Psoriatic Arthritis

Psoriatic arthritis is an inflammatory form of arthritis that affects some people who have psoriasis. It can cause joint pain, swelling, and stiffness, and — if left untreated — may lead to lasting joint damage. Early treatment helps protect your joints and skin.

Overview

Psoriatic arthritis can affect joints throughout the body, as well as the areas where tendons and ligaments attach to bone (enthesitis). It may cause swelling of an entire finger or toe (dactylitis), nail changes, and back or neck pain.

Joint symptoms can appear before, after, or at the same time as skin psoriasis. Because the disease can vary widely from person to person, treatment is individualized.

Common Symptoms

• Swollen, painful joints, sometimes with an entire finger or toe swelling (dactylitis)
• Pain where tendons attach to bone, such as the heel (enthesitis)
• Stiffness and reduced range of motion
• Nail pitting, ridging, or separation from the nail bed
• Skin patches of psoriasis and fatigue

Diagnosis

There is no single test for psoriatic arthritis. Diagnosis is based on your symptoms, a history of psoriasis, physical examination, blood tests to exclude other conditions, and imaging to assess joint inflammation and damage.

Treatment at B N Rheumatology Associates

Treatment may include anti-inflammatory medications, disease-modifying drugs, and biologic or targeted therapies that address both joint and skin disease. We coordinate care to control inflammation, relieve symptoms, and prevent long-term joint damage.

When to See a Rheumatologist

If you are experiencing persistent joint pain, swelling, stiffness, or related symptoms, an evaluation by a rheumatologist can lead to an accurate diagnosis and an effective treatment plan. Dr. Saurav Suman provides personalized, evidence-based care for psoriatic arthritis and other rheumatologic conditions for patients throughout Camp Hill, Mechanicsburg, Harrisburg, and Central Pennsylvania.