Elite Rheumatology and Arthritis Center, operates under the legal business name Sunshine Specialty Healthcare LLC
Operates under the legal business name Sunshine Specialty Healthcare LLC
Arthritis Comparison Chart
Elite Rheumatology and Arthritis Center
Dr. Sumalatha Nandikonda, MD
1727 Orlando Central Pkwy, Orlando, FL 32809
Phone/Text: 407-888-5980
Fax: 4078882492
​
“Please note that Elite Rheumatology and Arthritis Center operates under the legal business name Sunshine Specialty Healthcare LLC”.
Arthritis Comparison Chart
Feature
​
​
Cause
​
​
Joint
Involvement
​
​
Skin
Involvement
​
​
Nail Changes
​
​
Morning
Stiffness
​
​
Swelling &
Redness
​
​
Age of onset
​
​
Treatment
​
Psoriatic Arthritis (PsA)
​
​
Autoimmune, often linked to psoriasis​
​
Asymmetrical or symmetrical; fingers, toes, spine, knees
​
​
Often present (psoriasis)
​
​
​
Common (pitting, separation)
​
​
> 30 minutes
​
​
​
Yes, often with dactylitis ("sausage digits")
​
​
30–50 years (varies)
​
​
NSAIDs, DMARDs, biologics
Rheumatoid Arthritis (RA)
​
​
Autoimmune, immune system attacks joints
​
Symmetrical; small joints (hands, feet)
​
​
No skin involvement
​
​
​
Rare
​
​
> 30 minutes
​
​
​
Yes, with joint tenderness
​
​
​
30–60 years
​
​
NSAIDs, DMARDs, biologics
Osteoarthritis (OA)
​
​
Wear-and-tear of cartilage over time
​
Often weight-bearing joints (knees, hips, spine)
​
​
No skin involvement
​
​
​
No nail changes
​
​
Usually < 30 minutes
​
​
​
May have swelling, less redness
​
​
After age 50
​
​
Pain relievers, exercise, joint support
For more information, view our treatments or to schedule an appointment, contact us
Elite Rheumatology and Arthritis Center
Dr. Sumalatha Nandikonda, MD
1727 Orlando Central Pkwy, Orlando, FL 32809
Phone/Text: 407-888-5980
Fax: 4078882492
​
“Please note that Elite Rheumatology and Arthritis Center operates under the legal business name
Sunshine Specialty Healthcare LLC”
Arthritis Comparison Chart
Dr. Sumalatha Nandikonda brings extensive experience in treating a wide range of rheumatologic conditions. At Elite Rheumatology and Arthritis Center, we are committed to delivering comprehensive, compassionate care tailored to each patient’s needs.
​
For educational purposes, we have listed a few of the common conditions we treat on our website.If you don’t see your condition listed, please contact us directly—we’re happy to discuss how we can help.
​
Please note that Elite Rheumatology and Arthritis Center operates under the legal business name Sunshine Specialty Healthcare LLC.
​
Dr. Nandikonda’s journey in medicine is defined by a deep commitment to her patients. Before specializing, she spent eight years as a hospitalist, gaining invaluable experience in complex patient care, followed by three years in a dedicated rheumatology clinic. Her passion for the field led her to complete a rigorous two-year fellowship right here in Orlando, training alongside the city's top specialists. With a vision for a more personal approach to medicine, she founded Elite Rheumatology and Arthritis Center. Today, she’s proud to provide the Orlando and Central Florida community with the high-quality, compassionate care they deserve.
CAUSE
​
Psoriatic Arthritis (PsA):
Autoimmune, often linked to psoriasis
​
Rheumatoid Arthritis (RA):
Autoimmune, immune system attacks joints
​
Osteoarthritis (OA):
Wear-and-tear of cartilage over time
JOINT INVOLVEMENT
​
Psoriatic Arthritis (PsA):
Asymmetrical or symmetrical; fingers, toes, spine, knees
Rheumatoid Arthritis (RA):
Symmetrical; small joints (hands, feet)
​
Osteoarthritis (OA):
Often weight-bearing joints (knees, hips, spine)
SKIN INVOLVEMENT
​
Psoriatic Arthritis (PsA):
Often present (psoriasis)
Rheumatoid Arthritis (RA):
No skin involvement
​
Osteoarthritis (OA):
No skin involvement
NAIL CHANGES
​
Psoriatic Arthritis (PsA):
Common (pitting, separation)
Rheumatoid Arthritis (RA):
Rare
​
Osteoarthritis (OA):
No nail changes
SWELLING & REDNESS
​
Psoriatic Arthritis (PsA):
Yes, often with dactylitis ("sausage digits")
Rheumatoid Arthritis (RA):
Yes, with joint tenderness
​
Osteoarthritis (OA):
May have swelling, less redness
MORNING STIFFNESS
​
Psoriatic Arthritis (PsA):
> 30 minutes
Rheumatoid Arthritis (RA):
> 30 minutes
​
Osteoarthritis (OA):
Usually < 30 minutes
TREATMENT
​
Psoriatic Arthritis (PsA):
NSAIDs, DMARDs, biologics
Rheumatoid Arthritis (RA):
NSAIDs, DMARDs, biologics
​
Osteoarthritis (OA):
Pain relievers, exercise, joint support
AGE OF ONSET
​
Psoriatic Arthritis (PsA):
30–50 years (varies)
Rheumatoid Arthritis (RA):
30–60 years
​
Osteoarthritis (OA):
After age 50