What Does Psoriatic Arthritis Look Like in the Beginning?

Psoriatic arthritis (PsA) is a chronic inflammatory condition that affects individuals with psoriasis, a skin disorder characterized by red, itchy patches. Recognizing the early signs and symptoms of PsA is crucial for timely diagnosis and effective management. Here’s what PsA may look like in its early stages:

Skin and Nail Changes

Psoriasis often precedes the development of PsA. In the beginning, you may notice red, scaly patches on your skin, commonly on the scalp, elbows, knees, or lower back. These patches can be itchy and may vary in severity. Additionally, changes in the nails, such as pitting, ridges, or discoloration, may be present.

Joint Pain and Swelling

One of the primary characteristics of PsA is joint involvement. In the early stages, you may experience pain, tenderness, and swelling in the joints. This can affect various areas of the body, including the fingers, toes, knees, or ankles. Joint stiffness and limited range of motion are also common.

Fatigue and Generalized Discomfort

PsA can cause persistent fatigue and a general feeling of discomfort. You may find yourself feeling tired, even after getting adequate rest. The inflammation associated with PsA can take a toll on your energy levels and overall well-being.

Morning Stiffness

If you notice stiffness and difficulty moving your joints, particularly in the morning or after periods of inactivity, it may be a sign of PsA. Morning stiffness often improves with movement throughout the day but can be prolonged and impact your daily activities.

Eye Inflammation

PsA can also affect the eyes, causing inflammation known as uveitis. This may result in redness, pain, sensitivity to light, and blurred vision. If you experience any eye-related symptoms, it is important to seek medical attention promptly.


Recognizing the early signs of PsA is essential for early intervention and effective management. If you observe skin and nail changes, joint pain and swelling, fatigue, morning stiffness, or any eye-related symptoms, it is important to consult a healthcare professional for a thorough evaluation. Early diagnosis and appropriate treatment can help control symptoms, prevent further joint damage, and improve your quality of life.