Psoriatic Arthritis -7 Signs and Symptoms | A Rheumatologist Review

Psoriatic arthritis is a diagnosis often overlooked and delayed. Learn more in this video about what is psoriasis and psoriatic arthritis, how to recognize the signs and symptoms like back pain, hip pain, sausage digits or dactylitis, tendonitis or inflammation of the tendons, skin, and nail changes, eye and gut inflammation.
#psoriaticarthritis #signsandsymptoms #psoriasis
If you are interested to learn more subscribe to my channel / @rheumatologistoncall
Chapters
0:00 Intro
4:17 What is Psoriasis?
4:53 What is Psoriatic arthritis?
5:50 Common Signs and Symptoms Psoriatic arthritis
06:25 Back Pain
07:16 Joint Pain
08:16 Dactylitis
08:29 Tendonitis
9:10 Skin Psoriasis
10:18 Nail Changes
10:53 Eye inflammation
11:42 Gut Inflammation
Please share with others that might benefit from this knowledge.
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👩🏻‍⚕️ About me:
Dr Diana Girnita is a double board certified physician in rheumatology and internal medicine. She completed a PhD in immunology, a postdoctoral fellowship at Harvard University, immunology fellowship at University of Pittsburgh and rheumatology fellowship at University of Cincinnati. Dr. Girnita graduated from the Nutrition Science course from Stanford University and a Mindfulness course from The University of Massachusetts; She is the founder & CEO of Rheumatologist OnCall, a practice focused on broadening access to rheumatology and offering patients an integrative medicine approach.
Dr. Girnita teaches patients about autoimmune disease, arthritis and also helps them customized their treatment plans. Dr. Girnita is passionate about rheumatoid arthritis. The treatment plan is personalized to the patients needs and incorporates the proper nutrition, exercise and management of stress. After all,
"You have a disease, but YOU are not the disease"
* The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a medical consultation. Any comments and/or recommendations made in the comment section by anyone other than Rheumatologist OnCall does not reflect our opinion or recommendation.*

[@kevinmcginnis4629]

The hardest Part about having PSA is plain and simple, getting a diagnosis! My first rheumatologist was a nightmare! Keep going when you know you have it! The nails, tendon problems, and skin Psoriasis are red flags, and Fatigue the worst. keep moving as much as you can, blessing to all you who are sufferings, talk to other who have it!

[@rheumatologistoncall]

Agreed!!! It is the hardest to diagnosed for someone that is not well trained! Thank you for supporting my KZbin channel!

[@alisalavine1052]

I was just diagnosed with PsA a few months ago but have likely had it for decades. No medical professionals ever said to me that even though I had extremely mild psoriasis I could still have PsA. Especially when you consider that my mom has severe plaque psoriasis. I have decades of damage most prominently in my spine. If you even think you MIGHT have it, go see a rheumatologist. Don't wait.

[@rheumatologistoncall]

I agree, it is likley the most undiagnosed disease

[@michaeldoherty3820]

I just had the same thing, though luckily it's probably only been going on for 15-20 years. I'm 36 and saw a dermatologist and she took one look at my nail-pitting and sent me straight to a rheumatologist. Extremely frustrated and disappointed no one had ever suggested despite my long and serious family history. This is after several trips to my PCP, an Orthopedic, and physical therapy for my back

[@elsaeufemiabermudes3513]

Me also last October 2022 and tanx God it takes only 4 Mo's my PSO.now I'm ok methotrexate and cosentyx is effective Thank you Lord

[@wendyrodriguez5375]

@@elsaeufemiabermudes3513 please advise what Rx that really helps. Also what over the counter or acupuncture to try. Did the rheumatologist understand the pain and flare ups ❓❓❓❓❓‼️‼️‼️❓❓‼️‼️

[@jacobjones5269]

If you’re at the hospital at 3am and the lone doctor in the building just can’t fathom how you could be in so much pain and desperately asking for pain meds, only to be denied and bullied into being quiet?.. Sure sign you might have psoriatic arthritis..

[@conniegarvie]

Or any of my other conditions!

[@carolmerlini9971]

I have many symptoms. Four years ago I tried to see a rhumagologist and was basically ignored by the health system. I will try again. Thank you so much, doctor for this valuable information.

