[34F] With pitted toenails, joint aches, and heel pain

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

• Psoriatic Arthritis: This is a type of arthritis that affects some people who have psoriasis — a condition that features red patches of skin topped with silvery scales. Most people develop psoriasis first and are later diagnosed with psoriatic arthritis, but the joint problems can sometimes begin before skin patches appear. Joint pain, stiffness and swelling are the main signs and symptoms. Psoriasis can also cause pitted, discolored nails that are thickened or separated from the nail bed.

  • Treatment typically involves medications to reduce inflammation in your joints and to suppress your immune system.

• Nail Psoriasis: This is a manifestation of psoriasis that affects the nails, causing them to become pitted, discolored, and possibly separate from the nail bed. It can occur with or without skin symptoms.

  • Treatment typically involves medications to reduce inflammation and suppress your immune system, as well as topical treatments for the nails themselves.

• Plantar Fasciitis: This is a common cause of heel pain that involves inflammation of a thick band of tissue that runs across the bottom of your foot and connects your heel bone to your toes (plantar fascia). Plantar fasciitis commonly causes stabbing pain that usually occurs with your first steps in the morning.

  • Treatment typically involves physical therapy, night splints, orthotics, and in some cases, injections or surgery.

What you can do

While waiting for your appointment with a healthcare provider, here are some things you can do:

1. Over-the-counter pain relievers: Nonprescription NSAIDs (nonsteroidal anti-inflammatory drugs) such as ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve) can help reduce pain and inflammation.

2. Rest and protect your joints: Avoid activities that aggravate your joint pain. If you can, try to avoid using your painful joints for prolonged periods.

3. Apply heat or cold: Heat can help ease your pain and relax tense, painful muscles. Cold may dull the sensation of pain and reduce muscle spasms.

4. Maintain a healthy weight: Being overweight or obese increases the stress on your weight-bearing joints, such as your knees and your hips.

What you should look out for

Please seek immediate medical attention if:

• Your joint pain is accompanied by swelling, redness, tenderness and warmth around the joint.
• Your joint pain is accompanied by fever.
• You have joint pain that is severe, or your joint is completely immobile.
• You have severe unexplained joint pain, particularly if you have other unexplained symptoms.

Please remember that while I strive to provide accurate and helpful health information, this advice is not a substitute for professional medical advice. Always consult with a healthcare provider for appropriate examinations, treatment, testing, and care recommendations.