like crutches and wondering if I needed a handicapped tag on my car. My dark time. I went from Humira to Cosentyx to Simponi and back to Humira, while tryig to get relief from gabapentin and flexoral. Finally somehow forced a remission and now I'm doing intense workouts 3 - 4 hours a week at the gym, cardio, yoga and all my regular activities with only some stiffness here and there. I'm 55, using only occasional topical NSAIDs and compounds and the quell device. The dark times might come again.