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Advice please from sacroiliitis sufferers!

Hi. I’m 45 and have had mild skin, scalp and nail psoriasis for about 5 years but over the last few months my scalp and nails have got worse and my fingernails have just stopped growing.

I’ve also had severe back/buttock pain for the last few weeks without injuring myself. Even with strong painkillers I struggle to sleep.

My bloods are normal and the rheumatologist thinks it’s mechanical, but I’m very fit, have done triathlons, have not strained anything and am struggling to figure it out.

I’m probably going to pay for a private MRI but was curious as to how other people’s sacroiliitis presented. I have no other joint swelling but fleeting pains in a few joints recently.

Thanks so much

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  • Rackmani
    1 year ago

    I have psoriatic arthritis and am also a physiotherapist.
    My joint problems began in the spine and it took a long time to realise it was non mechanical pain.
    Now I’d say i have a mixture- mechanical and inflammatory and it’s sometimes hard to tell which is which. Given that you have suddenly got a lot worse with normal bloods I’d guess it might be mechanical especially if you’ve lost movement.
    Recommend you see a physio/chiro/osteo for their opinion, esp as your rheumatologist thinks it’s mechanical.

    Hope that helps.

  • Jukabar author
    1 year ago

    Hi. Thanks for taking the trouble to reply. The physio wasn’t sure of the problem and I’m waiting for mri results but I guess time will tell. The Florida sunshine is definitely helping though ( I’m from the UK).

  • VickiN moderator
    1 year ago

    Hi @jukabar, I thought this might be an article you could read through and maybe discuss with your Rheumatologist?
    PsA affects the spine/lower back in about 40% of us, so I think you’re right to be concerned that this could be PsA-related (especially if you haven’t had any sprains or something that would make you suspicious it was mechanical). My Rheumatologist goes so far as to make me touch my toes at appointments to measure my range of motion because back issues are so common.
    I hope that you can get some answers soon. Keep us posted, and best wishes
    -Victoria, Community Moderator

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