Psoriatic arthritis care

Affecting approximately 125 million people globally, psoriasis is one of the most common autoimmune diseases in the world. In the U.S., it’s estimated that around 8 million people have the condition.

On its own, psoriasis is uncomfortable and even painful, and it often poses emotional challenges as well as physical ones. For some patients, though, the story doesn’t end there. Around 30% of all psoriasis patients additionally develop psoriatic arthritis. Less commonly, psoriatic arthritis can also affect individuals who don’t display any visible symptoms of psoriasis.

What is psoriatic arthritis

Psoriatic arthritis is an inflammatory condition in which the immune system mistakenly attacks healthy joints and skin cells. This leads to joint inflammation and the rapid buildup of skin cells that form scaly, red patches commonly associated with psoriasis.

Symptoms of psoriatic arthritis can vary widely but often include joint pain, swelling, stiffness (especially in the morning) and changes in the nails such as pitting or separation from the nail bed. Some patients may also experience swelling of entire fingers or toes (sometimes referred to as “sausage digits”) and inflammation in areas where tendons and ligaments attach to bones. Other signs of psoriatic arthritis include fatigue, rashes, back pain and inflammation of the eyes.

To see a specialist for psoriatic arthritis, talk with your primary care provider. They can give you a referral to be evaluated.

Types of psoriatic arthritis

Psoriatic arthritis can present in several different forms, depending on which joints are affected and how symptoms develop. Some are more severe, but all should be taken seriously. Without proper treatment, even mild cases of psoriatic arthritis can result in permanent damage.

Common types of psoriatic arthritis include:

• Symmetric psoriatic arthritis: This type of psoriatic arthritis affects the same joints on both sides of the body, similar to rheumatoid arthritis. It’s one of the more common forms and can range from mild to severe.
• Asymmetric psoriatic arthritis: This type affects joints on only one side of the body or different joints on each side. It’s often less severe than symmetric psoriatic arthritis but can still negatively impact mobility and daily function.
• Distal interphalangeal predominant (DIP) psoriatic arthritis: This type of psoriatic arthritis primarily affects the small joints at the ends of the fingers and toes and is often associated with nail changes.
• Spondylitis: This type affects the spine, leading to pain, stiffness and reduced flexibility in the neck and lower back.
• Arthritis mutilans: This rare but severe type of psoriatic arthritis causes significant joint damage and deformity, particularly in the hands and feet.

Psoriatic arthritis treatments

There is currently no known cure for psoriatic arthritis. Most psoriatic arthritis treatment focuses on reducing inflammation, relieving symptoms and preventing joint damage. Mount Nittany Health’s orthopedic specialists will work with you to develop a plan tailored to your needs and lifestyle.

Your treatment for psoriatic arthritis may include the following:

• Psoriatic arthritis medications: Nonsteroidal anti-inflammatory drugs (NSAIDs), disease-modifying antirheumatic drugs (DMARDs) and biologic therapies can help control inflammation and slow disease progression.
• Physical therapy: Guided exercises can improve joint flexibility, strengthen muscles and support better movement.
• Lifestyle changes: Maintaining a healthy weight, staying physically active and managing stress can help reduce flare-ups and improve your overall well-being.
• Skin care treatments: Because psoriatic arthritis is often linked to psoriasis, treatments may also include topical or systemic therapies to manage skin symptoms.
• Occupational therapy: Adaptive techniques and tools can make everyday activities easier while reducing strain on affected joints.
• Surgical options: In cases of more advanced psoriatic arthritis, joint repair or replacement surgery may be recommended to restore function and relieve pain. Before surgery, we’ll provide you with access to virtual education classes to help you prepare.

Receiving a psoriatic arthritis diagnosis can feel overwhelming. However, with the right care and ongoing symptom management, many people with psoriatic arthritis continue to lead active, happy, healthy lives. If you’re experiencing psoriatic arthritis symptoms, don’t wait to seek care. Our team can help you manage your condition, foster long-term joint health and find relief from pain and discomfort.