What is psoriatic arthritis?

Psoriatic arthritis (PsA) is an inflammatory arthritis associated with psoriasis in some people (skin and/or nail changes). It can affect:

• Peripheral joints (hands, wrists, knees, ankles, feet)

• Tendons/entheses (where tendons/ligaments attach to bone)

• The spine or pelvis (in some people)

• Overall energy levels and function (fatigue is common)

Important: Psoriatic arthritis is a medical condition typically diagnosed and managed by a GP and/or rheumatologist. Allied health supports symptom management, function, and participation alongside medical care.

Common symptoms of psoriatic arthritis

Symptoms vary, but may include:

• Joint pain, swelling, warmth, and stiffness (often worse in the morning)

• “Flare-ups” and periods of improvement

• Tendon/enthesis pain (e.g., heel pain, elbow pain)

• Reduced grip strength or hand function

• Back or buttock pain/stiffness (for some people)

• Fatigue and reduced exercise tolerance

• Nail changes (pitting, lifting) or psoriasis (not always present)

If you’re not sure whether symptoms are inflammatory, a clinical assessment and GP review is recommended.

Managing flares and day-to-day variation

Symptoms often fluctuate. We can help you plan:

• How to adjust activity during a flare without stopping all movement

• How to return to higher loads safely after symptoms settle

• How to avoid “boom–bust” cycles that worsen pain and fatigue

Your plan is adapted to your current symptom level and goals.

When to seek urgent medical review

Seek prompt medical attention if you have:

• A very hot, swollen joint with fever or severe pain (possible infection)

• Sudden inability to weight-bear after injury

• New chest pain, fainting, or severe shortness of breath

• Rapid, unexplained worsening of symptoms

How We Can Help

Our Clinic Locations

Our Mobile Therapy Services

External Resources and Support for Psoriatic Arthritis

For additional information and support regarding P Arthritis, we recommend the following Australian resources:

• Arthritis Australia: The leading organization for information and support on all types of arthritis, including RA. Visit their website

• Rheumatology Society of Queensland: Provides education and support for individuals living with rheumatoid arthritis. Visit their website

• Australian Rheumatology Association: Offers resources and information about rheumatoid arthritis and other rheumatic diseases. Visit their website

• Health Direct - Rheumatoid Arthritis: Trusted information on the symptoms, causes, and treatment of RA. Visit their website

Important disclaimer: This webpage contains general information only and is not intended to be relied upon as personal clinical advice. While we aim to keep information accurate and up to date, it may not reflect the most current research or your individual circumstances. Palms Physiotherapy & Allied Health does not accept liability for decisions made based on this information without an individualised assessment by an appropriately qualified health professional. If you have concerns, please contact us to book an assessment or speak with your GP/medical team.