Psoriatic arthritis (sometimes called PsA) is a condition that causes painful inflammation, swelling and stiffness of the joints in your body.
Although it’s a relatively uncommon disease, it’s more common in people who already have psoriasis, a skin condition that causes a scaly red rash. Up to 2 in 5 people with psoriasis may develop PsA.
PsA is caused when your body’s own immune system doesn’t respond in the right way and mistakenly attacks the healthy cells in your body, causing inflammation in the joints and skin.
No one knows exactly what causes it, but doctors believe a combination of genetic and environmental factors are involved.
PsA affects different patients in different ways. Your doctor will tailor the treatment approach they recommend to your particular symptoms.
Tiredness or fatigue
Pain and inflammation in your body can make you feel tired. You may have difficulty with normal tasks like getting dressed or bending down, which can worsen over time.
Back
4 in 10 people get pain in their spine and neck. Some people may also feel pain in their hips, groin, thighs or buttocks.
Pain
You might experience tenderness, swelling and limited movement in the joints, as well as surrounding tendons and ligaments.
Hands and feet
One of the first places you might notice PsA is in your fingers or toes, which might swell up like sausages. There may also be changes to your nails, such as pitting, or separation from the nail bed. You may also notice pain in your heel or arch of your foot, this is due to inflammation.
Joints
Your doctor may assess how your disease is progressing by counting the number of tender and swollen joints you have, as well as asking you about how PsA is affecting you.
If you're experiencing any of these symptoms, make sure you tell your doctor how it feels and how it's affecting you day-to-day. You can document the full picture of your condition easily, by filling in this simple questionnaire.
One of the key characteristics of PsA is that symptoms may come and go - there are periods where your symptoms are mild or disappear. When they return or get worse, it's called a 'flare'.
A flare is essentially a worsening of symptoms which might heighten the impact on your everyday life and leave you feeling frustrated. Around a third of people interviewed in a recent study reported themselves as currently having a flare.
Every person is unique, so the severity and frequency of your flares might be different to how other people experience their symptoms.
Take the questionnaire >>"Looking after myself mentally and physically is probably the most important thing, and to make sure I put myself first when I can."
Anne's story
Read more >>We've created this simple tool to help you talk with your healthcare team about how your PsA is affecting you in your daily life and how this may be changing over time.
Fill in the questionnaire
Make a note of any other aspects of your PsA that might be compromising your everyday life
Talk through your answers to the questionnaire the next time you see your healthcare professional
Take the questionnaire >>