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New Psoriatic Arthritis Diagnosis


This summer I developed constant moderate pain in my lower right side of my back. Bad enough that I had to quit running (I love running). Then when it started getting cooler, I had night sweats and my shoulder, fingers, wrist, knee, and right hip all swelled up and fairly painful. Anyways got diagnosed with psoriatic arthritis (Inherited from my dang mom!).

Right now just doing palliative measures (tramadol 50 tid and Celebrex 200mg bid) as rheumatology wants labs, xrays before start treatment.

I live in America and have pretty good insurance through my job with United Healthcare. What should I expect at my next rheum appointment?

1) Will they deny treatment if it’s early and I don’t have bad structural abnormalities? (I really want it treated due to pain and functional limitations)

2) If they do start treatment (which I hope to god) will I have to start with a DMARD? Like methotrexate? Or since it presented in my lower back and MRI shows some degeneration at my SI joint will I get to skip to biologic? (Otezla/Humira)?

Thank you!!!

  1. Hi , I just came across your comment, I apologize for the tardiness in a response. Did you have your rheumatology appointment? How did it go?

    If you're still curious, here's information on treatment guidelines: There are a few different treatment philosophies depending on your rheumatologist. This goes through the progression of treatments from the guidance of different organizations that a rheumatologist would likely follow. Since the goal is to stop progression as soon as possible, I would hope that you were able to get treatment and help with pain relief. I know these times though are a bit challenging so somethings have unfortunately been put on hold.

    Thank you for your really great questions – I know a lot of newly diagnosed folks are also curious about it.

    Minel ( Team Member)

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