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02:06

How to Deal With Psoriatic Arthritis Morning Stiffness

PsA symptoms may be worse in the morning, but these habits may help start the day with less pain.

Lauren Smith, MAAlexandra Schwarz, MD
Written by Lauren Smith, MA | Reviewed by Alexandra Schwarz, MD
Updated on July 31, 2024

If you have psoriatic arthritis, it’s common for your symptoms to be the worst when you wake up in the morning. Morning stiffness may be intense and make it challenging to get ready for the day.

Making a few changes to your morning routine may help you cope with pain and stiffness. It may even help you enjoy less severe symptoms as the day goes on.

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What are ways to deal with morning stiffness from psoriatic arthritis?

1. Give yourself extra time

First, you may need more time to get ready in the morning simply due to stiffness. Each task may take a little longer. 

Second, you may want to set aside some time to stretch, shower, and maybe even go for a long walk. These may all be helpful in reducing morning stiffness from psoriatic arthritis.

2. Stretch to loosen up your joints

As soon as you wake up, try doing some gentle stretching. You can even start while you’re still in bed. Regular stretching has two major benefits: First, it may help reduce morning stiffness. Two, it may help preserve your range of motion over time.

3. Try some light exercise in the morning

Inactivity worsens joint pain and stiffness from psoriatic arthritis — which is why symptoms can be so severe when you first get out of bed. You can try to counter this with some gentle exercise. Yoga, swimming, and walking are all great low-impact exercises for psoriatic arthritis.

Make sure to consult your doctor before starting an exercise program.

4. Take a warm shower

Heat in general is often helpful for loosening up stiff joints from psoriatic arthritis. A warm (not hot) shower may help you feel better.

If you don’t want to start your day with a shower, you can also try using a warm compress or heating pad for about 20 minutes. If you are having stiffness in multiple joints, you can transition out of bed by lying under a heated blanket in the morning.

5. Prep your meals and clothing the night before

It may be hard to prepare breakfast in the morning if your hands or fingers are stiff and swollen. Consider a breakfast option that can be made ahead of time, such as:

  • Overnight oatmeal

  • Chia pudding

  • Frittata or frittata muffins

  • Whole-wheat blueberry muffins

It may also help to pick out your outfit the night before and set it out where it’s easily accessible. When your psoriatic arthritis is intense, it may be helpful to pick out clothing that doesn’t have lots of buttons. For example, a pullover sweater may be easier to put on than a button-down shirt and cardigan.

How will psoriatic arthritis treatment help?

It’s important to remember that sticking to your psoriatic arthritis treatment plan may help reduce morning stiffness. If symptoms are severe and causing major disability (in the morning or otherwise), this may be a sign that your current treatment is not the right fit.

Talk to your rheumatologist about the symptoms you’re having and how they’re impacting your daily life. Together, you can find the most effective treatment regimen to help you get a better start to each day.

Additional Medical Contributors
  • Elizabeth Schulman, MDDr. Schulman is a rheumatologist and assistant attending physician at the Hospital for Special Surgery in New York City.

    References

    American College of Rheumatology. (2023). Psoriatic arthritis: patient fact sheet

    Arthritis Foundation. (n.d.). Heat therapy helps relax stiff joints.

    View All References (3)

    National Institute of Arthritis and Musculoskeletal and Skin Diseases. (2021). Psoriatic arthritis: diagnosis, treatment, and steps to take

    National Institute of Arthritis and Musculoskeletal and Skin Diseases. (2021). Psoriatic arthritis: overview, symptoms, & causes.

    National Psoriasis Foundation. (n.d.). Psoriatic arthritis stretching: the little things count.

    GoodRx Health has strict sourcing policies and relies on primary sources such as medical organizations, governmental agencies, academic institutions, and peer-reviewed scientific journals. Learn more about how we ensure our content is accurate, thorough, and unbiased by reading our editorial guidelines.

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