Those Strange PsA Symptoms...

By Kate Volpicelli Leonard

2 min read

We know that psoriatic arthritis is so much more than just chronic inflammation and joint pain. While swollen, painful joints are the primary symptoms of PsA, there are a number of other symptoms of PsA that people don't often talk about. And sometimes it's helpful to know you're not the only one experiencing those "strange" symptoms that may not necessarily be on your doctor's radar!

Featured Forum

View all responses

Turn and face the strange...

Here are a few of the less common symptoms discussed within our community. How does your psoriatic arthritis experience compare to that of others? Vote in the polls to see how others responded:

The fatigue factor

Do you experience extreme tiredness, difficulty keeping your eyes open, or even flu-like symptoms that you can't explain? Sometimes plans get canceled because it's hard to keep up with life - Cynthia C understands this all too well.

Eerie eyes

The most common eye issue for people with PsA is uveitis, which is inflammation of the eye that causes redness, pain, and can lead to vision loss. If you've experienced blurry vision, floating spots in your vision (floaters), unexplained eye pain, or redness, your psoriatic arthritis may be the culprit. Learn more about uveitis and other eye issues.

Say what? Hearing loss?

- It can be challenging to get a proper diagnosis when you think your hearing loss is due to a routine ear infection, like Leanne did. In fact, ear damage can and does happen in people with PsA - read more about hearing loss in this post!

Psoriatic nails...

- Also called nail psoriasis, nail dystrophy affects the appearance of your nails. Those changes might not look nice, but more than that - they can hurt! Read more about this symptom and what can be done to treat it.

Anxiety and depression

- There is no doubt that having PsA can alter your mood - many people here at Psoriatic-Arthritis.com report suffering from depression and/or anxiety. The impact that PsA has on every single aspect of your daily life can take a toll on you emotionally - as it did with Leanne.

What other symptoms would you like to see more discussion about? Please share in the comments!

This article represents the opinions, thoughts, and experiences of the author; none of this content has been paid for by any advertiser. The Psoriatic-Arthritis.com team does not recommend or endorse any products or treatments discussed herein. Learn more about how we maintain editorial integrity here.

Join the conversation

Please read our rules before commenting.

