What are your most common PsA symptoms?
It can change over time, but I'm curious to know: what are your most common psoriatic arthritis symptoms? What symptoms do you struggle with the most daily? How do you deal with them?
My daily challenges are fatigue and enthesitis. Some days the fatigue is enough to keep me at home in my pjs all day. Most days it is more manageable, as long as I'm realistic with my expectations and budget my energy accordingly. The enthesitis is tough to deal with, as I can't take anti-inflammatories. Gentle movement such as swimming, is helpful, as long as I'm cautious not to overdo. Monthly myofascial release massage also helps my tendons. It keeps my muscles from getting so locked up, making movement less painful for my tendons. As far as medications: Orencia and sulfasalazine help some, but not as much as I'd like. I also take low dose naltrexone at night, and it helps a lot! I sleep better most nights, and my pain is less overall. Before taking the LDN, I would have said that Complex Regional Pain Syndrome was a huge daily struggle for me. The LDN has pretty much eliminated the CRPS!
I'm in the same boat as far as not being able to take anti inflammatory meds. My digestive system cannot tolerate 
I hear you on this. Do you take anything to support your digestive tract? Or perhaps eat in a specific way? How are you managing with your psa at the moment?
- Clair ( Team Member)
Thanks,
! I've been taking LDN for about 5 months. My PCP started me at 0.5 mg/day and gradually increased it every 2-4 weeks. I've been at my long-term dose of 3mg/day for almost 3 months now. The gradual increase worked well for me and deterred any side effects. I started feeling a little relief after only 3-4 weeks, and the improvements increased with the dosage. Before LDN, the nerve pain was crushing, and the affected areas (ankle, and wrist) would swell a lot and get very hot and red. All of that is completely gone. I can deal with everything else much better now without that additional pain! I hope this information can help someone else who lives with CRPS. It has reduced the PsA pain as well, but not as dramatically. 
That's amazing,
! I'm so happy for you!!š I hope this will be the start of a wonderful journey of finding more relief for yourself! Thank you so much for sharing with us, I hope you're having a lovely weekendš - Abigail, Team Member
My main symptoms are pain in my fingers and toes and not just the joint. They soft tissue aches. I also have chronic throbbing pain in my lower and hips.
soft tissue is awful. Hard to get relief It really is tough to get some relief, How are you managing at the moment?
- Clair ( Team Member)
I'm currently in physical therapy for my hip and back occupational therapy for my hands. It's been really helpful. 
, it's good to hear that the physical and occupational therapies have been helpful! I saw an occupational therapist for my hands too. They gave me some exercises to do which really help with stiff/swollen fingers, and some compression gloves which also seem to make a difference. Hoping you continue to find these therapies helpful! Please keep us posted if you can. Warmly, -Catherine, Community Moderator
