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April 11
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A MySpondylitisTeam Member

Interesting. However, PsA tends to affect the OUTSIDE of the joints at the connection points of the tendons, ligaments and cartilage. Entheses are on the inside of the joint. Furthermore, PsA tends to be asymmetrical, not symmetrical like you describe. Entheses only and symmetrical is typically considered an RA disease. However, it is not the diagnosis that matters, but the CAUSES of the diagnosis. You can easily have more than one autoimmune diagnosis. Causes are typically diet, environmental toxins, prior severe illnesses like strep throat, mononucleosis and pneumonia, and stress along with adverse childhood events as seemingly minor as bullying (which is actually quite traumatic). Determine the causes, get rid of those or at least mitigate them, then you can begin to restore your quality of life. A functional medicine practitioner is who you want to use to help with this. Conventional medicine Dr's do not treat causes or even help you figure those out, they only try to treat symptoms. Their treatments typically fail because the causes keep mounting up until nothing helps but morphine and that's a very very hard substance to get these days. Reach out anytime. Yours in better health P 😌 🙏

April 12
MySpondylitisTeam

Can you have psoriasis and enthesitis without it being psoriatic arthritis?

It's understandable to feel confused when you have psoriasis and enthesitis but are told it's not psoriatic arthritis. Enthesitis (inflammation where tendons and ligaments attach to bone) is actually a common feature of spondyloarthritis, including Show Full Answer

Can you have psoriasis and enthesitis without it being psoriatic arthritis?

It's understandable to feel confused when you have psoriasis and enthesitis but are told it's not psoriatic arthritis. Enthesitis (inflammation where tendons and ligaments attach to bone) is actually a common feature of spondyloarthritis, including psoriatic arthritis.

However, enthesitis can occur in different types of spondyloarthritis. Your healthcare provider may be distinguishing between:

* Psoriatic arthritis - which typically involves peripheral joint inflammation along with enthesitis
* Axial spondyloarthritis - which primarily affects the spine and can also cause enthesitis
* Undifferentiated spondyloarthritis - which doesn't fit neatly into one category

Since you have both psoriasis and enthesitis in your trochanters (hip area), you may have a form of spondyloarthritis that's related to your psoriasis but doesn't meet all the criteria for psoriatic arthritis specifically.

It might be helpful to ask your doctor which type of spondyloarthritis they believe you have and why they've ruled out psoriatic arthritis. Understanding the specific diagnosis can help guide your treatment approach.

April 11

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