aprilann Member
Loss of coordination.
1. Casey Moderator
 Thanks for sharing with us, AprilAnn! How strange! Please continue to keep us updated, we're here for you! Best, Casey (Psoriatic-Arthritis.com Team)
pattyj Member
Brain fog. Being an accounting clerk, I found myself unable to do simple math in my head sometimes. It sure makes mutl-tasking much more difficult. I kept a notepad by the phone to jot down info until I could make a permanent record or a note about what I was doing as I got interrupted to keep it all straight. Sometimes I felt like I was spaced out on Benadryl or something stronger. If I get chilled, especially after shoveling snow, I may have to go get in my heated waterbed for at least half an hour to get warm. I don't notice it until I get back inside and my outer thighs will be cold to the touch. Nothing else seems to work. Life gets tough when you can'[t touch your fingers to your thumb for 4 months at a time and it takes two hands to turn the key in the ignition or shift gears. Simple things like opening and closing ziplock bags, beverages, and jars are a major feat. With the wrong combo of joints inflamed even wiping your own rear end or getting dressed is a challenge. Just picking up a large glass of tea is a two handed operation. Thank God, I am much improved from those days. I do wonder how much of my significant hair loss is due to the psoriasis which began before I was taking any medications that could have caused it. Thanks for asking. I have learned a lot since I joined this site and I've had it for 38 years.
1. CathyD Moderator
 Hi PattyJ! Oh my goodness, the brain fog struggle is so real. Before I knew it was called brain fog I used to say that it felt like my head was full of cotton wool... Actually, I still say that sometimes! I found this article from our sister site, <a href='https://plaquepsoriasis.com/' target='_blank' rel='noopener noreferrer ugc'>https://plaquepsoriasis.com/</a>, on hair loss and psoriasis: <a href='https://plaquepsoriasis.com/symptoms-affect-body/hair-loss-scalp-flaking/' target='_blank' rel='noopener noreferrer ugc'>https://plaquepsoriasis.com/symptoms-affect-body/hair-loss-scalp-flaking/</a> I hope this is helpful. Thank you so much for being here and sharing with us 😀 - CathyD (Psoriatic-Arthritis.com team)
2. melissagallo Member
 The brain fog is horrible! I have so many things I have started to do and can't seem to get back to..... I lose focus and forget what I'm doing so easily! No one believes me when I talk about this! How can I help them understand this is a real thing?
koffegurl Member
Never being able to get/stay warm. I use an electric blanket year round. Also, having to do most things 2 handed, such as turning doorknobs, opening and closing things like bottles and jars, lifting a cup or glass to your mouth. Not to mention trying to b unook a bra, buttoning or unbtutoring anything. Tying shoelaces is pretty much impossible. Waking up with clawed, painful, swollen hands and fingers is a daily reality. Typos are a nightmare. teality
1. CathyD Moderator
 Bless you, Koffegurl, the hands are so difficult to deal with. I'm sorry you are suffering with this. Please know that we are here for you. - CathyD (Psoriatic-Arthritis.com team) P.s. my electric blanket is my best friend!!
2. RebeccaB Community Admin
 Ahhhh electric blankets....I have one at my desk! I keep seeing weighted blanket ads on facebook - have you seen them? I'm intrigued!
jennyb Member
I have MS as well as PsA, and sometimes I can't tell one from the other, the symptoms are so similar. Brain fog (cog-fog) fatigue, issues with heat and cold, depression,(I take an antidepressant every day. What I go through just to remember to take my pills!
1. CathyD Moderator
 Hi jennyb, I'm sorry to read that you're dealing with both MS and PsA. That must be very challenging. Thank you so much for sharing your experiences with us. If you are interested, we have a site for MS: <a href='https://multiplesclerosis.net/' target='_blank' rel='noopener noreferrer ugc'>https://multiplesclerosis.net/</a> Please feel welcome at either site anytime. We are all here for you. Best, CathyD (Psoriatic-Arthritis.com team)
ddavis Member
I was diagnosed with PsA in November. I'm on Humira. It seems to work ok. My question is-do y'all get mouth sores? I have one and it seems my Dr said it's a symptom. For almost a week I've felt like I'm getting sick- flu-like symptoms, extreme fatigue, body aches, headaches and I've had a slight sore throat, here and there. And I have a mouth sore. It seems it has something to do with that. Also, it comes in waves. I'll be so tired and achy and then a bit later I am better. It's confusing. Like I'm getting sick, and then not, getting sick...and so on. Is this a flare up??
1. zann Member
 YES!!!! Mouth Sores!!!!! Painful and pop up without any notice. I used to get them all the time at the beginning of this disease, but now I’m on Methotrexate and it’s controlling them a bit. My Pharmacist gave me the best suggestion EVER!! Purchase COLGATE PEROXYL mouthsore rinse!!!!! Best investment ever!! I use it all the time when the buggars pop up, and it only takes a couple of days to get them gone! Please get yourself some!! (In the toothpaste aisle!) Good luck!!!
2. Tiffany81 Member
 <inline-mention username="ddavis" user-id="3282373"/> You can get psoriasis on your tongue. I'm not sure where you get these sores or if this is what you're talking about but it's a rare occurrence with psoriasis. I had it bad for almost a year and then it cleared up. All of those other symptoms, should be discussed immediately with your doc. You are on an immunosuppressant drug which means you are highly susceptible to infection. The doctor should have advised you of this. It's very important if you feel these symptoms to see a doctor ASAP as it could be a sign of an infection or illness. Hopefully you found some relief by now, I know this post is old.
penstemon Member
Constant cold feet, tingling and burning, having to have a blanket over them even in the summer. But my biggest issues are my eye pain and floaters coupled with multiple back and knee surgeries. My joints are under attack and disintegrating. The severe bursitis in my hips is causing pressure on nerves to my legs. The pain wakes me 1-5 times a night. Nothing seems to help all the pain for very long. Lack of sleep causes my exhaustion and "brain fog".
1. CathyD Moderator
 Penstemon, I am so sorry you are experiencing all of these symptoms, I really feel for you. Are you treating your psoriatic arthritis with anything currently? Please know you are not going through this alone - we are here for you to lean on anytime you need us.
eurotrekker Member
Oh my gosh! The fatigue, mood and nail issues I knew about. I haven't had the ear problems. However, I've been telling my rheumatologist/immunologist, my PCP, my Opthalmologist, and even my sleep Dr about my eyes becoming blurry and sometimes feeling like someone is pushing their thumbs through my eyes sockets. The PCP told me to go to my rheumatologist. The rheumatologist told me to see my opthalmologist. Though he found a rupture behind one eye, he said that should not have been causing this pain. He said that my C-PAP machine may not be fitting properly and may be front out my eye. The sleep Dr said that according to my machine's readout, the mask is secure and shouldn't be causing the problem. Thank you so much for this article.
rickrackfingers Member
If dizziness is a symptom, I would like to hear what can be done to minimize it. It really interferes with my quality of life.
1. jesbri27 Member
 I have it as well.
findmygroove Member
I get alot of tendonitis in my achilles and on the bottom of my buttock bones that you sit on, and muscle cramps if I overuse it by trying to excercise. I know it's important to exercise as I also have rheumatoid and osteo..very depressing..
