What are the first signs of psoriatic arthritis?

Stiffness may be most noticeable after rest and can ease as you move. A whole finger or toe may appear swollen, and tendon pain can occur near the heel or elbow. Skin psoriasis or nail changes may be present before, after, or not at the same time as joint symptoms. Psoriatic arthritis is an inflammatory condition, but joint pain and swelling have many possible causes. An early clinical review helps distinguish the pattern from injury or other arthritis.

Record which joints hurt or swell, when stiffness is worst, and whether symptoms change with activity. Photograph visible swelling or nail changes if they come and go. Keep joints gently moving within comfort, balance activity with rest, and avoid forcing a painful joint. A clinician may arrange examination and tests, then discuss anti-inflammatory medication or physiotherapy according to your symptoms and health history.

Arrange a prompt appointment if swelling or stiffness persists, several joints become involved, or hand and foot function is changing. Seek urgent care for a suddenly very hot joint with fever, severe illness, or rapidly increasing pain. Eye pain, marked redness, or new light sensitivity also warrants urgent assessment.

Ask which features suggest inflammatory arthritis, whether skin or nail findings matter, and what tests may be useful. Ask how to exercise safely, when physiotherapy could help, and which medicines are suitable with your other conditions.