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If I walk any distance or sit for any length of time my hips hurt quite badly making it difficult to continue walking. Should I see an orthopedist or a rheumatologist?

May 31
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MyPsoriasisTeam

Given a psoriatic arthritis (PsA) diagnosis, seeing a rheumatologist would be the most beneficial first step. Rheumatologists specialize in inflammatory and autoimmune conditions like PsA, and are best equipped to determine whether your sacrum and hip pain is directly related to PsA.

Hip pain affects between 7% and 15% of Show Full Answer

Given a psoriatic arthritis (PsA) diagnosis, seeing a rheumatologist would be the most beneficial first step. Rheumatologists specialize in inflammatory and autoimmune conditions like PsA, and are best equipped to determine whether your sacrum and hip pain is directly related to PsA.

Hip pain affects between 7% and 15% of people with PsA, so what you're experiencing is not uncommon. As one MyPsoriasisTeam member shared, "To receive the correct medication for the condition, you need the correct diagnosis." A rheumatologist can help by:

- Performing a physical exam and reviewing your medical history
- Ordering X-rays or blood tests to better understand what's happening in your joints
- Prescribing treatments like anti-inflammatory medications, biologics, or corticosteroid injections directly into affected joints for faster relief
- Helping slow disease progression and prevent further joint damage

If your rheumatologist determines the hip issue has a structural cause beyond PsA inflammation, they can then refer you to an orthopedist. Think of the rheumatologist as your starting point — they'll help map out the full picture.

May 31
A MyPsoriasisTeam Member

One of the top conditions that can affect people with various forms of arthritis and other connective tissue type disorders as well is called Iliopsoas Tendonitis. This is something I personally deal with as well. It does exactly what you're describing. For this I would see an orthopaedic specialist.

In addition, this can also contribute to secondary Pelvic Floor Dysfunction as well or even be caused by pelvic floor dysfunction as well for which there is a specialized form of physical therapy called pelvic floor physical therapy.

These conditions can face men, women, intersex, and transgender individuals as well (including pelvic floor dysfunction, for which a patient would want a pelvic floor physical therapist. For men experiencing issues, a pelvic floor physical therapist specifically familiar with treating male pelvic floor dysfunction is important).

June 1

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