Should i find a doctor who specializes in psoriatic arthritis? my rheumatologist said that i "may have a mild form of psoriatic arthritis". he recommended that i take nsaids and just watch for further changes. do you agree that i just watch it, or should

Rheumatologists : Rheumatologists are drs that specialize in all types of arthrtis. The pitting of the nail is found in psoriasis, and if that corresponds to a diagnosis of psoriasis in your case and the features of the arthrtis also correspond to psoriatic arthrtis so that is your diagnosis . There are a number of meds that are used for the treatment of psosiasis and psoriatic arthritis, disease modifiers and biologics , there are adds practically in all magazines and tv stations. You should ask your rheumatologist why he does not want to use those meds. Your rheumatologist may find that at this time your disease is to mild to use sronger meds.

No: A rheumatologist is an expert in managing psoriatic arthritis (psa). Nsaids are often an appropriate first line treatment of psa if the disease is mild and not causing permanent joint damage. If nsaids are ineffective, or if skin disease is severe, use of dmards like Methotrexate or biologics like tnf inhibitors may be appropriate. If your symptoms are not controlled, speak to your rheumatologist.

See below: While nsaids may control the pain, it is not going to stop the progression. Secondly, having psoriatic arthritis elevates your risk of cardiovascular disease. You obviously have concerns. Consider getting a second opinion with a rheumatologist as you may require a tnf inhibitor.