Psoriatic arthritis psoriatic arthritis, and affect them symmetrically. Involvement of the spinal joints is more suggestive of psoriatic arthritis than rheumatoid arthritis. Osteoarthritis shares certain clinical features with psoriatic arthritis such as its tendency to affect multiple distal joints in an asymmetric pattern. Unlike psoriatic arthritis, osteoarthritis does not typically involve inflammation of the sacroiliac joint. Psoriatic arthritis sometimes affects only one joint and is sometimes confused for gout or pseudogout when this happens. There are five main types of psoriatic arthritis: The underlying process in psoriatic arthritis is inflammation; therefore, treatments are directed at reducing and controlling inflammation. Milder cases of
Facet joint with large tracts of paraspinal muscles, further complicate the diagnostic approach. Typically facet joint arthritis is diagnosed with specialized physical examination by specialist physicians. Advanced imaging such as MRI or CT may be necessary to confirm the diagnosis and to rule out other conditions. Conservative treatment of facet joint arthritis involves chiropractic, physical therapy, or osteopathic medicine with correction of posture and biomechanics being the key. More advanced cases involving severe inflammatory response in the Z-joint, not unlike a swollen arthritic knee. Steroid injections may provide temporary pain relief. This is typically performed under image guidance to ensure accuracy given