1. ladybug Member
 Have you tried KT tape? It really helps my tendonitis. Especially the Achilles and the knees.
2. crafterss10 Member
 I have Tendonitis down my arms ,in some of my fingers , down my left leg in my butt check , on my feet . and I have bone spurs down my spine . sometimes 3 to 4 of them will act up at the same time . I feel like i'm in hell . I'm in consent brain fog. I even forgot my only grandsons name ! it took me looking him up to remember 🙁 I was diagnosed with PA in my early 30s . now I'm 58 . I use to be a social butter fly . my kids are all grown . now I just stay in my house every day . because people don't understand the pain I'm in .
ferget56 Member
The bottom & sides of my feet have been getting really sore making it extremely painful to walk. I have bought several kinds of shoes to try to find the most comfortable pair. I need them to adapt to swelling feet & ankles. Sketchers slip-on sneakers seem to work well. I have all the symptoms listed in this article, but fatigue has been the worst to manage for me.
1. ejrb Member
 My feet swell, ankles, and toe joints are tender and swollen often - I relate. I found the most amazing pair of shoes for me - maybe you can try them. They cost about 30$ usually - they are called Champions. They are a soft side shoe, with a thick cushioning for your soles. I have never had such comfort. SO even when I go for a walk and my feet start to rebel, I can endure it much longer with these. I got them at Payless. They only come in gray they told me. But its a jersey gray, no shoelaces but look something like tennis shoes only nicer.
2. Tiffany81 Member
 <inline-mention username="ferget56" user-id="3286876"/> I would look into orthotics. I was having horrible heel and foot pain and got some orthotics for my slippers because I wear them primarily and the pain finally went away. You can get some you can mold yourself too which will save you money.
ladybug Member
Rebecca... answering about KT tape, There are videos on you tube put out by the company.
1. RebeccaB Community Admin
 Thanks! Off to check them out....
pudge Member
embarrassing topic for females.... vaginal dryness?
1. RebeccaB Community Admin
 Someone else had some questions about symptoms in the vagina and the relationship to PsA - <a href='https://psoriatic-arthritis.com/q-and-a/women-psoriatic-lesions-inside' target='_blank'>https://psoriatic-arthritis.com/q-and-a/women-psoriatic-lesions-inside/</a> I'm not sure if any of this is helpful, let me know any specific questions and I'm happy to try to find an answer!
kitkat6 Member
Does vertigo, dizziness happen to anyone?
1. pknickmeyer Member
 I do have dizziness, but am unsure if it is due to PsA or medication. I am on Diclofenac and Methotrexate.
2. rojo Member
 Sporadically. I associate it with magnesium supplements I take. It only lasts a minute but it's intense. The first time it happened I was fortunate to be near a chair and sat until it passed. I had a chronic instability d/t dizziness while taking a muscle relaxer. I stopped taking the muscle relaxer because of this.
celesteisme Member
I suffer miserably with Plantar fasciitis, and Achilles tendinitis – both tendons fully inflamed because of my PSA. So the miserable inflammation causes an existing (usually non-pained) bone spur to wreak havoc on BOTH tendons.... so bad that now they’re both torn. Only way to “fix” this excruciating pain is surgery.... and I’ve exhausted every possibility— believe me. 
1. kwtawalker Member
 I have had plantar fasciitis over 15 years. I have to change my shoes a couple of times a day. I have done the shots in the feet without much relief. I only ever wear really good shoes now, and this helps a little, but my feet are a constant aggravation.
ronavret Member
Shoulder and neck pain.
1. kwtawalker Member
 I am about to have an MRI on neck. 2 years of excruciating pain. I have tried massage, acupuncture, chiropractor, cortisteroid injections, ant-inflammatory. I have done exercises, foam roller, pressure ball, hand-held massager. I have huge knots in neck and shoulder. I went to orthopedic surgeon thinking it was my shoulder, and I was told this was coming from my neck. MD ordered MRI, but I have spent 6 months appealing denial by insurance. I just won my Appeal.
joanna Member
Always being HOT and sweaty during a flair and the ITCHING! Looking "normal" when you feel like cra & people not believing you are ill.
1. psarah Member
 I’m always hot and sweaty.
paulob Member
I have undergone 2 hip replacements at age 31 and 33. I am noe 36 and Even though the joints needed to be replaced the tendon sheaths around the hip replacements are inflamed. Has anyone else had joint replacements with PsA? Thank you
sbehe1304 Member
Has anyone dealt with sores on the sides of your tongue? Is this too related to PsA?
1. VickiN Moderator & Contributor
 Hi <inline-mention user-id="3313610" username="sbehe1304"/> , I've heard a few people here talk about canker sores, but usually it's in the context of medication side effects. Are you taking any oral medications? Feel free to post here as well: <a href='https://psoriatic-arthritis.com/q-and-a' target='_blank'>psoriatic-arthritis.com/q-and-a</a> Warm wishes, -Victoria, Community Moderator
2. kwtawalker Member
 I experience tongue pain a lot. My tongue gets swollen, which causes the sides to rub against teeth. It is terrible.
susana Member
Difficulty achieving restful and invigorating sleep. I'm always extremely tired during the day too, because of this: During sleep, I am always waking up in pain because of the position in which I am sleeping, I change my position and fall asleep again.
poppy Member
Howdy Ma'am, I had my primary doctor assist with prescribing a sleep aid(zolpidem) to assist me. The pain levels were so bad at times that sleep was Not an Option. Mite give it a try. Have a Blessed Day!
poppy Member
Starting out with Humira while on Methotrexate. How bad can I expect issues before seeing improvement?
emmag3139 Member
More detail on enthesitis and tendonitis as this is my pain issue on my whole body at present. Hurt everywhere from my eyes to my toes.... feel totally done in with it (Am never a negative person usually)
1. CathyD Moderator
 Hi <inline-mention user-id="3284939" username="emmag3139"/> , I'm sorry to read that you're suffering with tendonitis. That is one of my issues too. It can be incredibly tough to cope with the pain every day. Have you had a chance to check out this article yet? <a href='https://psoriatic-arthritis.com/psa-symptoms/tendons-ligaments' target='_blank'>https://psoriatic-arthritis.com/psa-symptoms/tendons-ligaments/</a> Let us know what you think! -Catherine, Community Moderator
melissaculbertson Member
Gasterointestinal pain, diarrhea, abdominal bloating, loss of appetite and severe nausea
melissaculbertson Member
Feels like tendons are being ripped away from my knee joints? Severe stabbing and shooting pain that wakes me up at night. Insomnia more often waking to pain or just at 3 or 4 am and unable to return to sleep. The joint pain was subtle and started in my ankles and spread to the knees and hips over a period of 3 to four months before that was 2 years of severe gasterointestinal colitis and am worried that this may be more than just PSA. Mother had lupus. The pain has become severe in my lower back and is up to my elbows and hands with one slightly swollen but very painful index finger. I am concerned at the pace of joint pain and how fast it went from periodic and limited to most of my joints and pain lasting all day and debilitating. The fatigue is unlike anything I've experienced. Is there ever time to be alarmed and treat this as an emergency situation?? From what I read it sounds like my symptoms are super aggressive and I had zero joint pain 6 months ago...worried 🙁
