Hello @pamelathree, welcome to Connect. Have you thought about going to Mayo Clinic Jacksonville? They would have specialists for treating psoriasis of the toe. If you would like to seek help from Mayo Clinic, contact one of the appointment offices. The contact information for Minnesota, Arizona and Florida can be found here http://mayocl.in/1mtmR63.

Mayo Clinic does have some information on diagnosis and treatment that may be helpful:
-- https://www.mayoclinic.org/diseases-conditions/psoriatic-arthritis/diagnosis-treatment/drc-20354081

I'm tagging our moderator @ethanmcconkey to see if we should move your post to the following discussion so it will have more visibility and you can meet other members discussing similar symptoms and learn what they are doing for treatments.

> Groups > Autoimmune Diseases > Psoriatic Arthritis
-- https://connect.mayoclinic.org/discussion/psoriatic-arthritis-257d5c/