[@lilaworley8935]

Omg. I can't believe this. I've been through so much and nobody pieced this together. I've had spine surgeries and complained of every single symptom. I've seen so many specialists including an immunologist that diagnosed me with a contact allergy to textiles and dyes. I have mentioned rashes. Been given prescriptions for steroids and eye drops and had colonoscopy and told them my father and sister have psoriasis and 4 surgeries later it's ME demanding referrals to rheumatology and dermatology. I'm so disillusioned by doctors that are only guessing at my revolving symptoms I could just scream. This is it. I can feel it in my soul that this is the reason I feel like I'm dying all the time

[@rheumatologistoncall]

Thank you for watching my channel, share the videos to spread my educational content!

[@kimw.7366]

Fantastic walk through of PSA. Such valuable information that goes beyond the initial swollen joints. Thank you!

[@rheumatologistoncall]

Glad it was helpful! Thank you for watching!!!!

[@Abubakar-ws9nh]

Thanks a lot

[@hk6073]

thank you Dr Girnita on your comprehensive information

[@rheumatologistoncall]

Glad it was helpful!Wow, thank you! I am glad my channel is helpful! share with others too!

[@ekaterinipapaemmanouil772]

Thank you very much for your information about PA. You speak slowly and I understand everything you say. Very useful for my case as I suffer some years now of PA.

[@rheumatologistoncall]

Happy Holidays!

[@hagernoureldin]

Thank you for this information.. ❤️

[@rheumatologistoncall]

Thnaks for atching!

[@francescamamba8660]

Very informative

[@rheumatologistoncall]

Thank you for watching

[@NARINDER69]

Thank you Dr 👍

[@rheumatologistoncall]

Always welcome

[@NARINDER69]

@@rheumatologistoncall mam I have joint pain all body very pain

[@nandikahemamali5699]

Thank u❤

[@rheumatologistoncall]

You're welcome 😊Thank you for watching my channel, share the videos to spread my educational content!

[@texasmade9090]

Great video !!

[@rheumatologistoncall]

Thanks for sharing! Thank you for watching my videos! share them with other people to help them be educated!

[@andetyb4488]

Thanks for this video. I was diagnosed to have a late onset Atopic dermatitis by a derma friend, but before that had unexplained rashes, unilateral DIP joint pain and stiffness during cold season, now the other signs of nail pitting, scaling gut problems and unilateral SIJ back pain. Seems now the whole spectrum....😢

[@rheumatologistoncall]

Glad it was helpful!

[@mrmiyagi6742]

I think I have this, I have rashes on the scalp and have had bouts of blurry vision plus my feet always hurt and at the moment I am literally laying down in pain with a swollen foot I can't walk on.

[@joshyager8366]

I would like to know where you practice. I’m 43 and just started with thumb numbing and have had nail pits for years. I have had the snap sound in my feet while walking since I was about 9. I am now just barely able to put on work boots because of the pain. Thank goodness I stumbled on your video

[@rheumatologistoncall]

Here is my website, I see patients in multiple states.

[@rheumatologistoncall]

rheumatologistoncall.com

[@rheumatologistoncall]

rheumatologistoncall.com

[@keithdavis7595]

I have had PsA for approx. 4 years in my right SI joint. The best thing I have found for pain is CBD/THC. I take one gummy in the morning (7.5mg CBD/7.5mg THC) and another in the evening. Anti-inflammatory, pain and muscle relaxing meds do not work and make me feel terrible. I am no longer under the care of a doctor due to $. Along with the CBD/THC I walk 2 miles per day. This is how I keep functioning.

[@rheumatologistoncall]

Thank you for watching my channel! Please share with others to share the knowledge!

[@keithdavis7595]

I never got any relief until I added THC to CBD. This is hemp derived THC that is now legal in the US. I am functioning again with minimal pain

[@MariaRodriguez-sd4qj]

Thank doctor I have osteoporosis Osteo pain osteoarthritis, but I’ve been seeing a nice doctor here in California. Her name is Mr. Mia Carson. She’s very good doctor and nothing doing well since I see her but I need to learn more about my health. Thank you God bless you.

[@rheumatologistoncall]

I'm glad to hear that you've found a great doctor to help you with your health concerns! It's important to have a doctor who is knowledgeable and caring.Thank you for watching my channel!

