Understanding Psoriatic Arthritis

A Comprehensive Guide to Symptoms, Diagnosis, and Treatment

Orthopedics

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Last updated: Mar 24, 2025

What is Psoriatic Arthritis?

Psoriatic arthritis (PsA) is a chronic inflammatory condition that affects both the joints and the skin. It typically develops in people who have psoriasis, though some may develop joint symptoms first.

Key Symptoms

Joint Symptoms

  • Painful, swollen joints
  • Morning stiffness
  • Reduced range of motion
  • Sausage-like swelling in fingers and toes (dactylitis)
  • Joint deformity in advanced cases

Skin Symptoms

  • Red, scaly patches (psoriasis plaques)
  • Nail changes (pitting, separation)
  • Changes in finger and toenails

Diagnosis

Diagnosis typically involves:

  1. Physical examination
  2. Medical history review
  3. Imaging tests (X-rays, MRI)
  4. Blood tests
  5. Joint fluid analysis

Treatment Options

Medications

  • NSAIDs for pain and inflammation
  • Disease-modifying antirheumatic drugs (DMARDs)
  • Biologic medications
  • Corticosteroid injections

Lifestyle Changes

  • Regular exercise
  • Weight management
  • Joint protection techniques
  • Stress reduction

Living with PsA

Self-Management Strategies

  • Follow medication schedules
  • Maintain regular physical activity
  • Protect joints during activities
  • Work with healthcare team

When to Seek Help

  • Increased joint pain or swelling
  • New skin symptoms
  • Difficulty with daily activities
  • Signs of infection

Long-term Outlook

With proper treatment and management, many people with PsA lead active, fulfilling lives. Early diagnosis and treatment are crucial for preventing joint damage and maintaining quality of life.

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