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Psoriatic arthritis usually affects the distal joints (those closest to the nail) in fingers or toes. The lower back, wrists, knees or ankles also may be affected. In 85 percent of patients, skin disease precedes joint disease. Therefore, it is important to tell your dermatologist if you have any aches and pains.
Morning stiffness may be severe but is usually brief â less than 30 minutes, that occurs after waking up in the morning or a period of rest. Joint redness, warmth and swelling are usually minimal. In psoriatic arthritis, joint pain is usually associated with swelling and redness in the knees, ankles, fingers, and toes. Some people with psoriatic arthritis also have neck and/or back pain, along with stiffness that can limit movement.