What to expect from physiotherapy for psoriatic arthritis

Psoriatic arthritis may affect joints, tendons, the spine or the feet, and symptoms can vary over time. Your physiotherapist will discuss swollen or painful areas, stiffness, fatigue, work and home demands. They may assess movement, muscle control, posture and walking. This helps them choose activities that support function without overloading an irritated joint.

Sessions may include mobility exercises, strengthening around affected joints, posture or hand exercises, and advice about pacing. During a flare, the plan may shift towards comfortable movement and rest breaks; when symptoms are calmer, strengthening can progress. Ask for alternatives if gripping, kneeling or weight-bearing aggravates symptoms. Keep taking prescribed disease-controlling treatment and share changes in swelling or fatigue with your clinical team.

Tell your rheumatology team if swelling, warmth, pain or morning stiffness is increasing, or if fatigue is interfering with basic activities. Seek urgent assessment for a hot, very swollen joint with fever, sudden loss of movement, new limb weakness, or new bladder or bowel problems.

Ask how to modify exercises during a flare, which joints need protection, and whether an occupational therapist, splint or walking aid could help. Discuss how progress will be measured in tasks such as opening containers, climbing stairs or walking outdoors.