Pest psoriatic arthritis: what to know

Psoriatic arthritis can affect the joints, tendon attachment sites and sometimes an entire finger or toe. People may notice [Joint Pain](/symptoms/joint-pain/), visible [Joint Swelling](/symptoms/joint-swelling/) or [Morning Joint Stiffness](/symptoms/morning-joint-stiffness/) that eases after moving. Skin psoriasis, nail changes, heel pain or a family history can provide useful context, but joint symptoms can also occur before obvious skin changes. The pattern varies, so a clinician combines your history with examination and may use blood tests or imaging to consider alternatives.

This condition is immune-mediated and is different from ordinary wear-related arthritis. Early evaluation can help protect movement and guide an appropriate plan.

Keep joints moving within a comfortable range and balance activity with rest during flares. [Physiotherapy](/treatments/physiotherapy-and-rehabilitation/physiotherapy/) can support strength, mobility, pacing and joint protection. A rheumatology clinician may discuss [Anti-Inflammatory Medication](/treatments/non-surgical-orthopedics/anti-inflammatory-medication/) or other disease-directed treatment based on affected joints, skin findings and your health history. Do not stop prescribed treatment without advice; ongoing inflammation may need review even when pain temporarily improves.

Arrange medical review for persistent swollen joints, recurring morning stiffness, new heel or finger swelling, or joint symptoms with psoriasis. Seek urgent care for a suddenly very hot and painful joint with fever, a red painful eye with vision change, severe weakness or inability to use a limb. These symptoms can need prompt assessment for infection, eye inflammation or another urgent problem.

Could my joint symptoms fit psoriatic arthritis or another inflammatory condition? Which joints, tendons, skin or nails should be monitored? What treatment goals should we use, and how will progress be checked? Which exercise and flare plan is suitable for me?