beckyjo Member
Tendinitis(I have tennis elbow which is very painful),shortness of breath,dry eye
melissagallo Member
Symptoms so numerous! Extreme fatigue, pain in my hands, disfigurement of my hands really really gets to me not only due to how they look but the inability of normal use!!! Never-ending low back pain no matter what. The oddest one is leg cramping especially when driving....not in my calves but starts on top of my thighs and wraps around my leg to back of thigh, skips my calf completely and can cause havoc to my foot if I can't stop it before getting that far. Painful!!!!!
1. psarah Member
 I get horrible painful cramps in my tongue and throat. Also my stomach and hands, and calves. The tongue and throat are the worst.
2. pileah Member
 <inline-mention username="alexanderlonda" user-id="3273546"/> I find Magnesium helps.
melissagallo Member
Oops! Forgot to include this....also posted as a reply at bottom of this thread....hope that's ok. The brain fog is horrible! I have so many things I have started to do and can’t seem to get back to….. I lose focus and forget what I’m doing so easily! No one believes me when I talk about this! How can I help them understand this is a real thing?
1. youngnrestless86 Member
 The brain fog is so real...it’s made my job (sales) especially difficult. Haven’t been able to find anything to help with this part and not sure if it’s my meds (mtx, enbrel, medical cannabis) or the PsA.
salbe428 Member
Does anyone else with Psa go through having their hands and feet swelling, and feeling like they are on fire? Then they start swelling like a bad sunburn for days or weeks before they heal. It is extremely painful and my house is a mess because I cannot clean because of the pain.
1. hubba1sm Member
 Yes! I've been experiencing that exact thing from the very start, even before I had any idea what was wrong with me. Now, with regular biologic treatments of Remicade every 8 weeks for the past 5-6 years, those episodes are less frequent and less severe. But I totally understand not being able to clean due to pain! People have to learn to get the "F" over it. And you have to realize pushing just to clean your house is not worth how you will feel the next day. Nothing wrong with doing a little at a time, a lesson I STILL continue to struggle with at times. Good luck Hun!
2. kwtawalker Member
 I am 102 pounds and I can gain 6 pounds in a day easily from swelling in feet, ankles and thighs. This is edema. At first, I thought it was a side effect of medications. I now realize it is just part of PsA.
eebrown51 Member
Stomach issues: reflux...heartburn...bloating..food not digesting and throwing up
marlonc Member
Painful lower spine. Pain from standing too long. Limits mobility and is debilitating. Prednisone pulses help but you can't stay on it. Insurance is a huge jump through the hoops game. I'm wanting to try Otezla but insurance requires step therapies first. Frustrating, and the pain continues. Did I mention PAIN?
ebby Member
Does anybody suffer from heartburn, acid reflux, etc.? I have had a bit over the years but this past while I am really suffering. I think I read somewhere that heartburn and PsA go together often. If you do have this problem, how do you deal with it? Thank you anyone who can give me some help!!!
1. karenm Member
 Yes. I have significant acid reflux. Not sure whether it is medication/ side effect related, or disease driven, or other. (I take biologics, currently cosentyx, methotrexate, injectable to avoid stomach absorption, hydrocodone, and an antidepressant. ) To treat GERD I take omeprazole twice a day, and have tried to modify my diet ( I had one doctor recommend a food information/cookbook called "Dropping Acid." Helpful, but hard for me to stick to with family meals.) Good luck!
2. rojo Member
 Yes. For three years now. It persists through three major med regimen changes. I have been taking omeprazole 40mgs daily for those three years. If I miss a dose/day the symptoms(heartburn, hiccups, chest pain due to gas) begin within 12 hours after waking. If I run out of omeprazole, baking soda in water helps. Popular antacid tablets do not.
karenm Member
Yes. I have significant acid reflux. Not sure whether it is medication/ side effect related, or disease driven, or other. (I take biologics, currently cosentyx, methotrexate, injectable to avoid stomach absorption, hydrocodone, and an antidepressant. ) To treat GERD I take omeprazole twice a day, and have tried to modify my diet ( I had one doctor recommend a food information/cookbook called "Dropping Acid." Helpful, but hard for me to stick to with family meals.) Good luck!
karenm Member
Does anyone have problems with anemia? I have seen it listed in some places as a PsA symptom. I have been anemic for most of the 15 years since my diagnosis. The only thing that helps is iron infusions. But, the anemia returns, and diagnostic procedures have been exhausted.
1. Eileen14700 Moderator
 Yes <inline-mention user-id="3294819" username="karenm"/> , I've read many comments in our community about having low iron, often in relation to fatigue. A few people even had a hematologist to treat it. In fact, anemia (low iron) is common enough around here that "The Lucky Iron Fish" won a spot on our list of <a href="https://psoriatic-arthritis.com/living/favourite-things-products-compression-wear/" rel="noopener" target="_blank">PsA Community's Favorite Things</a>. I'm not a medical professional and can't offer medical advice over the internet, but if low iron concerns you, I hope you can have a productive conversation with a doctor about this soon. Do you have a trusty rheumatologist? Keep us in the loop, we're here to support you. -Eileen, <a href='https://psoriatic-arthritis.com' target='_blank'>Psoriatic-Arthritis.com</a> Team
m4r14j Member
Hi all, OMG so many odd symptoms I never realised were PsA and when you mention it to the doctors sometimes they look at you like you're insane. Can anyone tell me if they experience either of these; 1) chest pain / breathing difficulties? The doctors were no help whatsoever, the pain was in my breastbone it meant I could only use the top of my lungs so barely breathe, I could hardly talk, struggling with gasping to finish a sentence and if I did push to speak my head went fuzzy like faininting and my fingers and toes tingled. Prednisolone 40mg did not help neither did all asthma inhalers. Eventually it did go away by itself after 2months (was on apremilast and 20mg prednisolone for the PsA at that time) 2) infertility problems? My partner and I have only used protection for short periods (when the medication I was on prohibited pregnancy) for a decade now and only managed a single pregnancy which I miscarried. 3) extreme periods! I get anaemia anyway but I get the most god awful heavy, excessive bleeding doubled over in pain cramps most months, needless to say my anaemia worsens afterwards! I also get acid reflux, gastro problems, dry eyes, tinitis hearing problems, extreme fatigue, tired all day but insomnia at night, cant sleep more than 4-5hrs before pain and stiffness wakes me, tendon problems - going on tip toes snaps my achilles and this brain fog - I feel half my IQ got flushed down the loo not sure if its the MANY drugs I tried or the constant fatigue but I cant make decisions and I get muddled up if changes are made to anything. Sorry long post! Thanks, maria
1. nonib2 Member
