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Knowledge Bank

Common questions about psoriasis and psoriatic arthritis

  • Can psoriasis cause joint pain?

    Yes. Around 1 in 3 people with psoriasis may develop psoriatic arthritis, which can cause joint pain, stiffness, swelling and fatigue.

    Early recognition of symptoms is important, as prompt diagnosis and treatment can help reduce inflammation and protect joint health.

    Learn more about Psoriatic Arthritis

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  • What are the early signs of psoriatic arthritis?

    Early signs of psoriatic arthritis can include joint pain, stiffness (particularly in the morning), swelling of fingers or toes, and pain where tendons or ligaments attach to bone.

    Some people may also experience fatigue, reduced flexibility or nail changes alongside their joint symptoms.

    Symptoms vary from person to person and may develop gradually over time.

    Recognising the signs early and seeking medical advice can help support timely diagnosis and treatment.

    Learn more about Getting a diagnosis 

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  • What is a biologic?

    A biologic is a type of medicine that targets specific parts of the immune system involved in inflammation.

    Biologics may be recommended when other treatments have not worked well enough or are not suitable.

    Learn more about what Biologic Treatments are available

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  • Can stress cause a flare-up?

    Yes. Stress is a common trigger for psoriasis flare-ups in some people and may also contribute to worsening symptoms of psoriatic arthritis.

    Living with a long-term condition can itself be stressful, which can sometimes create a cycle of stress and symptom flare-ups.

    Managing stress through relaxation techniques, exercise, support networks or other wellbeing strategies may help some people reduce the impact of symptoms, although it will not cure the condition.

    See Psychological aspects of psoriasis for more information.

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  • Can diet cure psoriasis?

    No. There is currently no evidence that diet can cure psoriasis.

    However, maintaining a healthy, balanced diet may support overall health and help some people manage symptoms.

    Learn more about Psoriatic lifestyle and nutrition 

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  • Can I go swimming with psoriasis?

    Yes. Most people with psoriasis can swim.

    Some people find swimming helpful, although chlorinated water may irritate the skin for others. Showering afterwards and using moisturiser may help.

    See Keeping active for more information. 

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  • Is psoriasis contagious?

    No. Psoriasis is not contagious and cannot be passed from one person to another through touch, close contact, swimming pools or sharing personal items.

    Psoriasis is an immune-mediated condition and is not caused by an infection.

    See What is psoriasis? for more information. 

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  • How can I manage fatigue?

    Fatigue is a common symptom for some people living with psoriasis or psoriatic arthritis.

    Managing fatigue may involve balancing activity and rest, prioritising sleep, staying active where possible and discussing symptoms with your healthcare team.

    See Psoriatic fatigue for more information. 

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  • Is psoriasis hereditary?

    Psoriasis can run in families, but having a family history does not mean that someone will definitely develop the condition.

    Several factors are thought to contribute to the development of psoriasis.

     

    See Heredity for more information

     

     

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  • What treatments are available for psoriasis?

    Treatment options range from moisturisers and topical creams to phototherapy, tablets and biologic medicines. The most suitable treatment depends on the type and severity of psoriasis.
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  • Why is early diagnosis important?

    Recognising symptoms early can help people access treatment sooner, improve long-term outcomes and, in the case of psoriatic arthritis, reduce the risk of permanent joint damage.

    Learn more about recognising symptoms and getting a diagnosis.

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  • What is occupational therapy?

    Occupational therapy helps people overcome physical, practical or emotional challenges that may affect everyday activities. For people living with psoriatic arthritis, an occupational therapist can provide advice on managing fatigue, protecting joints, reducing strain and maintaining independence at home, work and during leisure activities.

    Learn more about occupational therapy

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  • How does psoriatic disease affect the foot?

     

    Psoriatic disease can affect the feet in several ways, causing pain, stiffness, swelling and changes to the skin or nails. Psoriatic arthritis may affect the joints of the feet, while inflammation of tendons and ligaments can lead to problems such as heel pain, plantar fasciitis, enthesitis and swollen toes (dactylitis).

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  • How can psoriasis affect the heart?

    Psoriasis is more than a skin condition. The inflammation associated with psoriasis and psoriatic arthritis may increase the risk of cardiovascular problems in some people, making it important to manage the condition and maintain a heart-healthy lifestyle.

    Learn more about psoriasis, cardiovascular health and reducing your risk

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  • How does the sun affect psoriasis?

    Many people find that moderate exposure to sunlight can help improve psoriasis symptoms, as ultraviolet (UV) light may slow the rapid growth of skin cells. However, too much sun can cause sunburn, which may trigger a psoriasis flare-up and increase the risk of skin damage.

    Learn more about psoriasis and sunlight 

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  • What is pustular psoriasis?

    Pustular psoriasis is a less common form of psoriasis characterised by white or yellow pus-filled blisters (pustules) that develop on inflamed skin. It can affect specific areas of the body, such as the hands and feet, or more widespread areas and may require specialist assessment and treatment.

    Learn more about pustular psoriasis
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  • What are emollients and how can they help psoriasis?

    Emollients are moisturising treatments that help keep the skin hydrated, reduce dryness and scaling, and support the skin's natural barrier. Regular use of emollients is an important part of psoriasis care and may help improve comfort, reduce itching and enhance the effectiveness of other treatments.

    Learn more about emollients

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