Both psoriatic arthritis and psoriasis are chronic diseases that worsen over time. However, you might have periods when your symptoms improve or go away temporarily.
Psoriatic arthritis can affect joints on one or both sides of your body. The signs and symptoms of psoriatic arthritis often resemble those of rheumatoid arthritis. Both diseases cause joints to become painful, swollen and warm to the touch.
It is also more likely to also cause:
- Swollen fingers and toes. Psoriatic arthritis can cause a painful, sausage-like swelling of your fingers and toes.
- Foot pain. Psoriatic arthritis can also cause pain at the points where tendons and ligaments attach to your bones — especially at the back of your heel (Achilles tendinitis) or in the sole of your foot (plantar fasciitis).
- Lower back pain. Some people develop a condition called spondylitis as a result of psoriatic arthritis. Spondylitis mainly causes inflammation of the joints between the vertebrae of your spine and in the joints between your spine and pelvis (sacroiliitis).
- Nail changes. Nails can form tiny dents (pits), crumble or separate from the nail beds.
- Eye inflammation. Uveitis can cause eye pain, redness and blurry vision. If untreated, uveitis can lead to vision loss.
- Chronic Fatigue. Studies show close to 80% of people with psoriatic arthritis have some degree of fatigue. When you have this disease, your body makes proteins called cytokines that cause inflammation. They make your joints swell and become painful or stiff. These proteins may also cause fatigue, although doctors aren’t sure why.
Fatigue is not just being tired or sleepy. It is a medical symptom that impacts your physical and mental state and your ability to think clearly, stay motivated, and do the things you need or want to do. For roughly 30 to 40 percent of people with psoriatic arthritis (PsA), debilitating fatigue is one of the most difficult symptoms to live with.
Being tired means that your mind and body need sleep or rest — and that you are weary. It happens to all of us. Usually some short-term rest, a shot of espresso, a brisk walk around the block, or a cat nap can help us power through feeling tired.
Unlike being tired, fatigue doesn’t get better with rest or caffeine. “When it comes to being tired, naps or a few hours of rest can solve your problem; on a good day, maybe even a cup of coffee,” says CreakyJoints member Diane T., who began experiencing symptoms of psoriatic arthritis at age 25. “Fatigue takes it to another level. It’s a constant state of being tired in which the simplest tasks can cause me to lie in bed for 90 percent of the day.”
When you have this disease, your body makes proteins called cytokines that cause inflammation. They make your joints swell and become painful or stiff.
These proteins may also cause fatigue, although doctors aren’t sure why. When you have a flare, the cytokines set your immune system off. But instead of fighting an infection, your immune system attacks your joints. Maybe the fatigue comes from your body using energy to do this.
Source: Mayo Clinic WebMD Creaky Joints
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