How exactly does a doctor go about diagnosing psoriatic arthritis?

Mostly clinical. Skin lesions and arthritis are the first step of evaluation ladder. The comes blood test, radiological evaluation.
Exam, X-rays. Psoriatic arthritis is a diagnosis made mainly by physical examination, based on the presence of psoriasis on the skin and the typical inflammatory arthritis of the joints. There is no laboratory test to diagnose psoriatic arthritis, but tests are often done to rule out rheumatoid arthritis, which can look similar. X-rays may show cartilage or bone changes indicative of psoriatic arthritis.

Related Questions

I took myself off methotrexate for psoriatic arthritis without my doctor knowing it. I was on arava and enbrel and my enzymes were slightly elevated. I want to see if psoriasis comes back. If it does and my enzymes go down, I will start start the medicine

Should really. You should really talk to your doctor about this. Very important. Read more...
Yes and no. I do believe meds need to be adjusted if liver enzymes are elevated. I also personally do not use Arava (leflunomide) and Methotrexate together because of just this issue. However, i never encourage patients to stop meds without discussing issue with the doctor first. Read more...
No, bad idea. You are on the same team as your doctor. Use your doctor as a consultant to help you make the best decisions for your care. If you alter your treatment plan yourself, you are at the very least putting yourself at risk for a flare of disease, and at worst putting yourself into danger if your medicines require a taper to be done safely. Call your doctor now--tell him/her you'd like to stop your meds. Read more...

My boyfriend was 47 y/o & he has joints pain some water inside on it, his doctor said that it was psoriatic arthritis. What medicine he need and food?

Psoriatic arthritis! Initial rx may be aspirating and injecting the inflamed joint, after diagnosis is verified, with a corticosteroid, starting and nsaid, and then giving him oral or subcutaneous methotrexate. There are many other things to use, but you can cooks this soup many ways! Read more...
Arthritis. Regular duet should be ok. No special food is needed. Medications to treat inflammation are needed ranging from otc Ibuprofen to prescription agents. You must see a doctor . Read more...

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. Read more...
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. Read more...
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. Read more...

My mother having psoriatic arthritis. Who is right doctor for consultation and home remedies to get relief from the joint pains.

It depends... The type of doctor you see determines the treatment she'll get. A rheumatologist will prescribe immunosuppressing drugs which can help but are dangerous. Homeopathy might safely cure her problem but you need to see a really good homeopath. For advice on home remedies see an ayurvedic doctor who will give herbs & advice re: diet etc.I advise trying homeopathy/ayurveda 1st, drugs if they don't work. Read more...
Rheumatologist. A rheumatologist would be the best person to treat her psoriatic arthritis. Some of the treatments for psoriatic arthritis also treat the skin psoriasis. If the skin does not improve, she may also need to see a dermatologist. Psoriatic arthritis can be a very aggressive disease and i would first see the rheumatologist to may sure joint destruction is not occurring before trying home remedies. Read more...

Where do I go if I think I have psoriatic arthritis like my?

Need to be seen by - Rheumatologist ; possibly an orthopod, as the DX will be confirmed and treatment will be started and monitored. Good luck. Read more...
Many options. You can go to your PCP, sports medicine doctors, rheumatologist, orthopedic specialists or physical medicine & rehabilitation specialists. Depends on what you are trying to accomplish, each has their strengths and weaknesses in their treatment options or you may need to see a combination of these specialists to treat your issues. Read more...

I have pain on right groin & I'm limping what can it be it just started today & the pain doesnt go away what can I do? Psoriatic arthritis

Hip. Usculoskeletal pain that radiates to the groin is usually from the hip. With your psoriasis and arthritis, it is likely a synovitis of the hip joint; which is an inflammation of the capsule if the hip. Hopefully would respond to an NSAID, if not you may need to be seen. Read more...