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Psoriatic Arthritis Fatigue: Causes and Management Tips

Dr Karen Martin
Reviewed by Dr Karen MartinReviewed on 27 Apr 2025 | 5 minutes readNext review due: 26 Apr 2028
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Are you feeling tired all the time? If you have psoriatic arthritis (PsA), this might sound familiar. Many people with PsA deal with fatigue, which means feeling very tired, and it can make everyday life harder.

Imagine waking up already tired, even after sleeping all night. Simple things like getting dressed or making breakfast can feel like a lot of work, and you might get even more tired as the day goes on. This is what many people with PsA experience.

So, why does arthritis make you tired? Research shows that 5 to 8 out of every 10 people with inflammatory arthritis often feel tired, even if they haven’t done much. The inflammation from PsA can mess with your sleep and lower your energy, leading to tiredness.

Understanding why this happens is important so you can manage it better. By learning about what causes PsA fatigue and its symptoms, you can find ways to feel better. The next sections will talk about treatments, management tips, and other reasons you might feel tired.

What is fatigue?

Fatigue is more than just being tired after a busy day or a bad night’s sleep. It’s a deep feeling of physical and mental exhaustion that doesn’t go away, even with rest. For people with PsA, fatigue can be a long-lasting problem that affects every part of life.

PsA fatigue happens because of inflammation in the body. Inflammation is a main part of arthritis. It causes the immune system to react in ways that hurt the joints and mess with normal body functions, like saving energy and sleeping well. This can lead to strong feelings of tiredness.

Fatigue isn’t just caused by pain or physical problems. It’s its own symptom of PsA that needs attention and care. Knowing about fatigue is important so you can find ways to handle it.

Can Psoriatic Arthritis Make You Tired?

Yes, PsA can make you tired, and this tiredness doesn’t always match what you’ve done that day. Studies show that most people with inflammatory arthritis feel tired-sometimes even when their disease is under control.

There are different reasons for this tiredness. Inflammation itself lowers your energy. Other things like pain, trouble sleeping, depression, and anxiety can also make you tired. When PsA flares up or goes into remission, the tiredness can get worse because of the physical and emotional stress.

By treating the inflammation, improving sleep, managing pain, and taking care of your mental health, you can start to feel better.

The Link Between Arthritis and Fatigue

The connection between arthritis and fatigue is complicated. Inflammatory chemicals in the body cause joint damage and also affect the brain, which can mess up sleep and energy.

Studies have found that people with higher levels of these chemicals often feel more tired. Medicines that control inflammation, like biologics, can help reduce fatigue, showing how closely linked they are.

But fatigue isn’t only caused by inflammation. Pain can make it hard to sleep or be active, which also leads to tiredness. Plus, dealing with a long-term illness like arthritis can be exhausting on its own.

6 ways to manage psoriatic arthritis fatigue

Living with PsA fatigue can be tough, but there are ways to help manage it:

1. Prioritize Rest and Sleep

Make sure you get enough rest and focus on good sleep. Try to go to bed and wake up at the same time every day. Create a relaxing bedtime routine and make your bedroom comfortable. Avoid caffeine and screens before bed, and try calming activities like meditation or deep breathing.

2. Maintain a Balanced Lifestyle

Pace yourself and don’t try to do too much at once. Break big tasks into smaller steps and take regular breaks. Balance activity with rest, and listen to your body.

3. Stay Active

Even though you might feel too tired to exercise, staying active can help in the long run. Try gentle activities like swimming, cycling, or yoga, which are easier on your joints. Start slow and increase your activity as you feel able.

4. Manage Stress

Stress can make fatigue worse. Try stress-reducing activities like yoga, mindfulness, or hobbies you enjoy. Talk to your doctor, family, or friends if you need extra support.

5. Eat a Healthy Diet

Eating healthy foods can help your energy. Eat a variety of fruits, vegetables, lean meats, and whole grains. Drink plenty of water. Try to avoid too much processed food, sugar, and caffeine.

6. Seek Medical Treatment

If lifestyle changes aren’t enough, talk to your doctor. They might suggest medicines like DMARDs or biologics to control inflammation and reduce tiredness. They can also check for other problems like sleep apnea or depression that might be making you tired.

Other possible causes of fatigue

PsA isn’t the only thing that can cause fatigue. Other possible reasons include:

If you’re tired all the time, talk to your doctor to check for other causes and find the best way to manage your symptoms.

Conclusion

Fatigue from PsA can be one of the hardest symptoms to deal with, but understanding why it happens and how to manage it can help you feel better. By getting enough rest, staying active, eating well, and working with your doctor, you can take control of your energy and improve your quality of life. Remember to listen to your body, pace yourself, and get support from medical professionals, family, and friends as you work toward better fatigue management.

The AI in healthwords.ai refers to conversational search, while the only AI tools used for articles are grammar and language improvements -  medical content remains rigorously authored by healthcare professionals.

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This article has been written by UK-based doctors and pharmacists, so some advice may not apply to US users and some suggested treatments may not be available. For more information, please see our T&Cs.
Dr Karen Martin
Reviewed by Dr Karen Martin
Reviewed on 27 Apr 2025
Next review due: 26 Apr 2028
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