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So anybody with psoriasis who has a single joint that has become swollen and painful and stiff, and this does not respond to Advil or one of these over the counter antiinflammatories, I think they should see a physician. I think that individuals with psoriasis who have complaints about stiffness or pain in the lower back and loss of mobility because of arthritis in the lower backthey too, need to see a rheumatologist. I’m impressed by how often we see patients who are treated for their psoriasis using a biologic, and after they get better, they say, I never realized how sore, stiff, and uncomfortable I was before that..

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