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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.

Has anyone had PsA affecting the toes and top of the foot?

A MyPsoriasisTeam Member asked a question 💭
TEXAS, TX

My second and third toes are very sore and painful at the joints that connect to the top of the foot. I’m wondering if it’s PsA or something else.

June 10
 · 
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A MyPsoriasisTeam Member

Could be gout or PSA, easy to rule out gout with a simple blood test on Uric acid. About 30% of those with PSA also have gout. Either way you need to see a reumatologist. Good luck

July 8
MyPsoriasisTeam

Yes, toe and foot pain is actually one of the most common ways psoriatic arthritis (PsA) shows up! Many MyPsoriasisTeam members have shared similar experiences with pain and soreness in their toes and the joints connecting them to the foot.

What you're describing could be related to a few PsA-related issues:

- Joint Show Full Answer

Yes, toe and foot pain is actually one of the most common ways psoriatic arthritis (PsA) shows up! Many MyPsoriasisTeam members have shared similar experiences with pain and soreness in their toes and the joints connecting them to the foot.

What you're describing could be related to a few PsA-related issues:

- Joint inflammation — PsA can inflame any of the foot's 26 bones and 33 joints, including exactly where you're feeling pain
- Enthesitis — swelling where tendons and ligaments connect to bones, which can cause significant discomfort in the top of the foot
- Dactylitis — sometimes called "sausage toes," this is swelling of the entire toe and is a hallmark sign of PsA One MyPsoriasisTeam member described their pain as feeling like "a constantly moving charley horse" in the foot where the toes connect — which sounds very familiar to what you're experiencing.

It's really important to see a doctor soon rather than waiting. Early diagnosis and treatment can make a big difference — delaying treatment by even six months can lead to permanent joint damage. A podiatrist or rheumatologist would be the best place to start.

June 10

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