How Can You Tell The Difference Between Psoriatic Arthritis Pain and Fibromyalgia Pain?

To be honest, I can’t tell the difference. For 35 years, I have had psoriatic arthritis and just two years ago became diagnosed with fibromyalgia. One thing I do know, is that I have pain and I’m drained with both of them.

Which chronic condition is causing me pain?

Each condition causes discomfort and stiffness throughout my entire body. My rheumatologist seems to know the difference so I take separate medications for both. My doctor informed me that fibromyalgia symptoms are pain, muscle tenderness, and stiffness. Psoriatic arthritis can also cause pain, swelling and tenderness in certain joints. What??

Psoriatic symptoms versus fibromyalgia symptoms

There are other symptoms that both conditions have such as pain on both sides of the body at the same time, stiffness that is worse in the morning followed with chronic fatigue, anxiety, and chronic pain. While some symptoms are similar, there are ways to distinguish the differences.

Symptoms specific to fibromyalgia include:

• Skin could be tender and sensitive to the touch
• Pain in muscle and soft tissue
• Brain fog which causes confusion and trouble concentrating
• Painful menstrual cramps
• Sensitivity to sounds and noises
• Restless leg syndrome
• 2/3 of patients have reported dizziness

Symptoms specific to psoriatic arthritis include:

• Severe joint swelling
• Pain and tenderness that only impacts the joint
• Changes to nails

Getting down to science

We know that psoriatic arthritis is an inflammatory condition that occurs in those living with psoriasis. The effects are somewhat similar to fibromyalgia, but the conditions have different causes. Fibromyalgia is a chronic neurological condition. It can affect the nervous system and change the way the brain and nervous system process and interpret pain. It is believed that fibromyalgia does not cause inflammation.

Fibromyalgia is difficult to diagnose - there are no blood tests and the doctors will rule out certain things. Tests could include the identification of widespread pain and an examination of pressure points on certain parts of the body. If symptoms impact the four quadrants of the body, you are diagnosed with fibromyalgia.

Managing psoriatic arthritis and/or fibromyalgia pain

I still can’t tell the difference, but I do know that I need lots of rest whether it’s a psoriatic or a fibromyalgia flare-up. I try and use cold packs or heat pads to ease the pain. I know this is a hard one but it is worth the try to relax the mind and remain calm. When I’m in pain I just want to cry and be alone. You need to have a strong support team around who understands what you are going through.

There are also some natural things we can do to relieve some of the pain. Get a massage or take physical therapy. Of course, this is not for everyone; both made my condition worse. It was too much for me to handle before, during and after. My doctor prescribed both for me and I had more pain after taking these treatments.

Fibromyalgia and psoriatic arthritis are similar but different

Overall, fibromyalgia and psoriatic arthritis have similar symptoms, like fatigue, pain, and stiffness. It will take a doctor to differentiate between them. I do know from experience that the pain caused by both interferes with everyday life. Most of us who suffer have a lower quality of life; especially if we are flaring. It’s frustrating for us to give up so much what we have done our whole life; like sleeping, standing or just going to events.

Another challenge: stay positive. This will help manage the conditions so much better. When you are open and honest about your conditions, we can all serve as an inspiration to others. This is what helps me get through the day and get up every morning. If I can inspire one person, this alone can bring a smile on my face.