This is really a common cause of pn, as I discovered only after I was diagnosed with it myself. I would not be surprised to learn that most people with "idiopathic neuropathy", that group that gets it in their 50s and 60s, isn't made up to a large extent of stenosis folks.

That's why I put MRI on the lizajane charts. Spinal stenosis needs to be evaluated in all of us with pn.

Psoriasis is accompanied by psoriatic arthritis. Psoriatic arthritis is almost always marked by severe arthritis in the spine. This I know because I have the gene for psoriasis, even though I don't have it, and the docs keep thinking maybe I have psoriatic arthritis without the skin problems.

So it's going to be very important for Alan to be followed by a spine surgeon to make sure this doesn't progress to a point where there is permanent damage. And since it's psoriatic spinal arthritis, it can be quite bad.

Good you've found such thorough doctors for him.