Psoriasis and Ankylosing Spondylitis: What You Should Know

Psoriasis mainly affects the skin, but inflammation can also involve joints and the places where tendons attach. Ankylosing spondylitis is an inflammatory condition that commonly affects the spine and sacroiliac joints. Some people with psoriasis develop inflammatory joint disease, while skin changes may be subtle or already treated. Morning joint stiffness, ongoing spinal pain, reduced range of motion, or alternating buttock pain should be described clearly to a clinician. These symptoms do not confirm ankylosing spondylitis by themselves.

Keep a record of morning stiffness, back or buttock pain, skin flares, eye symptoms, and changes in movement. A rheumatology assessment may combine examination with appropriate tests and imaging. Physiotherapy can support posture, spinal mobility, breathing mechanics, and strength. Exercise therapy, hydrotherapy, and medication discussions may be part of an individual plan. Avoid stopping prescribed anti-inflammatory medication without discussing it with the prescriber.

Book an assessment for persistent inflammatory-type stiffness, repeated flares, or movement that is progressively restricted. Seek prompt care for a painful red eye with light sensitivity, sudden vision change, severe new weakness or numbness, loss of bladder or bowel control, or rapidly worsening spinal pain. Tell clinicians about both skin and musculoskeletal symptoms because the combination can guide the assessment.

Ask whether your pattern suggests inflammatory back pain, whether a rheumatology referral is appropriate, and how skin and joint treatments can be coordinated. Discuss which exercises are suitable during a flare and how to protect mobility over time.