What should you know about neuropathy and psoriatic arthritis?

People with [Psoriatic Arthritis](/conditions/psoriatic-arthritis/) may have pain, swelling, warmth, or stiffness in joints and tendon attachments, often with skin or nail psoriasis. Neuropathy instead involves altered nerve signals, which can feel like burning, pins and needles, numbness, reduced sensation, or weakness. A swollen wrist can compress a nearby nerve, and another nerve condition can occur independently; joint inflammation does not automatically explain every tingling symptom. Details such as the exact distribution, timing, strength change, and relationship to joint movement help guide assessment.

Keep track of painful or swollen joints, morning stiffness, skin changes, and any numbness or burning. A clinician may examine joints and tendons, test strength and sensation, and review medicines and other health conditions. Management can include disease-directed care, pacing, joint protection, and movement that preserves function. [Anti-Inflammatory Medication](/treatments/non-surgical-orthopedics/anti-inflammatory-medication/) may be discussed for inflammatory symptoms, while [Physiotherapy](/treatments/physiotherapy-and-rehabilitation/physiotherapy/) can support mobility, strength, and practical adaptations.

Arrange review when numbness is new, spreading, or accompanied by weakness, balance problems, or dropping objects. Seek prompt medical care for a suddenly hot, very swollen joint with fever, or sudden one-sided weakness or speech trouble. Ongoing [Joint Pain](/symptoms/joint-pain/), [Joint Swelling](/symptoms/joint-swelling/), or [Morning Joint Stiffness](/symptoms/morning-joint-stiffness/) also warrants review when it limits normal activity.

Do my symptoms fit active joint inflammation, nerve irritation, or both? Which examinations can identify the affected nerve? Could a swollen joint be compressing a nerve? How should exercise and medication be coordinated?