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I have psoriatic arthritis. I’ve heard that fatigue and a need to sleep a lot is a major symptom for some people. Any feedback?

A MyPsoriasisTeam Member asked a question 💭
November 17, 2025
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A MyPsoriasisTeam Member

Hi Donna525. Sleep is important to recuperate & repair. Nothing wrong with sleeping. What time do U go to bed at night time?

November 20, 2025
A MyPsoriasisTeam Member

I think fatigue is a symptom for a lot of medical issues because it just wears the body down trying to deal with it or fight it. That is very common it seems. If we're not able to take a nap right away because some people still have to work or have busy schedules otherwise, try to take power naps or a little break when able. It is tough to deal with that when it is draining a person's body. Many autoimmune conditions can do that sadly as a part of what happens. I think chronic fatigue syndrome is a big one, of course don't know causes of a lot of this. We just have to take it to the best of our ability with managing it. Rest when we're able or nap to keep so-called recharging ourselves.

We see naturally a lot of babies because they're developing need to sleep more, cats seem to sleep a lot, and elderly people nap more. They know their needs.

November 18, 2025
A MyPsoriasisTeam Member

Thank you Michelle!

November 18, 2025
A MyPsoriasisTeam Member

It is for me! I have RA, PsA, & Psoriasis. The fatigue for me is sometimes worse than the pain. I also get insomnia which doesn't help.

November 17, 2025
MyPsoriasisTeam

Is fatigue and excessive sleepiness a common symptom of psoriatic arthritis?

Yes, fatigue is definitely a major symptom for many people with psoriatic arthritis. About 30 to 40 percent of people with PsA experience this overwhelming exhaustion that doesn't improve with rest.

A MyPsoriasisTeam member described it Show Full Answer

Is fatigue and excessive sleepiness a common symptom of psoriatic arthritis?

Yes, fatigue is definitely a major symptom for many people with psoriatic arthritis. About 30 to 40 percent of people with PsA experience this overwhelming exhaustion that doesn't improve with rest.

A MyPsoriasisTeam member described it perfectly: "I go on like this until the fatigue hits, and I'm so tired I can hardly put one foot in front of the other. Then I sleep during the day."

This type of fatigue is different from just feeling tired. It can seriously impact your daily functioning and quality of life, making everyday tasks feel much harder, especially when combined with other PsA symptoms. Several factors contribute to PsA-related fatigue:

* Chronic joint pain that makes staying active difficult
* Sleep disturbances affecting nearly 90 percent of people with PsA
* Inflammation itself triggering exhaustion
* Depression and mental health conditions
* Anemia (low red blood cells)
* Medication side effects

The sleep issues often create a vicious cycle. Pain keeps you awake at night, lack of sleep makes your brain tired and less able to regulate pain signals, which then makes the pain feel worse and sleep even harder to achieve.

If fatigue is interfering with your daily life, talk to your rheumatologist. They can run tests to identify what's causing your fatigue and suggest approaches to help you feel better.

November 17, 2025

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