 So many similar problems beginning as a teenager w/horrible dysmenorrhea, heavy periods w/clotting, anemia, abdominal pain aside from cramps. Undiagnosed at the time (one ER doc told me "When you decide it's okay to be a girl, you won't have these problems." Dad had taken me (14 yrs old) to ER because of how pale, cold sweat and pain level, fearing appendicitis. Ultimately diagnosed by a rheum and derm w/PSA, palmar-planter Ps, celiac disease, Hashimoto's hypothyroidism, etc., etc. First in the family to ever be diagnosed w/these things except mat. grandmother w/ pernicious anemia, and now I know my own mother had PSA affecting at least her feet; she cried in her sleep from pain and fatigue kept her half asleep. I personally avoid as many drugs as possible because I have adverse reactions to so many and the list is going up. Yesterday found out my thyroid med is too low a dose (rheum noticed). I won't/can't take biologics because of two near-death gut surgeries with complications. I definitely would not have survived per the surgical team had I been on them. Gram-negative sepsis, kidney failure, etc. SO, I'm using nutrition, food as my medicine, w/help from my rheum on specifics. Keep track of your thyroid function carefully. Gluten is not our friend for most of us. Hope you can find some healing and comfort.
2. MarthaGrowdon Moderator
 Hi m4r14j, I'm sorry to hear you're in such pain and discomfort due to your PsA. I did want to share this article relating to chest pain, I thought you might find it helpful: <a href='https://psoriatic-arthritis.com/answers/chest-pain-costochondritis-tietze-syndrome' target='_blank'>https://psoriatic-arthritis.com/answers/chest-pain-costochondritis-tietze-syndrome/</a>. Brain fog is really common with PsA, too (<a href='https://psoriatic-arthritis.com/living/experiencing-brain-fog-cognitive-issues' target='_blank'>https://psoriatic-arthritis.com/living/experiencing-brain-fog-cognitive-issues/</a>). A LOT of folks in this community struggle with that. I hope others will comment on their experiences with changes in fertility and menstruation with PsA, too. Sending you love today, Martha <a href='https://psoriatic-arthritis.com' target='_blank'>Psoriatic-Arthritis.com</a> Team
jazzy532 Member
Why Is Palmar-Plantar so difficult to manage? I was offered 20-year-old drugs, yet when I went to another Dermatology unit, I was told, We don't treat your type of PS here, But they will apply for funding for me to start Biologics, The Side effects are deadly, But why is my type so destroying?
matty Member
Hi the following are of interest as they have been investigated extensively but remain undiagnosed. So pain and inconvenience continue during a flare of these symptoms. When I have suggested if they are linked to PSA the answer is probably not. Debilitating gut pain Gut bloating and inflamation Paresthesia, including numbness, prickling, itching, burning, or crawling sensations mostly face and scalp but can occur anywhere during a flare Brain fog and loss of word finding and migraine like vision / eye pain Thank you
kwtawalker Member
I would like to see other medical issues addressed related to PsA: SI Joint Dysfunction, Plantar Fasciitis, Thyroid issues, Raynaud’s Syndrome.
1. CathyD Moderator
 Hey <inline-mention user-id="3295314" username="kwtawalker"/> , I just wanted to circle back and let you know that we recently published a couple of articles that you may be interested in. One on thyroid disorders: <a href='https://psoriatic-arthritis.com/clinical/thyroid-disorders' target='_blank'>https://psoriatic-arthritis.com/clinical/thyroid-disorders/</a> and one on Raynaud's: <a href='https://psoriatic-arthritis.com/clinical/raynauds-phenomenon' target='_blank'>https://psoriatic-arthritis.com/clinical/raynauds-phenomenon/</a> Thanks so much for your suggestions - keep them coming! 😀 -Catherine, Community Moderator
2. pileah Member
 <inline-mention username="kwtawalker" user-id="3295314"/> I have Reynaud's and Sgorgren's syndromes as well. I also went through a time of severe gut problems that have spontaneously cleared up. Problem now is my skin. My face has developed dry scaly patches on my cheeks, forehead and ear canals, and weepy patches on my nose and behind my ears.
dalmav41 Member
Leg issues, very weak. My knee feels like it could give out at anytime. They don't want to do knee replacement, too risky for infection. And I don't think it's that bad, but around it my legs just feel weak all the time. After setting too long I have to have help getting up. Could it be the tendons and ligaments? Why want my rheumatologist do anything?' I'm on humira, I go in and he asks does the humira seem to be working,, well your asking me what do you think!!!!!
jls827 Member
I have patches that come and go on my tongue. My dermatologist thinks these may be related to PsA. They are quite painful as the surface seems to peel away. Anyone else?
1. jls827 Member
 Thank you—my specialists bounce me-around so I guess I will take this to rheumatologist and see an oral pathologist. Thank you for the research.
2. jb58 Member
 My patches are inside lips. I get a lot of blisters too.
mlc470 Member
I have an odd question, does anyone experience frequent bowel movements before a flare? Hope it's not too personal of question. I am new to this forum, it seems lately day or two before I will have very frequent bowel movements, then I will have spine pain, all over body pain. Ankles and heels will hurt, and feel very tired and running a low temp.
1. mlc470 Member
 Thank you, I feel like I'm on a rollercoaster. I'm not really sure I will find the help where I go. I'm trying. I feel so sad sometimes, and I worry everything in my body will go out before I find resolution. But I keep trucking.
2. nonib2 Member
 Bowel frequency is part of my everyday life now; celiac disease, short gut due to several life-threatening obstructions, and PSA. One autoimmune disorder seems just to be a herald of others to come (our immune system is just 'gone whacky&#39😉. Was diagnosed with psorias and psa on the very same day when I happened to see my dermatologist and my rheumatologist an hour apart, several years ago. Saw my rheum yesterday and discovered my primary had not noted that my thyroid function was again out of control (Hashimoto's-hypo) and had not adjusted my dose of levothyroid sodium. Our bodies are so individual and even my own is not always consistent in behavior, so yours could very well be a sign that something is amiss. Thyroid function is so integral to our overall feelings of wellness or otherwise. A good primary doc, rheumatologist, and if needed dermatologist (and ophthalmologist too for the eye-related problems). I SO fortunate to have good specialists and good insurance. Many of us also know that gluten causes us problems (mini- to major flares, dependent on how much we take in of it). Just tune out the folks who say gluten-sensitivity is 'just fashionable' right now because an increasing number of people are becoming sensitive to it and if you have autoimmune issues it might be one of the triggers. Bowel symptoms are a huge part of that. Key is finding what works for you and what does not.
jmeyer62 Member
I get the overall feeling of hopelessness. So much of my life has changed since being diagnosed but nothing is worse then the feeling you can no longer provide for your family 🙁
1. Jake Community Admin
 <inline-mention user-id="3315384" username="jmeyer62"/> - I hear you. PsA can impact every aspect of life, which can definitely lead to feelings of hopelessness. You're not alone with this experience. It's a journey of accepting the new normal that comes with a PsA diagnosis. I also want to recognize your feelings regarding no longer providing for you family as you once were able to, which can definitely create some negative emotions. How have you been lately? -Jake, <a href='https://psoriatic-arthritis.com' target='_blank'>Psoriatic-Arthritis.com</a> Team
neverfeelgood Member
