I suffered with huge patches of psoriasis on both elbows which continued to grow larger and larger for years. Numerous treatments of various creams and light therapy had absolutely no positive results on my problem. Then I found a doctor who injected some small amounts of Kenalog directly into the layers of my psoriasis, and FINALLY the psoriasis disappeared completely. It was a MIRACLE for me! My patches of psoriasis now normally remain in remission for about two years. When I notice them to slightly reappear, I got get another Kenalog injection to clear it up for another couple of years. I have never had any side effects with this procedure except for positive ones! My self image has improved, and I can now wear short sleeve shirts without anyone asking me "what's wrong with your elbows?". I think it's the best thing!