Psoriatic arthritis of psoriatic arthritis include the following: Other symptoms that are more typical of psoriatic arthritis than other forms of arthritis include enthesitis (inflammation in the Achilles tendon (at the back of the heel) or the plantar fascia (bottom of the feet)), and dactylitis (sausage-like swelling of the fingers or toes). Several conditions can mimic the clinical presentation of psoriatic arthritis including rheumatoid arthritis, osteoarthritis, reactive arthritis, gouty arthritis, systemic lupus erythematosus, and inflammatory bowel disease-associated arthritis. In contrast to psoriatic arthritis, rheumatoid arthritis tends to affect the proximal joints (e.g., the metacarpophalangeal joints), involves a greater number of joints than
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