 [ Symptoms ] could psoriatic arthritis be a more systemic problem leading to multiple seemingly separate problems to include pacs prostateurologic and multiple areas of tendonitis without strain or injury [ Disease ] go with her to her next doctor is appointment or inform the prescribing medical provider that she is addicted and abusing this dangerous narcotic you are wise and caring for being concerned but only your wife can stop have her seek help from a self help 12 step program if she is truly in pain seeing a pain specialist is the best way to go her doctor can refer her there is really no way for me or any medical provider to make blind pain medication suggestions since we do not know her particular case she needs help and you can help her get this help