How does psoriatic arthritis begin?

Haan na, it begins very silently with mild pain in the heels or lower back. People think it is just fatigue from daily work, but slowly the joint swelling starts, ho na. If you have skin psoriasis, you must be very alert about any joint stiffness.

It starts like your joints have decided to go on a strike, making you feel like a creaky wooden door in the morning! It can be painful, but getting the right treatment keeps the rust away. No need to panic, just get those hinges checked!

I totally get it, realizing that your skin condition might now be affecting your joints is so scary. It often starts with a general feeling of fatigue and mild throbbing in the fingers. Take deep breaths, we are all here to support you.

My rheumatologist explained that it begins when the immune system starts attacking the entheses, which are the points where tendons attach to bones. This leads to Achilles tendon pain or plantar fasciitis before visible joint swelling even appears.