His hands hurt so bad😭his fingers look like little sausages

A little more information might help. Is this you, or somebody else you are asking about? The best recommendations will come from a rheumatologist, if this care is currently being provided, and whatever treatments are ongoing. If treatments aren’t working, then another consult would be in order. NSAIDs, and resting the hands would, at this point, be about the best I could recommend.

Sorry to hear that someone is dealing with such painful hands, . I wanted to share a couple of articles with you. This first one has to do with how PsA can impact the hands, https://psoriatic-arthritis.com/clinical/affect-on-hands. And this article includes some tips for caring for the hands, https://psoriatic-arthritis.com/living/hand-symptoms. I hope some of this information is helpful. And, as Eric pointed out, please don't hesitate to reach out to a doctor. -- Warmly, Christine (Team Member)