Last September I was diagnosed with PA and started on Enbrel. Although the Enbrel was great for my skin, I was having terrible injection site reactions, which drove me crazy, and switched to Humira in January. I don't feel any different on the Humira but have noticed that my skin is getting bad again. At the end of January I fainted in my home and broke my ankle. EKGs and blood work checked out normal and the ER doctor thought the light-headedness might be a side effect from the Humira. Personally I think it was a freak accident. Now I'm having shoulder pain and in looking up bursitis and tendinitis on the internet yesterday, I came across something that said TNF medications can cause this. Unfortunately I can't find that same website today. Found something from the Cleveland Clinic that says 'other diseases or conditions that weaken shoulder muscles are rheumatoid arthritis, gout, psoriasis, etc." Any opinion on this? I'm going to see an orthopedic tomorrow and have an appt with my rheumatologist next week. Do you think these can be related? I also have stiffness in my left hip when I stand and am starting to have pain in my foot when I walk. Sometimes I think it's my imagination. I don't want to sound like a hypochondriac! Thanks for listening and sorry for the long message. Elain

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Elaine These symptoms are all related. This disease is one that affects all areas of the body. Shoulders, ankles, feet, hands even the eyes. I was at home one night a couple of months ago when I suddenly went blind in one eye.My sight has not returned and I blame it on the weakening of my auto immune system which is a causative factor of PA. So be sure to report all these symptoms to both Doctors. Good Luck Walt

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Thanks so much for your reply. For the most part I haven't really been feeling bad. Knowing this puts me in a real funk!

Elaine

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PsA can cause pain almost anywhere there's a joint but I think it's important that we not blame everything on our disease until we make sure there's not something else going on, instead or in addition too. You may have hurt your shoulder without actually realizing it when you fainted; and - having suffered with problems in both shoulders way before I developed PsA, I've learned that the shoulder is about the most complicated joint in our bodies because there are so many different muscles, tendons, etc.connected to it and kind of rib or postural problem can dramatically affect the shoulder. If it persists, check it out with an ortho; however, I've also learned that if it's not directly related to a joint, orthos sometimes cannot diagnose/treat nearly as well as a good physical therapist. I tore my rotator cuff and biceps tendons badly in a fall that didn't even shake me up. No pain - just a tiny bit of stiffness for about 15 minutes when I got up the next morning. Then about 3 weeks later, I suddenly couldn't lift my arm. We can hurt ourselves and not realize it until later. . Joanna Hoelscher