Fibromyalgia and psoriatic arthritis: what to know

Psoriatic arthritis is an inflammatory arthritis linked with psoriasis in some people. It may cause joint pain, swelling, stiffness, tendon pain, or a whole finger or toe becoming swollen. Fibromyalgia commonly involves widespread pain, fatigue, poor sleep, and increased sensitivity without causing inflammatory swelling.

Morning joint stiffness, swollen joints, scalp or skin rash, nail pitting, and changes in bowel or eye symptoms are relevant history. A symptom diary can show whether symptoms are localised, widespread, or linked to flares.

Book a review if symptoms persist or interfere with daily activities. Record swollen areas, skin and nail changes, stiffness after rest, sleep quality, and fatigue. A clinician may coordinate rheumatology care with physiotherapy: movement can preserve strength and joint function, while pacing helps avoid a boom-and-bust cycle. Anti-inflammatory medication may be considered for inflammatory pain after checking your health and other medicines.

Seek urgent care for a painful red eye with light sensitivity, fever with a hot swollen joint, sudden loss of movement, or severe unexplained illness. Arrange prompt review when swelling continues, fingers or toes become diffusely swollen, or morning stiffness is getting longer.

Ask whether your symptoms show active inflammation, how psoriasis or nail findings change the assessment, and which exercises are appropriate during a flare. Ask how fibromyalgia-related fatigue and sleep problems will be addressed alongside joint treatment.