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5. The psoriasis you see on your skin is still there.

Ask your doctor if you need a drug that you put on your skin to help.

6. Certain joints, especially your knees, are still swollen or painful.

Your doctor may give you a corticosteroid shot to ease inflammation in a particular joint. Physical therapy also helps.

Even if your joints feel less sore, it’s important to keep track of swelling and inflammation. Those symptoms can mean that psoriatic arthritis is harming your joints. If the swelling isn't going down after you’ve taken your medication for a while, ask your doctor what else you can do to stop any more damage.

7. You have a badly damaged joint that is not improving.

In some cases, the condition can cause extreme joint damage. If this happens to you, your doctor may recommend surgery to repair it.

8. You're depressed.

 Psoriatic arthritis and its symptoms can affect your mood. If you’ve felt down for more than a few weeks, tell your doctor. She can talk with you about what you need to start feeling like yourself again. This may include talking with a professional counselor and, in some cases, taking medicine to ease depression.

9. Your symptoms go away (remission).

Psoriatic arthritis symptoms tend to come and go, so you may be able to lower your medication dose when your disease is in remission. Ask your doctor about taking a drug holiday if your psoriasis and psoriatic arthritis symptoms have vanished. Don't stop taking medication on your own.

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