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Real members of MyPsoriasisTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.

My hands are very stiff and painful, as are my shoulders. I wake up stiff and it’s painful to move. It improves as I move about.

April 17
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Early Warning Signs of Psoriatic Arthritis: 8 Key Symptoms Read Article...
A MyPsoriasisTeam Member

Yep, I agree with TJ!

April 19
A MyPsoriasisTeam Member

Carolyn, you sound like you have classic PsA symptoms.. especially when it's relieved some by moving around. I would definitely think that's related to this.

April 17
MyPsoriasisTeam

How can you tell if new joint pain is psoriatic arthritis rather than osteoarthritis?

The morning stiffness you're experiencing that improves with movement is actually a key clue. Here are the main differences:

Psoriatic arthritis typically causes
* Morning stiffness lasting more than 30 minutes (sometimes hours)
* Show Full Answer

How can you tell if new joint pain is psoriatic arthritis rather than osteoarthritis?

The morning stiffness you're experiencing that improves with movement is actually a key clue. Here are the main differences:

Psoriatic arthritis typically causes:
* Morning stiffness lasting more than 30 minutes (sometimes hours)
* Stiffness that improves as you move throughout the day
* Pain that gets better with joint use, not worse
* Swelling that isn't necessarily tied to overuse

Osteoarthritis typically causes:
* Morning stiffness that goes away within about 30 minutes
* Pain that worsens with movement and joint use
* Stiffness tied to overuse of joints
* Symptoms that improve with rest

The fact that your hand and shoulder pain improves as you move about during the day suggests it could be psoriatic arthritis rather than OA. Other signs to watch for:

Since you already have psoriasis, you're at higher risk for developing psoriatic arthritis. About 1 in 3 people with psoriasis develop it. Look for:
* Swelling in entire fingers or toes (called dactylitis or "sausage digits")
* Nail changes like pitting, cracking, or white spots
* Pain where tendons attach to bones, especially in heels or feet
* Pain that moves from joint to joint

A dermatologist or rheumatologist can examine your joints, check your range of motion, and use imaging tests to determine whether you have psoriatic arthritis. It's important to get evaluated, as early treatment can prevent permanent joint damage.

April 17

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