[@johnmickel2330]

Got It!😋

[@chuckymcchuckface8768]

I was diagnosed with psoriatic Arthritis when I was 31. 42 now, and I take sulfasaline everyday and copius amounts of co codamol 30/500s periodically. Must say my 30s were spent throwing up due to sulfasaline and gaining/ losing weight like a yoyo. Anyhow.. I'm good now, I've learnt to cope and deal with it. Much love to all you folks in the same boat.

[@rheumatologistoncall]

Thank you for sharing your journey with us. Your resilience and positive attitude are truly inspiring.

[@gucci9566]

How you have learnt to deal with??

[@chuckymcchuckface8768]

@gucci9566 I got over feeling sorry for myself and carefully watched what I ate. Fish body oil helped, and I ate little, but often, I also found the Mediterranean diet helped. I eat plenty of fish in my diet and less processed crap. Also, I'm a joiner/carpenter, which keeps me very active. I work at a steady rate and be careful lifting or carrying excess weight when a flare-up arrives. Also, my body got better dealing with sulfasaline over time. It's a horrible drug, but it definitely keeps things quite arthritc wise. The only downside is that the infections and colds, etc, take longer to go away. Also, it is a good, healthy perspective, knowing there are others far worse.

[@Waseem-ww7uu]

Where is psa affecting you is it si joint

[@chuckymcchuckface8768]

@Waseem-ww7uu PSA affects my big joints, such as my hips, lower spine ankles, and occasionally my hands. Also, my eyes, finger, and toe nails. It's amazing how it works.. no rhyme nor reason.

[@pattyvandenberg6407]

How to spot treat psoriasis nail? I already use methrotaxate once a week. Nail damage started 2 years after beginning treatment. Thanks for your very informative video.

[@rheumatologistoncall]

check with dermatology

[@revbujji7761]

Same as I'm also used medicine

[@revbujji7761]

Same medicine i used in wkly once

[@mydreamkingdoms]

Yes im also take this every week 😢

[@sreesreenath9058]

Thank-you Doctor. But Still im confused whether I have PsA or RA

[@rheumatologistoncall]

It's important to seek clarification from your doctor to have a clear understanding of your condition.

[@josiebore191]

Doc magandang umaga po nag pa check up na ako colchisin febocxustat frednison un ang renisita sà akin wla pa rin pagbabago ano pwde gamot mk lakad lng ako

[@jenebeldelacruz1732]

Hello Po doc!!!arthritis psoriasis cguro Yung sakit ko kc lahat Po Ng symptoms nasabi mo na Po...tsaka lagi pong umaatake Yung joints pain ko sa mga tendon sa kamay at paa,at mayron na Rin ako ngsswell na purple sa aking mga paa,3 yrs ko na Po ito iniinda,ano Po Ang lunas neto..maraming salamat Po doc!

[@michaelhostetler5190]

Yes I was diagnosed 10 years ago all I've done is battle with the insurance company. And doctors to get what I need. I've been going untreated more than not. Lost jobs because I have so much pain I simply can't do what I used to.

[@rheumatologistoncall]

sorry to hear that! keep fighting! thank you for watching my channel!

[@shirleyhinggo8088]

Hello doc my husband is diagnose of psoriatic arthritis disease he suffer the joint pain everyday fingers and joint deform doc pls can u give what medicine or vitamins to take? Thank you!

[@rheumatologistoncall]

Yes he needs to consult a rheumatologist

[@daringgreatly8473]

Look up turmeric and ginger tea.

[@tomhardy9850]

I suffer from psoriatic spondylitis The greatest impact and pain is in the sacroiliac joint, neck, mid-back, tendons, ligaments, plantar fascia, Achilles tendon, and Kervain tendon. The disease caused chronic, non-specific enteritis and terrible pain I started using Simponi and it yielded no results for me My doctor discussed switching to Stelara or something else, but I've seen many reports of Stelara not working in psoriatic arthritis. Of the axial type, the spinal column and the iliac joint Does Stelara work for tendinitis, spine, iliopsoas joint, and bowel syndrome?

[@rheumatologistoncall]

Thank you for watching my videos!

[@Waseem-ww7uu]

Hello which medication you are on now

[@CraigMullins1]

So if we are on a drug like Taltz what else can we add?

[@rheumatologistoncall]

Nutrition exercise stress reduction

[@daringgreatly8473]

Look up turmeric and ginger tea.

[@jhayrrusco2995]

Doc. totoo po bang meron rin psoriasis sa loob ng katawan? Like sa bituka or intern organs ng tao? Sabi po kse ng mga doctor meron daw gnun kaya need imonitor ang anak ko 1yr and 6months po sya

[@sethgraham4836]

When should I go to the doctor?

