Enthesitis??
The email this morning with the article from 2016 on enthesitis brings up something I've wondered about.
This is probably a ridiculous question, but how do you know if it's enthesitis or joint pain? When my joints hurt it's often the whole area, I don't think I can pinpoint if it's the actual joint or surrounding tissue/ligaments/tendons. For the most part.
In my right thumb, which is one of the worst spots, it feels like someone is trying to slide a knife point between the bones at the base of my thumb. Sometimes the whole area is inflamed and swollen, but often it doesn't appear to be and the pain is still sharp and defined. But other joints, like my elbows, the whole area hurts when I move it, and it's hard to tell if it's the actual joint or something attached to it.
Does this even make sense?
The article mentioned pain and stiffness and I have had a good bit of that, particularly when I don't move for long periods, like while asleep. I'll wake up and it feels like my joints are frozen in place and moving them is excruciating with pain radiating out from the joints.
Then again, my next injection is in 10 days and everything is getting more stiff and painful again.
Any help in understanding is appreciated.
There's also synovitis. Here's a link to an article. https://www.medicalnewstoday.com/articles/synovitis-psoriatic-arthritis
It sounds like you may want to speak with your provider about an add on treatment, or a change in medication if your current one isn't carrying you through until the next cycle.I did eventually visit a Rheumatologist and was diagnosed with PsA, but was a self-pay patient - sorry, failed to clarify that. I've recently moved to a new state, so have to find a new RA doc here.
My sed rates have usually been normal too and ironically, with appointments being booked so far out these days, even if I felt a flare coming on, I couldn't get in to get bloodwork to catch it. However, my new primary care doc is aware of this issue and can get me in for labs with a day's notice. That said, I haven't really had a flare since starting on Skyrizi. Fingers crossed.
Right now I feel pretty good. That mystery pain in wrist and ankle has vanished. I've been paying more attention to pacing myself and got more rest over the weekend and today I'm feeling pretty good!I should also have mentioned that having one autoimmune disease, such as Psoriatic Disease, does not preclude having others. In fact, it increases the likelihood. So, you could have two different things going on. Or, the wrist and ankle pain could be completely unrelated to anything but wear and tear, past injury to the area, overuse, etc.
there is no such thing as a ridiculous question here. It is an open area that you can feel free to ask anything of concern. It is how we learn about the challenges that psoriatic arthritis can bring. Sometimes the pain can be in one particular joint like your finger. Other times the pain can be in a whole area like a hip. This is true especially the more the psa affects your body. I have stabbing pains on one side of my ankle. It doesn't affect the other side or the other ankle on my other foot. My hip pain is in both hips and causes me trouble when I sleep. I don't think you could find anyone here that doesn't have the morning stiffness to some degree. It usually takes me anywhere from 30 minutes to an hour before I can really start moving around. Is it possible that since it is so near to your next shot that your body is reacting now? It may be that you need to have a conversation with your doctor about it. Hope this helps. Vickie W., Team Member Thank you.
I was thinking it's probably related to the current dose losing effectiveness as I get closer to the next dose.
I've just wondered about enthesitis. The pain in my ankle isn't actually at the joint, but is near it, which made me wonder if it could be tendons or ligaments.
I don't know. Some days I feel like I've got this all figured out, then the next day I'm shaking my head in confusion. lol.
you said your CRP is in normal range. I am on Tremfya and otezla and methotrexate. My CRP was 37. It has went up in the last year with every set of labs. I asked my rheumatologist about it and she told me...oh honey you have arthritis you will always have inflammation.
