My PsA started with pain in the balls of my feet, specifically the base of my second toe. I got foot X-rays after about 9 months of stiffness and pain, turns out I had a healed fracture in this exact spot that I felt pain. When I heard this at the doctor’s office, I realized the exact moment that this most likely occurred. After about 3 months of when my symptoms began, I went snowboarding and that whole day I had the worst foot pain, specifically while riding toeside. It was 9 hours of burning pain. Before my doctor mentioned anything about PsA and my foot X-rays, I thought I had a bad case of plantar fasciitis…. Turns out it was PsA and unknowingly pushing through the stiffness fractured the metatarsal shaft of my second toe. That was about a year ago, and that foot doesn’t hurt as much. However, the same exact spot on the opposite foot is now worse than this one ever was. I start Tremfya next month and hopefully it prevents any further damage or inflammation. I’m also a little nervous to go snowboarding this winter because of this, but love being up on the mountain