Hi Vatsula,
Welcome to the Pain Management Forum. I am glad that you found us and took the time to post. I am sorry to hear about your painful, undiagnosed issues. We can relate.
A good doctor/patient relationship must be built on trust. I am not sure where the breakdown in communication came between you and your rheumatologist but it appears to have happened. I understand your distress at learning he was recording one thing and telling you....or not telling you another thing.
If you feel you cannot trust him it is time for a change. I encourage you to start anew...as difficult and frustrating as that always seems to be..... It can bring good changes..... And right now I think you are in need of some good changes. My heart goes out to you.
I don't know what your physicians meant when they said that you, "don't mange the pain correctly." What I do believe is that it's important to work with your physician(s) and follow their treatment, including medication plans to manage your pain.
I am not certain if it is possible to have Psoriatic Arthritis and not have swelling of your joints. It's my understanding that there are five types of that condition. Some obviously produce swelling. They all have different symptoms and some are more serious than others. Although it is a chronic life-long disease there are treatments. Which Psoriatic Arthritis is your diagnosis?
Please know that you are always welcome here. However I'd like to suggest two other MedHelp Forum's where you may want to post. You may find more information in the following communities. Here's the links:
http://www.medhelp.org/forums/Arthritis/show/163
http://www.medhelp.org/forums/Dermatology/show/65
Please keep in touch and let us know how you are doing. It certainly sounds like you have a very difficult row to hoe! We offer our support and hope you will be active in our community.
Best of Luck and Take Care,
~Tuck