Lower back pain" hot flashes, pimples blisters ,headaches ear pain has cbd helped others?
1. dpa65 Member
 Thank you for the question and the reply! I received my medical cannabis card a couple months ago. I tried CBD oil, but you never know really how many mg it truly is. I’m going to the dispensary today and talking to them about cbd, cbd thc ratios and how the different products can be used through the day to help minimize pain and inflammation. I’ve never used cannabis or it’s derivatives, so starting slowly. I really just want reduced pain and to be able to fall asleep without the bad tendon pain.
2. youngnrestless86 Member
 Like <inline-mention user-id="3290142" username="dpa65"/> I too am a medical cannabis patient on my state. I dabbled with “pot” in college but my experience with medical cannabis has been vastly different. I have seen dramatic improvements in my conditions through the use of CBD and cannabis. The world of these treatments can be overwhelming. I am happy to help and answer any questions you may have and/or discuss my personal successes with this route of treatment! DISCLAIMER: I am not a doctor...so before using CBD and/or cannabis treatments, please consult one 😉 also ensure that this is a Legal option in your state or province.
lydiamene Member
PsA comes with alot of other aches and pains but it being an autoimmune illness it was my first autoimmune illness before all my others. So maybe address that it can be combined with other autoimmune illnesses. First I was diagnosed with PsA, then Hypothyroidism, soon after than Lupus, then fybromyalgia and now Celiac. All of these are autoimmune illnesses more research and information needs to be put out there. The real surprise for me was the Celiac that one really threw me, did not expect that one at all.
1. Jake Community Admin
 Hi <inline-mention user-id="3303096" username="lydiamene"/> - Very true! It's quite common for those with PsA to be diagnosed with another health condition. We do have an article detailing some of these comorbities. It also links to more specific articles that describe these other conditions in more detail. You can find it here (<a href='https://psoriatic-arthritis.com/psa-affects-health' target='_blank'>https://psoriatic-arthritis.com/psa-affects-health/</a>) Thanks for sharing here! -Jake, <a href='https://psoriatic-arthritis.com' target='_blank'>Psoriatic-Arthritis.com</a> Team
orangeglow1 Member
why don't the insurance companies cover the medicine Doctor's prescribe? The should be a law to protect people who have a medicare plan with Humana.
1. youngnrestless86 Member
 I could not agree more. Luckily, many of the big pharma names offer assistance that puts you in a place of paying little to even nothing on otherwise expensive treatments! The folks at enbrel helped me a great deal...ask your rheumatologist and/or dermatologist about payment assistance programs.
sarahr Member
Awkward to bring up I guess but the inevitable changes to confidence and sex drive. On a side note I also think arthritic sex positions and tips would be a useful read!
1. frances00 Member
 I'm single and I feel no one would want to date me because of my PsA, It causes me to be unreliable due to debilitating fatigue. I also don't know when to tell someone I have PsA - on the first date? second date??
2. psarah Member
 I suffered from Vaginismus for 8 years. Was unable to have sex. Since taking Cymbalta I’m 95% improved.
jmeyer62 Member
I'm not doing too well, PsA has destroyed my hips ,last August I had my right hip replaced and two weeks ago on May 8th yesterday i went for a check up because the hip has been popping well guess what something went wrong with the cup and i will be having surgery again this coming Tuesday . I feel like my life and my body are falling apart and to top if off ever since my wife went thru the change of life she has no interest in me sexually at all , its been almost 5 years and I am sorry I miss the closeness the feelings of safety and being wanted ok enough of my rant and Thank you everyone for your support
1. CathyD Moderator
 We're here anytime you need to vent, <inline-mention user-id="3315384" username="jmeyer62"/> ! Hope the surgery went well and your recovery goes smoothly. Keep us updated! -Catherine, Community Moderator
2. frances00 Member
 I had my second hip replacement in February 2019. Still not recovered & going to physical therapy. And I'm here as well if you need to vent or need moral support.
yasmin Member
Pain and tenderness to the touch at the hair roots. I started having it almost 2 years ago, with a flare up in the winter. I am almost 100% sure that it has something to do with the inflammation in the body. Unfortunately none of my doctors and specialists (GP, Dermatologist, Rhuemotologist) know or have even heard of it. Its extremely frustrating and even sad that even the specialist are so limited in their knowledge.
1. Eileen14700 Moderator
 I get why you're frustrated, <inline-mention user-id="3317564" username="yasmin"/> ! That must be terribly uncomfortable. I'm not a medical professional and can't offer medical advice, but you reminded me of a medical study I stumbled upon a while ago about <a href="https://jamanetwork.com/journals/jamadermatology/fullarticle/188885" rel="nofollow">scalp dysesthesia</a> outlining a <a href="https://www.ncbi.nlm.nih.gov/pubmed/29577244" rel="nofollow">treatment utilizing simple exercises and stretches.</a> I noticed it because it was linked to another medical study about its <a href="https://www.ncbi.nlm.nih.gov/pubmed/23565509/" rel="nofollow">link to cervical spine disease</a> that another community member was grappling with. Have any of your doctors offered any help to relieve your symptoms — or at least, committed to keep searching for a proper diagnosis and treatment? I hate to imagine you just enduring it forever! -Eileen, <a href='https://psoriatic-arthritis.com' target='_blank'>Psoriatic-Arthritis.com</a> Team
2. yasmin Member
 Thank you Eileen. And nope. Neither the GP, Dermatologist or the RA even looked interested in figuring out. I have researched this issue myself and found a couple of things that can cause this kind of pain and to be honest, they were pretty scary. What I wanted to know if it has any connection with PsA. To me it's common sense since its all about "infammation". Actually my first RA in Santa Monica diagnosed PsA , over 18 months and at least 70 different tests, at different time. I have moved to High Desert since then and have been to 2 specialists who both didn't agree with the diagnosis.
frances00 Member
Thanks for the list!
dpa65 Member
Reading these comments and I’m relating to so many of them. I was diagnosed in Oct. 2018. My rheumatologist said that I probably went undiagnosed for 10+ years. Part of the diagnosis was her noticing bilateral scars for 16 surgeries in the past 10-12 yrs. And another this past April (CMC arthroplasty). I find it hard to sleep as night brings the worst pain in hands, feet, ankles, knees wrists and elbows. I have severe pain in tendons especially on the outsides of my ankles, front of ankles and my arches. Staying active really helps reduce pain during the day. Laughing a lot really helps as well. I can handle the pain. What is bad is the embarrassment I feel letting people down and cancelling plans. By outward appearances, I am a robust looking guy. I have been giving myself weekly injections of one of the biologics and it helps somewhat. This disease has effected my tendons, eyes, made my voice sound more hoarse, has me limping and fatiguing more quickly. As far as I know I am the only one in my family and extended family with PsA. I hope it stays that way. You all are some tough folks! Glad to have found this site as I feel less isolated. Hand in there, folks!
