Although I do have pain in my neck and aching in much of my body... my main issue with PA is feeling exhausted and aching all over for the first hour or so in the morning. I have been taking Enbrel now for around a year and although it may be helping a little, I still feel exhausted upon waking and ache all over. Do others experiences this debilitating fatigue and aching in the morning as the primary symptom? Doctors do not seem to take serious, or be that curious/interested, in the "mental" fatigue part, they are more interested in the physical pain symptoms... but I find the mental fatigue the most debilitating part of the disease... Anyone wish to comment on that? Thanks!!!