I've had PsA almost my whole life, and I've always been very very grateful that everything on my body was involved from eyes to skin to most of my joints, EXCEPT my entire spine and neck.
Two weeks ago my neck and lower back decided they wanted to get in on the action in a serious way. Saw my rheumy today and he sent me for a pile of x-rays to start, a referral to a spine specialist, and a trigger point injection in my back (still need to look that up to find what I agreed to!) My doc is pretty conservative for imaging and is more of a 'let's wait and see' (which is my attitude too) when things aren't in crisis. So this is freaking me out a bit.
All this hit a week before a 4 day vacation to the Oregon coast. I had to subsist on prednisone and pain meds just to function (thanks to both those things I was able to walk in the waves with my 12 year old, fly kites, and sit on the sand after dark to roast s'mores on the beach).
I'm doing a bit better today, but GEEZ, not happy to have the very last part of my body affected.