1. shannonj Member
 Hey there, I went 3 years, undiagnosed and I was in cast, walking casts and crutches for about 2 of those 3 years. I can totally relate to the voice! I am a singer and I now have a raspy voice; I'm not complaining, everyone thinks its sexier. I guess silver lining? When you say eyes, what exactly is happening? I had laser eye surgery when I was 33 and I am now experience a foggy like headache, behind my eyes plus it affects my vision. So far, I am also the only immediate person in my family, however my mom does had psoriasis on her skin but no arthritis. She does have MS though. Let me know what you've been doing to try to eliminate any of your symptoms.
2. pileah Member
 <inline-mention username="shannonj" user-id="3287902"/> I am also a singer and experienced hoarseness while on Prednisolone. When I stopped taking it my voice was okay. Flare ups do affect my vocal quailty. It could be inflammation or swelling of the tiny ligaments involved in singing.
susieqks Member
I was wondering if anyone else has experienced their feet being very cold, the toes and bottom of feet numb, and hurt from ankles to toes. The pain feels like when you get very cold feet from walking in wet winter snow and then your feet hurt as you try to warm them up. I often get sharp pains especially along the outside sides of my feet. Walking becomes very painful sometimes because of the foot pain
1. sarahr Member
 Hi Susie, I get this a lot and have done ffor ir years- I'm experiencing it at the moment actually! I've had nerve conduction and ultrasound studies done last November which were reassuringly normal. I find at night I can get sharp spasm like cramps which wake me uo and can be hard to shift. The GP (backed up by my rheumatologist) prescribed Amitriptyline which I've found to be life changing, reducing symptoms by about 75% but the current damp has made things worse unfortunately!
2. joknee Member
 My feet are fine during the day, but when I crawl into bed they very quickly feel cold. I wear soft warm socks and take a warm rice wrap to snuggle my feet into. They still feel cold , but less so and, at least, Imcan get to sleep.
svincent1 Member
My foot pain has been in my heel and arch area
rudospur Member
Psoriasis in the mouth.
1. ppparvictim Member
 <inline-mention user-id="3308869" username="rudospur"/> , do you get oral pustules? I have palmoplantar pustular psoriatic arthritis and when the pustular psoriasis flares badly I will get sore blisters in the same area on the inside of my bottom lip. I had a dermatologist (no longer see that one) who told me psoriasis didn't form inside the mouth. I beg to differ
celesteisme Member
PsA of the mouth, teeth issues (major) and jaw issues — OUCH! Just had 2-hour surgery to correct a major issue caused by PsA. Hair loss (probably due to meds).... ughhh! Withdrawal and post effects of using Prednisone!! Miracle drug... that’s also killing me... Does everyone drink alcohol when pain meds are sucking royally? How not to become a PsA alcoholic! Needing desperately and using my handicapped parking placard. Yet people stare in disdain... you aren’t disabled! Meanwhile they completely missed the ridiculousness of pain and awkwardness simply getting out of the damn car! Shall I go on? Because I can!! Having to change appliances to have ones that you can easily “reach” and not bend for... like a refrigerator on top, freezer on bottom or side-by-side. Or a top loading washer. Etc etc Then there’s the organic products you should be using that touch your LIFE. Laundry, cleaning projects. Buy stock in rubber gloves... Ok you've enough from me... for now
1. ppparvictim Member
 <inline-mention user-id="3279435" username="celesteisme"/> , plz don't let the states when you handicap park bother you. Not all disabilities are readily visible, so just ignore them - they stare out of ignorance. The predisone....I feel ya. Hate that med. I got moon face & gained 50 lbs. Won't take it again unless I'm dying. Sorry, I don't drink so cannot comment. Figured it wouldn't mix with the Ilumya (biologic) I'm on. Best to you & God bless.
2. shannonj Member
 I am sorry to hear about your symptoms. I can relate to the "handicapped" but you don't look "handicapped". When my flare ups are really bad because of my PsA with Dactylitis, I have to use the carts at Walmart. I should let you know that I am young (45) and I have been a personal trainer and Yoga instructor my whole life. I get so many looks from people and I had a meltdown after leaving a store one time. I was unconsolable. One of my friends suggested getting a sign that says, "Just because I don't "look disabled" doesn't mean I'm not". I had to laugh because for a split second, I considered it. Now I just try to put on my blinders and ignore the looks. I hear you on the meds. I have not had to deal with what you are going through but man oh man, weight gain and I was stinky...I mean, I could drown myself in perfume and I'd still stink. I couldn't reach into my washing machine for the longest time. I'm bad during flare ups but generally I'm ok. Sending you a virtual hug. I've gone mostly organic and vegan, which has definitely helped.
kjporter Member
How to cope with waking up every morning with stiff and painful joints.
1. cazmac Member
 Yes!! I do muscle stretches & gentle exercises (from physio) as soon as I wake up. It really helps a lot to get moving for the day. Had recent hip replacement surgery & had to lie flat on back for 24 hours post op & morning lower back pain & stiffness was aweful while in hospital (Plus I had to be off regular anti-inflammatory meds 3 days preop) Much improved now I can be more mobile
2. shannonj Member
 I make sure to give myself an extra 30 minutes for my morning routine now. I normally start by pumping my ankles (like pushing on a gas peddle) and closing and opening my hands. This starts to get the blood flowing. I also have a hot shower or bath, depending on time constraints and I take an Alleve or Torodol on really bad days. I will also drinking some lemon water and take a shot of apple cider vinegar. After that, I start my day. I teach Vinyasa Yoga, pretty much every day, so I do what I can but I am mostly a verbal instructor with minimum demonstration, unless it's a restorative or Hatha practice. I usually try to do these, as I find light stretching and light weights, with the elliptical, help me survive. Trust me when I say that I don't enjoy moving in pain but I know that if I don't move, it'll be way worse. Sorry to ramble but I think knowing that my daily activity is, helps. I usually sit in and around 8000-12,000 steps a day. anything more or less and I'm toast.
ggwinnipeg Member
I am curious about how frequently people have flares, if they have been able to identify any flare triggers...and does anyone else have pain that moves around from joint to joint sometimes daily?
1. joknee Member
 I do have pain that moves around. Sometimes quickly and sometimes it hangs around. Fatigue is a contributor for me when I’m apt to have a flare. I recently went into a float tank thinking it would be helpful. It was not and initiated more pain than I’ve experienced in a long time. I am struggling now with pain in my hands and fingers. I mistakenly thought my fingers had had all the damage they could possibly have. Wrong! My damaged knuckles are now red and swollen with shooting pains. I couldn’t imagine the swelling would just pile onto already damaged joints.
2. shannonj Member
 Hi there, my worst flare ups (bed ridden) have happened 3 times in the past 4 years. I am constantly in pain but do my best to manage it. I noticed the last two flare ups, were in the summer and I was trying to play sports. I am very active, so that has really slowed me down, which is depressing in itself. I do notice that alcohol was a huge factor in less inflammation. I have been alcohol free, for over 600 days, plus I am now a vegan, as dairy was making it worse as well. I'll let you know what happens this summer.
