Priority 13 from the Psoriatic Arthritis PSP

UNCERTAINTY: What additional treatments (including pain medications, hydrotherapy and pain management) may be helpful to manage symptoms in psoriatic arthritis, such as pain, sleep disruption and fatigue?  (JLA PSP Priority 13)
Overall ranking 13
JLA question ID 0108/13
Explanatory note Pain, poor sleep quality and fatigue are commonly reported by people with psoriatic arthritis. There is a lack of evidence to understand the best way to treat the pain, poor sleep and fatigue experienced by people with psoriatic arthritis. The purpose of this question is to explore the uncertainties that exist. For example, what are the options for pain management? What helps fatigue most for people with psoriatic arthritis? What treatments can help with not sleeping at night, ensuring people with psoriatic arthritis get a decent night's sleep? 
Evidence

This is an area of uncertainty. No systematic reviews or guidelines identified. 
Health Research Classification System category Inflammatory and immune system
Extra information provided by this PSP
Original uncertainty examples What are good and effective treatments that are not drug related? 
Submitted by 56 uncertainties submitted 
PSP information
PSP unique ID 0108
PSP name Psoriatic Arthritis
Total number of uncertainties identified by this PSP. 46  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 12 July 2021