[@rheumatologistoncall]

when you have pain, stiffness in the mornings! thank you for watching my channel!

[@MrCordero68]

I have all those problems, ca I apply to desability😢

[@rheumatologistoncall]

some people do apply, but I encourage you to seek treatment and avoid that if all possible.

[@suzyq6920]

Question: I have been diagnosed with psoriatic arthritis, but I get days where I have almost every joint in my body that is inflammed and I am completely exhausted. I literally have to sleep for hours. Other days I just have back pain, but I can function. I have dry, cracked skin on my hands in the winter, but it goes away in the spring. I am being treated with Simponi right now, but its not working. Is it possible my symptoms are caused by something else?

[@rheumatologistoncall]

recheck with your rheumatologist

[@savvysilvia5075]

I have tendinitis in my plantar fasciitis and in my Achilles tendon. I also have a CRP of 18, but other than that i don't have any other symptoms. My feet have been hurting for just over a year and getting worse. I was diagnosed with psoriatic arthritis but feel the diagnosis might be wrong. Can i have it with just those symptoms? Thank you.

[@helicart]

Your CRP is through the roof, though any inflammatory or infectious disease could cause that. You might want to get checked for gout via plasma uric acid levels. Gout can flare any joints, fascia, tendons, especially if they have been injured in the past. As for conservative management: - aggressive icing is good. don't use a commercial ice pack. use crushed ice wrapped in two layers of tea towel, and leave it on for 1 hour each time. 5-8x a day is often necessary if pain is severe. - hydrate adequately. you need to keep the inflammatory products being flushed from the tissue. - rest from walking/running/standing. cut it as much as practical - reduce your food intake. When you are on a Calorie deficit, you have less inflammation. - do not eat sugary or fatty things, nor animal produce. These all stir inflammation. No matter which form of arthritis or inflammation you have, the above will help.

[@savvysilvia5075]

@@helicart thank you for taking the time to reply and for all the information. 🙂

[@graypj]

I had plantar fasciitis for about 4 years as well as sciatica/ lower back pain. Nothing worked. Eventually I had an outbreak of a rash all over my scalp that never went away. This led to a psoriatic arthritis diagnosis, after blood work. (CRP 27, SRW 36, as well as presence of a gene for PA). Got prescribed a TNF blocker. Less than 24 hours after the injection my arthritis was better. In about 2 months the rash went away. My CRP is less than 1 since my last blood work and SRW is 2.

[@savvysilvia5075]

@graypj I'm sorry you went through that, but I'm glad you found a medication that worked. I'm scared of the medications. I always have reactions to everything! Dmards scare me. I'm going for a second opinion in about a week. Meanwhile, I've been doing most of what was written above, but I'm not getting relief. I'm starting to think the diagnosis is right and might have to bite the bullet and take the meds 😢. Thanks for replying, and I'm glad you're better. :)

[@sreesreenath9058]

@savvysilvia5075 try alternative indian medicine like Siddha. Watch videos relevant to it. It may help

[@MdYousuf-zb1ml]

I am struggling with this disease, around 13 years. And ever feel any joint pain, before last 3 months. My body's left side- arm, elbow feeling pain . Plz need suggestions.

[@rheumatologistoncall]

I'm sorry to hear about your struggles. Have you consulted with a healthcare professional regarding your joint pain?

[@nicolautorres9]

If I'm suffering from enthesitis and spondylitis and I have bad gastrointestinal reaction with anti inflammatories because they cause ulcers, what can I take for the pain ? Do I need a biologic because the enthesitis is crazy

[@meliodas2690]

what medication you are taking

[@sreesreenath9058]

Try Indian medicine like Siddha Or ayurveda if there is an availability

[@Waseem-ww7uu]

@@sreesreenath9058 how are you now i am from india too

[@mrmiyagi6742]

Is it treatable?

[@rheumatologistoncall]

Yes!!!!!

[@djunaedisuhardjo8065]

Does PsA contagious by direct contact ? Appreciation for response

[@royharper2003]

No.

[@rheumatologistoncall]

NO Thank you for watching my channel! Share the information with others in need!

[@amaliarutaquio6255]

hi how to cure psoriatic artritis.i have that disease.tanx for answering

[@rheumatologistoncall]

there is no cure, but there is lifestyle modifications and also great medication!