ansam Member
I wonder, are there any links between PsA and problems with tendons? I have 'Viking hands' Dupuytren's contracture, as do most of my close family, but I'm the only one with PsA and my DC is more pronounced than my relative's.
1. CathyD Moderator
 Let us know if you're able to chat to your rheumatologist about it, <inline-mention user-id="3274199" username="ansam"/> ! -Catherine, Community Moderator
2. jillyb Member
 yes there are links. I have got tendon problems especially in my ankles and have had a tendon transfer (taken the one from my 4 little toes and placed it on my side tendon) they had to break the ankle bone to do that. I've also had cortisone injections in my right ankle tendons.
ansam Member
Does anybody else here suffer from a wildly fluctuating appetite?
scottj Member
Is soreness of the tongue and mouth cankers associated with PsA?
1. shannonj Member
 I have never heard of this. I'm sorry, that must be uncomfortable.
complete-mess Member
I feel very itchy, especially with plaques on scalp. I feel self conscious and annoyed. I'm due people think I'm dirty or have lice, but it's not any if that. Just uncontrolled itchiness from head to toe. I give myself scars from scratching. I'm always trying to pop something to see if it gives me sent relief from pain. Clothing bothers me, but with husband and kids, I can't run around naked m plus one minute I'm hurt then the next I have the chills. I'm exhausted, but when it's time to go to bed, insomnia due to all the above and the anxiety kicks in of all I want to do but can't, sho then I start picking at the very dry skin around my lips, nails and feet. I try to peel off all the dry skin till I bleed and it's painfully raw. I'm losing hair like crazy. I would live my old life back.
1. shannonj Member
 What are you taking and what treatments have you tried?
richard-2 Member
Ligament Tendon and muscle pain especially in the outer hips and buttocks
1. sally8888 Member
 I have similar pain. I am 39 and it's now both hips the pain is severe. Where my ribs swell it feels watery.
2. cazmac Member
 Yes! I’ve had hip replacements but still pain in tendons & muscles
sally8888 Member
I have severe pain in my hips, tendons and soft tissues around my hips. My ribs are also swollen and sore quite often. It's a lot of pain.
magnolian Member
Anybody have chest tightness (I have pain at times too with the costochondritis - right in that breastbone) making it difficult to breath? ... at times it also feels like my heart is being squeezed and it feels like my heartbeat isn’t regular. I’ve told/asked my Dr about it and just seem to be ignored and decided it’s not important?? Ditto on the awfulness of brain fog! Sometimes when ppl talk it feels like they aren’t actually talking, sounds like Charlie Browns mother talking to him... like trying to listen with your head under water. Heaven forbid it be noisy/crowded because then I can just feel overwhelmed. At work, I forget symbols I’ve used for over 10 years of my career, or go to the lab to get something for a client and then forget why I’m there.... How can you do your job properly? I also find it frustrating to find articles that contradict themselves... one place telling you not to eat nightshade’s... another telling you NOT to avoid tomatoes and bell peppers. Or is it just a matter of, what works for one person doesn’t work for another? I have about 50 different remedies that were suggested and a lot of them contradict one another... then my rheumatologist said that diet won’t make any difference... who or what do I believe?
1. shannonj Member
 Hi there, I have to disagree with your doctor. While yes, it will not eliminate the arthritis, it is important that you stay away from inflammatory foods. I CANNOT eat dairy, specifically ice cream. If I do eat it, I regret it, immediately. If you need any help, let me know.
jillyb Member
i have tendon problems in my ankles and my wrists. I have had to have a tendon transfer on my left foot and cortisone on my right foot directly into the tendon.
1. shannonj Member
 I can relate. I have had multiple cortisone injections, into my distal joint. Very painful and puts me out for the day. My left ankle is in constant pain and causes me to walk funny.
jpmax1217 Member
I am interested in knowing if people with PsA suffer from coughing and have trouble talking at times? After I say a couple of sentences, I have to stop, and wait for my breath to return. Often I can't get any word out for a moment.
1. shannonj Member
 I have never experienced this. Have they (doctors) suggested anything?
2. shannonj Member
 I actually started experiencing trouble with coughing and constantly having to "clear my throat". I also experienced changes with my voice; it's raspy now.
cazmac Member
I often get a neuropathic shooting, stabbing pain in left great toe (next to the outer nail edge). Weird!! Not sure if position is a key - But had it throughout the night last week - kept waking me up!
1. Vickie Wilkerson Moderator & Contributor
 Hi <inline-mention user-id="3278395" username="cazmac"/> , thanks for responding and sorry it has been so long in responding. I do believe that position is key. I kept having shooting pains in my ankle. The doctor put me on lasiks and it helped. If this is continuing please ask your doctor about it., Vickie W., Community Moderator
shannonj Member
I am 45. I am a Personal Trainer, Yoga Instructor and Nutritionist. I am now a vegan but prior to that, I was a lacto-vegetarian. I was recently diagnosed with Psoriatic Arthritis with Dactylitis. It is extremely painful, when I have a flair up and makes it impossible to function. I have noticed that I can handle about 8,000 to 10,000 steps a day, anything over that seems to make it hard to function at night. It is worse during weather changes, my menstrual cycle and if I eat dairy (specifically ice cream). I was taking medication, until recently and switched to CBD oil. I take it daily and seem to have success, although I am not currently in a bad state. I would say that I need to be one top of my daily routine but I am managing. My biggest complaint, next to the pain, fatigue. What has everyone had success with? Thank you Shannon
1. Vickie Wilkerson Moderator & Contributor
 Thanks for sharing <inline-mention user-id="3287902" username="shannonj"/> . I'm sure you will get responses from others just keep in mind what works for one may not work for another. Vickie, Moderator
2. shannonj Member
 Yes, I understand that, thanks Vickie.
rstierce Member
Please talk about the hard facts concerning pain management and doctors that refuse to treat their patients pain and The problem with the high cost of biologics when the patient is on Medicare. Although a supplement insurance is involved it does not cover drug costs.
1. Vickie Wilkerson Moderator & Contributor
 Hi <inline-mention user-id="3308821" username="rstierce"/> thanks for responding. Sounds like you have a lot of experience in this. The National Psoriasis Foundation is leading the charge in getting Step Therapy reform and Medicare reform at the federal level. You can always help by telling your story., Vickie W., Community Moderator
pileah Member
Nerve pain anywhere in body. Tail bone pain.
1. Lori.Foster Community Admin
 I don't think I ever comprehended nerve pain until I experienced it. Nothing touches that kind of pain. Thanks for sharing, <inline-mention user-id="3307802" username="pileah"/> ! – Lori, <a href='https://psoriatic-arthritis.com' target='_blank'>Psoriatic-Arthritis.com</a>, Team Member