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Prednisolone for Psa?

Hey everyone, I’m new here, not sure where else to turn at this point as Google is not helping me this time! I’ve just started Prednisolone, a short course for 6 days at 50mg a day. I’m on day 3 and my hands (my main symptom) don’t seem to be getting that much better but it’s also hard to tell.

Bit of background, I’m 21 years old and have had psoriasis on and off since I was a kid. Been having lots of hand pain on and off since I was 18 with no cause, and in the last 8ish months my hand pain has been constant with weight-bearing activities (holding things, typing, driving, etc.) and in the last 2 months or so they hurt randomly while resting too. I found a good doctor who thought I had MS at first (have lots of other symptoms too) but that was ruled out through MRI. My inflammation markers are down in my blood tests but he thought Prednisolone would help. I feel like I should be feeling 100% on this med if I did really have PSA? Has anyone got any advice for me? Thanks heaps in advance.


Community Answers
  • Leanne Donaldson
    2 months ago

    Hello @lee97 I just wanted to circle back with you, now that you’ve (likely) finished your predisone taper, and see how you are doing? Did you ever get any relief? I will say, that in my experience, there is no medicine (yes, even prednisone) that has gotten me feeling back to 100%. I don’t say this to scare you, only to give you a realistic expectation using my own experiences. Keep digging until you get the answers that you need. Also, PsA is a tricky diagnosis, let alone treating. My inflammation markers have never been elevated, which according to my doctor, can be indicative of PsA. It often does not show up in blood work. Have you been back with your doctor or started any other treatments? I know it is all very confusing. Sending you gentle hugs today! -Leanne, Community Moderator

  • MarthaGrowdon moderator
    3 months ago

    Hi Lee97, thanks for your question.

    PsA is a tricky beast, not only to diagnose (https://psoriatic-arthritis.com/living/diagnosing-psa-challenging/) but also to treat (https://psoriatic-arthritis.com/living/waiting-to-see-if-my-treatment-is-working/). PsA manifests differently for each person and, similarly, each person responds differently to treatment options. Some things, as Cynthia points out in her article, just don’t give you the relief you expect from them. Something some in our community find helpful is keeping a journal: https://psoriatic-arthritis.com/living/journaling-cope-pain/.

    I hope others will chime in and share their experiences with you, too, Lee97.

    -Martha
    Psoriatic-Arthritis.com Team

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