[@biancahotca3244]

Se poate ca un virus sa fie "prins/blocat" in genunchi cumva? Sunt racita/gripata si in acelasi timp ma doare genunchiul artritic foarte tare. La orice miscare, cand il intind, cand umblu ma doare mai tare. E doar la genunchiul stang. Puteti sa-mi dati un oarecare remediu sau sfat pentru ameliorarea dureri? Este a II oara cand se intampla asaceva. Daca ma puteti ajuta, va rog. Multumesc.

[@rheumatologistoncall]

no, nu se poate! se poate sa aveti o reactie imuna dupa expunerea la un virus

[@biancahotca3244]

@@rheumatologistoncall Si de aceea ma doare genunchiul asa de rau?

[@jimsigrist5506]

PsA sucks. Currently taking Fish Oil DHA/EPA which is 3-4 capsules twice daily. Recently added Tumeric (Curcumin). My second bad flare in 20 years. Sulfasalizine gave me a rash.

[@rheumatologistoncall]

I'm sorry to hear about your flare-up. Have you consulted with your healthcare provider about alternative treatment options?

[@1947froggy]

Very good but what about TREATMENTS!!!

[@rheumatologistoncall]

you have a full video about that too in my channel....kzbin.info/www/bejne/eWq0YmyYr6epd68

[@rheumatologistoncall]

kzbin.info/www/bejne/f4qygqOwarZra6M

[@NahidulIslam-el3gt]

What is the treatment for this...?Plasse mention I'm going to die day by day.

[@rheumatologistoncall]

Your support means the world to me! To help more people and get this information spread faster please: 👍 Like and Subscribe 🔔 Turn on Notifications 👥 Invite friends to join Together, let's keep our community growing strong! 🌱🚀

[@user-ot7em2mc5r]

Doctor am in juba i have the pain all the joints the feets my body is just making noise it's now 2 Years i could ask my self what am suffering from, i have taken drugs but no response, so what i did i was on u tube i sow u explaining about arthritis, i got all the signs and symptoms i have are the same as that one of arthritis so i hard no medicine am taking but when i stoped eating red meat, taking sugar, bread, milk, Cooking oil as u said it's the little relief i have then making exercises if i don't i can be very tired, now Last month i went to the hospital to test arthritis but they didn't get anything in the blood so this time mam am just on exercise and stopping those foods so what should i do doctor what am i suffering from exactly and which type of arthritis is this i don't know even where to start from help me pliz. Thank you.

[@rheumatologistoncall]

Thank you for watching my channel!

[@vanmayhem]

If I have this should I make use of my disability insurance so I can work less? My job is stressful and physically harsh on my body.

[@rheumatologistoncall]

I cant decide on this !Thanks for watching my videos!

[@bananasplit8529]

Thick toenails, elbows, knees, but for the past few days...scarlet bright red under my boobs, and my itchy scalp is losing a handful of hair every day...the pharmacist told me to buy antifungal foot cream...I just bought it and left...I do not know where to put it??????? I am miserable!!!

[@rheumatologistoncall]

Contact a dermatologist!

[@royharper2003]

that's psoriasis most likely, not a fungis

[@bananasplit8529]

you are right!!@@royharper2003

[@SportsMuppets]

Can taking Hepatitis C vaccine help fight this illness?

[@rheumatologistoncall]

Thank you for supporting my KZbin channel!

[@carolb3327]

I'm uninsured, so I'm guessing I have this. My fingernails have the ridges pictured on KZbin. Not a lot of aches really, but some. Can't afford doctors so I gotta be my own doctor.

[@rheumatologistoncall]

Thank you for sharing your situation with us. It's unfortunate that you don't have access to healthcare, but I admire your determination to take care of yourself.

[@gucci9566]

Plz send ur e - mail for online consultation if you provide plz.

[@rheumatologistoncall]

Thank you for your interest in online consultation.

[@punithasathesh2770]

What food mom

[@rheumatologistoncall]

watch my video in my channel about anti-inflammatory diet

[@seanogcon]

I have it. It’s so itchy Painful My joints my hands toes ribs. Drugs no good food is king spinach is good beet juice v 8 no dairy

[@rheumatologistoncall]

I'm sorry to hear that you're going through this, but it's great that you're focusing on healthy foods like spinach and beet juice.